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Walk Tests
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 |
---|---|---|---|---|
wt_type | radio | Type of test | 1, 6 Minute Walk Test ; 2, Incremental shuttle walk test (ISWT) Modified 15 level | |
wt_done | yesno | Completed | 1, Yes ; 0, No | |
wt_visit | radio | Visit | 1, 3 months ; 2, 12 months ; 3, Additional planned clinical visit | |
wt_date | text | Date completed | ||
wt_aid | yesno | Walking aid | 1, Yes ; 0, No | |
wt_aid_detail | text | Walking aid detail | ||
wt_o2 | yesno | Supplemental oxygen during test | 1, Yes ; 0, No | |
wt_o2_flow | text | Supplemental oxygen flow rate | ||
wt_pre_hr | text | Pre-test heart rate | ||
wt_pre_spo2 | text | Pre-test pulse oximetry (SpO2) | ||
wt_pre_bp_sys | text | Pre-test blood pressure - systolic | ||
wt_pre_bp_dia | text | Pre-test blood pressure - diastolic | ||
wt_pre_bless | text | Pre-test BORG breathlessness (0 - 10) | ||
wt_pre_legf | text | Pre-test BORG leg fatigue (0 - 10) | ||
wt_post_hr | text | Post-test heart rate | ||
wt_post_spo2 | text | Post-test pulse oximetry (SpO2) | ||
wt_post_bp_sys | text | Post-test blood pressure - systolic | ||
wt_post_bp_dia | text | Post-test blood pressure - diastolic | ||
wt_post_bless | text | Post-test BORG breathlessness (0 - 10) | ||
wt_post_legf | text | Post-test BORG leg fatigue (0 - 10) | ||
wt_distance | text | Distance (m) | ||
mt_level | text | Level achieved | ||
mt_reason | checkbox | Reason for termination | 1, Breathlessness ; 2, Leg fatigue ; 4, Breathlessness/Leg fatigue ; 3, Other | |
mt_reason_other | notes | Reason for termination - Other |
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