Common Data Element for Unruptured Intracranial Aneurysm and Subarachnoid Hemorrhage

Recommendations from Assessments and Clinical Examination Workgroup/Subcommittee

the Unruptured Intracranial Aneurysms and SAH CDE Project Investigators

Research output: Contribution to journalArticle

Abstract

Background: Clinical studies of subarachnoid hemorrhage (SAH) and unruptured cerebral aneurysms lack uniformity in terms of variables used for assessments and clinical examination of patients which has led to difficulty in comparing studies and performing meta-analyses. The overall goal of the National Institute of Health/National Institute of Neurological Disorders and Stroke Unruptured Intracranial Aneurysms (UIA) and subarachnoid hemorrhage (SAH) Common Data Elements (CDE) Project was to provide common definitions and terminology for future unruptured intracranial aneurysm and SAH research. Methods: This paper summarizes the recommendations of the subcommittee on SAH Assessments and Clinical Examination. The subcommittee consisted of an international and multidisciplinary panel of experts in UIA and SAH. Consensus recommendations were developed by reviewing previously published CDEs for other neurological diseases including traumatic brain injury, epilepsy and stroke, and the SAH literature. Recommendations for CDEs were classified by priority into “core,” “supplemental—highly recommended,” “supplemental” and “exploratory.” Results: We identified 248 variables for Assessments and Clinical Examination. Only the World Federation of Neurological Societies grading scale was classified as “Core.” The Glasgow Coma Scale was classified as “Supplemental—Highly Recommended.” All other Assessments and Clinical Examination variables were categorized as “Supplemental.” Conclusion: The recommended Assessments and Clinical Examination variables have been collated from a large number of potentially useful scales, history, clinical presentation, laboratory, and other tests. We hope that adherence to these recommendations will facilitate the comparison of results across studies and meta-analyses of individual patient data.

Original languageEnglish (US)
JournalNeurocritical care
DOIs
StatePublished - Jan 1 2019

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Intracranial Aneurysm
Subarachnoid Hemorrhage
Meta-Analysis
National Institute of Neurological Disorders and Stroke
Glasgow Coma Scale
National Institutes of Health (U.S.)
Terminology
Common Data Elements
Epilepsy
History
Stroke
Research

Keywords

  • Aneurysm
  • Assessments
  • Clinical examination
  • Clinical studies
  • Common data elements
  • Data coding
  • Data collection
  • Glasgow Coma Scale
  • Hemorrhagic stroke
  • Standardization
  • Subarachnoid hemorrhage
  • World Federation of Neurological Societies

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

Cite this

Common Data Element for Unruptured Intracranial Aneurysm and Subarachnoid Hemorrhage : Recommendations from Assessments and Clinical Examination Workgroup/Subcommittee. / the Unruptured Intracranial Aneurysms and SAH CDE Project Investigators.

In: Neurocritical care, 01.01.2019.

