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Dyspnoea 12
Mathew Thorpe edited this page Aug 30, 2021
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1 revision
Variable / Field Name | Section Header | Field Type | Field Label | Choices or Calculations |
---|---|---|---|---|
d12_date | text | Date | ||
dyspnoea_not_go_in | radio | 1. My breath does not go in all the way | 0, None ; 1, Mild ; 2, Moderate ; 3, Severe | |
dyspnoea_more_work | radio | 2. My breathing requires more work | 0, None ; 1, Mild ; 2, Moderate ; 3, Severe | |
dyspnoea_short | radio | 3. I feel short of breath | 0, None ; 1, Mild ; 2, Moderate ; 3, Severe | |
dyspnoea_catching | radio | 4. I have difficulty catching my breath | 0, None ; 1, Mild ; 2, Moderate ; 3, Severe | |
dyspnoea_not_air | radio | 5. I cannot get enough air | 0, None ; 1, Mild ; 2, Moderate ; 3, Severe | |
dyspnoea_uncomfortable | radio | 6. My breathing is uncomfortable | 0, None ; 1, Mild ; 2, Moderate ; 3, Severe | |
dyspnoea_exhausting | radio | 7. My breathing is exhausting | 0, None ; 1, Mild ; 2, Moderate ; 3, Severe | |
dyspnoea_depressed | radio | 8. My breathing makes me feel depressed | 0, None ; 1, Mild ; 2, Moderate ; 3, Severe | |
dyspnoea_miserable | radio | 9. My breathing makes me feel miserable | 0, None ; 1, Mild ; 2, Moderate ; 3, Severe | |
dyspnoea_distressing | radio | 10. My breathing is distressing | 0, None ; 1, Mild ; 2, Moderate ; 3, Severe | |
dyspnoea_agitated | radio | 11. My breathing makes me agitated | 0, None ; 1, Mild ; 2, Moderate ; 3, Severe | |
dyspnoea_irritating | radio | 12. My breathing is irritating | 0, None ; 1, Mild ; 2, Moderate ; 3, Severe | |
d12_summary | calc | Dyspnoea-12 Score | sum([dyspnoea_not_go_in], [dyspnoea_more_work] , [dyspnoea_short] , [dyspnoea_catching] , [dyspnoea_not_air], [dyspnoea_uncomfortable] , [dyspnoea_exhausting], [dyspnoea_depressed], [dyspnoea_miserable] , [dyspnoea_distressing], [dyspnoea_agitated], [dyspnoea_irritating]) |
Contents
Case Report Form Definitions
- Forms
- Timepoints
- PHOSP ID
- eConsent Tier 1
- eConsent Tier 2
- Informed Consent Form
- Split Tier Consent
- Eligibility Checklist
- CRF1A Part 1
- CRF1A Part 2
- CRF1A Part 3
- CRF1B
- CRF2A
- CRF2B
- CRF3A
- CRF3B
- CRF3C
- CRF4A
- CRF4B
- CRF Emergency Visit
- Adverse Event Log
- Withdrawals
- CRF Early Termination
- CRF Tier 2 Withdrawal
- Medications Log
- Activity Monitor Log
- Mental Health Assessment
- Nutrition
- Social History
- EQ-5D-5L
- GAD-7
- PHQ-9
- MRC Dyspnoea
- SARC-F
- GPPAQ
- Dyspnoea-12
- FACIT Fatigue
- PCL-5
- BPI
- NEADL
- MoCA
- Rockwood Clinical Frailty
- PSQI
- MEQ
- LCQ
- PFTs
- Walk Tests
- Tier 2 Core Test Checklist
- Tier 2 Research Samples
- Tier 2 Notification - Blood
- Tier 2 Notification - Oral Wash
- Tier 2 Notification - Sputum
- Tier 2 Notification - Urine
- QRISK3
- BIA
- DXA
- Muscle Strength
- SPPB
- Pre-PSQ
- PSQ
- Lab Log - Routine Blood
- Lab Log - Urine
- Lab Log - Immuno
- Lab Log - Additional Tests
- PCR Swab Tests