| crf1a3_version |
|
radio |
CRF1 Version Completed |
1, Unversioned ; 2, 1.0 ; 3, 1.1 ; 4, 1.2 ; 5, 1.3 ; 6, 1.4 ; 7, 1.5 ; 8, 2.0 |
| crf1a_o2_supp |
Respiratory Support given at any point during COVID-19 admission |
radio |
a) Supplemental oxygen |
1, Yes ; 0, No ; 2, N/K |
| crf1a_o2_cpapv |
|
radio |
b) Continuous Positive Airway Pressure Ventilation |
1, Yes ; 0, No ; 2, N/K |
| crf1a_o2_blniv |
|
radio |
c) Bi-Level Non-Invasive Ventilation |
1, Yes ; 0, No ; 2, N/K |
| crf1a_o2_hfn |
|
radio |
d) High Flow Nasal O2 |
1, Yes ; 0, No ; 2, N/K |
| crf1a_o2_imv |
|
radio |
e) Invasive Mechanical Ventilation |
1, Yes ; 0, No ; 2, N/K |
| crf1a_o2_ecmo |
|
radio |
f) Extra-Corporeal Membrane Oxygenation |
1, Yes ; 0, No ; 2, N/K |
| crf1a_treat_at |
Were any of the following treatments given during hospitalisation? |
radio |
a) Antibiotic therapy |
1, Yes ; 0, No ; NK, N/K |
| crf1a_treat_ss |
|
radio |
b) Systemic (oral or IV) steroids |
1, Yes ; 0, No ; NK, N/K |
| crf1a_treat_tdac |
|
radio |
c) Therapeutic dose anti-coagulation |
1, Yes ; 0, No ; NK, N/K |
| crf1a_treat_proning |
|
radio |
d) Proning |
1, Yes ; 0, No ; NK, N/K |
| crf1a_treat_rrt |
|
radio |
e) Renal replacement therapy |
1, Yes ; 0, No ; NK, N/K |
| crf1a_treat_tocil |
|
radio |
f) Tocilizumab |
1, Yes ; 0, No ; NK, N/K |
| crf1a_treat_saril |
|
radio |
g) Sarilumab |
1, Yes ; 0, No ; NK, N/K |
| crf1a_treat_remde |
|
radio |
h) Remdesivir |
1, Yes ; 0, No ; NK, N/K |
| crf1a_add_diag_pemt |
Were any of these additional diagnoses or complications made during hospitalisation? |
radio |
a) Pulmonary Embolism/micro thrombi |
1, Yes ; 0, No ; NK, N/K |
| crf1a_add_diag_cvvh |
|
radio |
b) Renal failure requiring CVVH or Haemodialysis |
1, Yes ; 0, No ; NK, N/K |
| crf1a_add_diag_myoc |
|
radio |
c) Myocarditis |
1, Yes ; 0, No ; NK, N/K |
| crf1a_add_diag_cmp |
|
radio |
d) Cardiomyopathy |
1, Yes ; 0, No ; NK, N/K |
| crf1a_add_diag |
|
radio |
e) Coronary thrombosis |
1, Yes ; 0, No ; NK, N/K |
| crf1a_studies |
Was the patient enrolled in any COVID Studies during hospitalisation? |
checkbox |
13) Was the patient enrolled in any COVID Studies during hospitalisation? |
1, GenOMICC ; 2, RECOVERY ; 22, RECOVERY-RS ; 3, REMAP-CAP ; 4, Synairgen SG016 ; 5, CAN-COVID ; 6, RUXCOVID ; 7, ACCORD-2 ; 8, PACA ; 9, Tocilizumab ; 10, REALIST ; 11, ACTT-EU/UK ; 12, Remdesivir Moderate ; 13, Remdesivir Severe ; 14, COVACTA ; 15, TACTIC-R ; 16, C-19-ACS ; 17, ILIAD-7-UK ; 18, LIBERATE ; 19, ATOMIC2 ; 20, STOP-COVID ; 21, Other |
| crf1a_genomicc_id |
|
text |
GenOMICC ID |
|
| crf1a_studies_other |
|
notes |
Other COVID IMP studies enrolled |
|
| crf1a_egfr_low |
Please provide the following values if measured: |
radio |
14.a) Lowest measured eGFR |
1, Enter exact value ; 2, >90 mL/min/1.73m2 ; 3, N/K |
| crf1a_egfr_low_value |
|
text |
14.a) Lowest measured eGFR: Value |
|
| crf1a_egfr_low_date |
|
text |
14.a) Lowest measured eGFR: Date of sample |
|
| crf1a_alt_high |
|
radio |
14.b) Highest measured ALT |
1, Enter exact value ; NK, N/K |
| crf1a_alt_high_less_great |
|
dropdown |
14.b) Highest measured ALT - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_alt_high_value |
|
text |
14.b) Highest measured ALT: Value |
|
| crf1a_alt_high_date |
|
text |
14.b) Highest measured ALT: Date of sample |
|
| crf1a_bnp_done |
|
radio |
14.c) BNP Measurementsi) Was BNP or NT-proBNP measured during admission? |
1, Yes ; 0, No ; NK, N/K |
| crf1a_bnp_type |
|
radio |
14.c) BNP Measurementsii) What measure was used? |
1, NT-proBNP ; 2, BNP |
| crf1a_bnp_unit |
|
radio |
14.c) BNP Measurementsiii) What units were used? |
1, pg/ml ; 2, other |