Research output: Contribution to journalArticle

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title = "Common Data Element for Unruptured Intracranial Aneurysm and Subarachnoid Hemorrhage: Recommendations from Assessments and Clinical Examination Workgroup/Subcommittee",
abstract = "Background: Clinical studies of subarachnoid hemorrhage (SAH) and unruptured cerebral aneurysms lack uniformity in terms of variables used for assessments and clinical examination of patients which has led to difficulty in comparing studies and performing meta-analyses. The overall goal of the National Institute of Health/National Institute of Neurological Disorders and Stroke Unruptured Intracranial Aneurysms (UIA) and subarachnoid hemorrhage (SAH) Common Data Elements (CDE) Project was to provide common definitions and terminology for future unruptured intracranial aneurysm and SAH research. Methods: This paper summarizes the recommendations of the subcommittee on SAH Assessments and Clinical Examination. The subcommittee consisted of an international and multidisciplinary panel of experts in UIA and SAH. Consensus recommendations were developed by reviewing previously published CDEs for other neurological diseases including traumatic brain injury, epilepsy and stroke, and the SAH literature. Recommendations for CDEs were classified by priority into “core,” “supplemental—highly recommended,” “supplemental” and “exploratory.” Results: We identified 248 variables for Assessments and Clinical Examination. Only the World Federation of Neurological Societies grading scale was classified as “Core.” The Glasgow Coma Scale was classified as “Supplemental—Highly Recommended.” All other Assessments and Clinical Examination variables were categorized as “Supplemental.” Conclusion: The recommended Assessments and Clinical Examination variables have been collated from a large number of potentially useful scales, history, clinical presentation, laboratory, and other tests. We hope that adherence to these recommendations will facilitate the comparison of results across studies and meta-analyses of individual patient data.",
keywords = "Aneurysm, Assessments, Clinical examination, Clinical studies, Common data elements, Data coding, Data collection, Glasgow Coma Scale, Hemorrhagic stroke, Standardization, Subarachnoid hemorrhage, World Federation of Neurological Societies",
author = "{the Unruptured Intracranial Aneurysms and SAH CDE Project Investigators} and Rahul Damani and Stephan Mayer and Raj Dhar and Martin, {Renee H.} and Nyquist, {Paul A} and Olson, {Dai Wai M.} and Mejia-Mantilla, {Jorge H.} and Susanne Muehlschlegel and Jauch, {Edward C.} and J. Mocco and Tatsushi Mutoh and Jose Suarez and Macdonald, {R. Loch} and Sepideh Amin-Hanjani and Brown, {Robert D.} and {de Oliveira Manoel}, {Airton Leonardo} and Derdeyn, {Colin P.} and Nima Etminan and Emanuela Keller and LeRoux, {Peter D.} and Akio Morita and Gabriel Rinkel and Daniel Rufennacht and Stienen, {Martin N.} and James Torner and Vergouwen, {Mervyn D.I.} and Wong, {George K.C.} and Brown, {Robert D.} and Philippe Bijlenga and Nerissa Ko and McDougall, {Cameron G.} and Cameron McDougall and Yuuichi Murayama and Werner, {Marieke J.H.} and Joseph Broderick and Jauch, {Edward C.} and Kirkpatrick, {Peter J.} and Martin, {Renee H.} and Daiwai Olson and Mejia-Mantilla, {Jorge H.} and {van der Jagt}, Mathieu and Nicholas Bambakidis and Gretchen Brophy and Ketan Bulsara and Jan Claassen and Connolly, {E. Sander} and Hoffer, {S. Alan} and Hoh, {Brian L.} and Holloway, {Robert G.} and Adam Kelly",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s12028-019-00736-1",
language = "English (US)",
journal = "Neurocritical Care",
issn = "1541-6933",
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TY - JOUR

T1 - Common Data Element for Unruptured Intracranial Aneurysm and Subarachnoid Hemorrhage

T2 - Recommendations from Assessments and Clinical Examination Workgroup/Subcommittee

AU - the Unruptured Intracranial Aneurysms and SAH CDE Project Investigators

AU - Damani, Rahul

AU - Mayer, Stephan

AU - Dhar, Raj

AU - Martin, Renee H.

AU - Nyquist, Paul A

AU - Olson, Dai Wai M.

AU - Mejia-Mantilla, Jorge H.

AU - Muehlschlegel, Susanne

AU - Jauch, Edward C.

AU - Mocco, J.

AU - Mutoh, Tatsushi

AU - Suarez, Jose

AU - Macdonald, R. Loch

AU - Amin-Hanjani, Sepideh

AU - Brown, Robert D.

AU - de Oliveira Manoel, Airton Leonardo

AU - Derdeyn, Colin P.

AU - Etminan, Nima

AU - Keller, Emanuela

AU - LeRoux, Peter D.

AU - Morita, Akio

AU - Rinkel, Gabriel

AU - Rufennacht, Daniel

AU - Stienen, Martin N.

AU - Torner, James

AU - Vergouwen, Mervyn D.I.

AU - Wong, George K.C.

AU - Brown, Robert D.

AU - Bijlenga, Philippe

AU - Ko, Nerissa

AU - McDougall, Cameron G.

AU - McDougall, Cameron

AU - Murayama, Yuuichi

AU - Werner, Marieke J.H.

AU - Broderick, Joseph

AU - Jauch, Edward C.

AU - Kirkpatrick, Peter J.

AU - Martin, Renee H.

AU - Olson, Daiwai

AU - Mejia-Mantilla, Jorge H.

AU - van der Jagt, Mathieu

AU - Bambakidis, Nicholas

AU - Brophy, Gretchen

AU - Bulsara, Ketan

AU - Claassen, Jan

AU - Connolly, E. Sander

AU - Hoffer, S. Alan

AU - Hoh, Brian L.

AU - Holloway, Robert G.

AU - Kelly, Adam

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: Clinical studies of subarachnoid hemorrhage (SAH) and unruptured cerebral aneurysms lack uniformity in terms of variables used for assessments and clinical examination of patients which has led to difficulty in comparing studies and performing meta-analyses. The overall goal of the National Institute of Health/National Institute of Neurological Disorders and Stroke Unruptured Intracranial Aneurysms (UIA) and subarachnoid hemorrhage (SAH) Common Data Elements (CDE) Project was to provide common definitions and terminology for future unruptured intracranial aneurysm and SAH research. Methods: This paper summarizes the recommendations of the subcommittee on SAH Assessments and Clinical Examination. The subcommittee consisted of an international and multidisciplinary panel of experts in UIA and SAH. Consensus recommendations were developed by reviewing previously published CDEs for other neurological diseases including traumatic brain injury, epilepsy and stroke, and the SAH literature. Recommendations for CDEs were classified by priority into “core,” “supplemental—highly recommended,” “supplemental” and “exploratory.” Results: We identified 248 variables for Assessments and Clinical Examination. Only the World Federation of Neurological Societies grading scale was classified as “Core.” The Glasgow Coma Scale was classified as “Supplemental—Highly Recommended.” All other Assessments and Clinical Examination variables were categorized as “Supplemental.” Conclusion: The recommended Assessments and Clinical Examination variables have been collated from a large number of potentially useful scales, history, clinical presentation, laboratory, and other tests. We hope that adherence to these recommendations will facilitate the comparison of results across studies and meta-analyses of individual patient data.

AB - Background: Clinical studies of subarachnoid hemorrhage (SAH) and unruptured cerebral aneurysms lack uniformity in terms of variables used for assessments and clinical examination of patients which has led to difficulty in comparing studies and performing meta-analyses. The overall goal of the National Institute of Health/National Institute of Neurological Disorders and Stroke Unruptured Intracranial Aneurysms (UIA) and subarachnoid hemorrhage (SAH) Common Data Elements (CDE) Project was to provide common definitions and terminology for future unruptured intracranial aneurysm and SAH research. Methods: This paper summarizes the recommendations of the subcommittee on SAH Assessments and Clinical Examination. The subcommittee consisted of an international and multidisciplinary panel of experts in UIA and SAH. Consensus recommendations were developed by reviewing previously published CDEs for other neurological diseases including traumatic brain injury, epilepsy and stroke, and the SAH literature. Recommendations for CDEs were classified by priority into “core,” “supplemental—highly recommended,” “supplemental” and “exploratory.” Results: We identified 248 variables for Assessments and Clinical Examination. Only the World Federation of Neurological Societies grading scale was classified as “Core.” The Glasgow Coma Scale was classified as “Supplemental—Highly Recommended.” All other Assessments and Clinical Examination variables were categorized as “Supplemental.” Conclusion: The recommended Assessments and Clinical Examination variables have been collated from a large number of potentially useful scales, history, clinical presentation, laboratory, and other tests. We hope that adherence to these recommendations will facilitate the comparison of results across studies and meta-analyses of individual patient data.

KW - Aneurysm

KW - Assessments

KW - Clinical examination

KW - Clinical studies

KW - Common data elements

KW - Data coding

KW - Data collection

KW - Glasgow Coma Scale

KW - Hemorrhagic stroke

KW - Standardization

KW - Subarachnoid hemorrhage

KW - World Federation of Neurological Societies

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U2 - 10.1007/s12028-019-00736-1

DO - 10.1007/s12028-019-00736-1

M3 - Article

JO - Neurocritical Care

JF - Neurocritical Care

SN - 1541-6933

ER -