| crf1a_bnp_unit_other |
|
text |
14.c) BNP MeasurementsUnit |
|
| crf1a_bnp_high_less_great |
|
dropdown |
14.c) BNP Measurementsiv) Highest level recorded during admission - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_bnp_high |
|
text |
14.c) BNP Measurementsiv) Highest level recorded during admission: Value |
|
| crf1a_bnp_high_date |
|
text |
14.c) BNP Measurementsiv) Highest level recorded during admission: Date of sample |
|
| crf1a_bnp_last |
|
radio |
14.c) BNP Measurementsv) Level of last measurement prior to discharge |
1, Enter exact value ; 2, Same as highest level |
| crf1a_bnp_last_less_great |
|
dropdown |
14.c) BNP Measurementsv) Level of last measurement prior to discharge - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_bnp_last_value |
|
text |
14.c) BNP Measurementsv) Level of last measurement prior to discharge: Value |
|
| crf1a_bnp_last_date |
|
text |
14.c) BNP Measurementsv) Level of last measurement prior to discharge: Date of sample |
|
| crf1a_trop_done |
|
radio |
14.d) Troponin Measurementsi) Was Troponin measured during admission? |
1, Yes ; 0, No ; NK, N/K |
| crf1a_trop_type |
|
radio |
14.d) Troponin Measurementsii) What measure of Troponin was used? |
1, cTnI ; 2, cTnT ; 3, hs-cTnI ; 4, hs-cTnT |
| crf1a_trop_unit |
|
radio |
14.d) Troponin Measurementsiii) What units were used? |
1, ng/ml ; 2, other |
| crf1a_trop_unit_other |
|
text |
14.d) Troponin MeasurementsUnit |
|
| crf1a_trop_first_less_great |
|
dropdown |
14.d) Troponin Measurementsiv) First level recorded during hospital admission - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_trop_first |
|
text |
14.d) Troponin Measurementsiv) First level recorded during hospital admission |
|
| crf1a_trop_first_date |
|
text |
14.d) Troponin Measurementsiv) First level recorded during hospital admission: Date of sample |
|
| crf1a_trop_high |
|
radio |
14.d) Troponin Measurementsv) Highest level recorded during admission |
1, Enter exact value ; 2, Same as first level |
| crf1a_trop_high_less_great |
|
dropdown |
14.d) Troponin Measurementsv) Highest level recorded during admission - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_trop_high_value |
|
text |
14.d) Troponin Measurementsv) Highest level recorded during admission: Value |
|
| crf1a_trop_high_date |
|
text |
14.d) Troponin Measurementsv) Highest level recorded during admission: Date of sample |
|
| crf1a_haema_not_done |
Haematology results panel (at admission) |
checkbox |
Please tick any test that is NOT DONE |
1, Haemoglobin (Hb) ; 2, White Blood Cell (WBC) count ; 3, Neutrophil count ; 4, Lymphocyte count ; 5, Eosinophil count ; 6, Platelet (PLT) count ; 7, Mean cell volume (MCV) ; 8, INR ; 9, APTT ; 10, D-dimer level ; 11, Fibrinogen level |
| crf1a_haemo_less_great |
|
dropdown |
Haemoglobin (Hb) - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_haemoglobin |
|
text |
Haemoglobin (Hb) |
|
| crf1a_wbc_less_great |
|
dropdown |
White Blood Cell (WBC) Count - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_wbc |
|
text |
White Blood Cell (WBC) count |
|
| crf1a_neutro_less_great |
|
dropdown |
Neutrophil Count - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_neutrophil_count |
|
text |
Neutrophil count |
|
| crf1a_lympho_less_great |
|
dropdown |
Lymphocyte Count - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_haema_lymph |
|
text |
Lymphocyte count |
|
| crf1a_eos_less_great |
|
dropdown |
Eosinophil Count - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_eosinophil_count |
|
text |
Eosinophil count |
|
| crf1a_plt_less_great |
|
dropdown |
Platelet (PLT) Count - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_platelet_plt_count |
|
text |
Platelet (PLT) count |
|
| crf1a_mcv_less_great |
|
dropdown |
Mean Cell Volume (MCV) - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_mcv |
|
text |
Mean cell volume (MCV) |
|
| crf1a_inr_less_great |
|
dropdown |
INR - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_inr |
|
text |
INR |
|
| crf1a_aptt_less_great |
|
dropdown |
APTT - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_aptt |
|
text |
APTT |
|
| crf1a_d_dimer_less_great |
|
dropdown |
D-dimer level - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_d_dimer_unit |
|
radio |
D-dimer level - Measurement |
1, ug/mL or mg/L ; 2, ng/mL or ug/L |
| crf1a_d_dimer_assay |
|
radio |
D-dimer level - Measurement |
1, FEU ; 2, DDU |
| crf1a_d_dimer_level |
|
text |
D-dimer level |
|
| crf1a_fib_less_great |
|
dropdown |
Fibrinogen level - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_fibrinogen |
|
text |
Fibrinogen level |
|
| crf1a_biochem_not_done |
Biochemistry panel (at admission) |
checkbox |
Please tick any test that is NOT DONE |
1, Sodium (Na) ; 2, Potassium (K) ; 3, Urea ; 4, Creatinine ; 5, eGFR ; 6, Alanine aminotransferase (ALT) ; 7, Alkaline phosphatase (ALP) ; 8, Total Bilirubin ; 9, CRP ; 10, Ferritin ; 11, Magnesium (mg) ; 12, Serum Cortisol ; 13, Procalcitonin ; 14, Interleukin-6 |
| crf1a_na_less_great |
|
dropdown |
Sodium (Na) - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_na |
|
text |
Sodium (Na) |
|
| crf1a_k_less_great |
|
dropdown |
Potassium (K) - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_k |
|
text |
Potassium (K) |
|
| crf1a_urea_less_great |
|
dropdown |
Urea - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_urea |
|
text |
Urea |
|
| crf1a_creat_less_great |
|
dropdown |
Creatinine - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_creatinine |
|
text |
Creatinine |
|
| crf1a_biochem_egfr_90 |
|
yesno |
Is eGFR value > 90? |
1, Yes ; 0, No |
| crf1a_egfr_int |
|
text |
eGFR |
|
| crf1a_alt_less_great |
|
dropdown |
Alanine aminotransferase (ALT) - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_alt |
|
text |
Alanine aminotransferase (ALT) |
|
| crf1a_alp_less_great |
|
dropdown |
Alkaline phosphatase (ALP) - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_alp |
|
text |
Alkaline phosphatase (ALP) |
|
| crf1a_bili_less_great |
|
dropdown |
Total Bilirubin - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_bilirubin |
|
text |
Total Bilirubin |
|
| crf1a_crp_less_great |
|
dropdown |
CRP - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_crp |
|
text |
CRP |
|
| crf1a_ferr_less_great |
|
dropdown |
Ferritin - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_ferritin |
|
text |
Ferritin |
|
| crf1a_mg_less_great |
|
dropdown |
Magnesium (mg) - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_mg |
|
text |
Magnesium (mg) |
|
| crf1a_ser_cor_less_great |
|
dropdown |
Serum Cortisol - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_serum_cortisol |
|
text |
Serum Cortisol |
|
| crf1a_procal_less_great |
|
dropdown |
Procalcitonin - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_procalcitonin |
|
text |
Procalcitonin |
|
| crf1a_inter6_less_great |
|
dropdown |
Interleukin-6 - Select if test result provided is not an exact value |
1, < (Less than) ; 2, > (Greater than) |
| crf1a_interleukin_6 |
|
text |
Interleukin-6 |
|
| crf1a_aki_adm |
Acute Kidney Injury Stage |
radio |
AKI Stage at admission |
0, None ; 1, Stage 1 ; 2, Stage 2 ; 3, Stage 3 |
| crf1a_high_aki_adm |
|
radio |
Highest AKI Stage during admission |
0, None ; 1, Stage 1 ; 2, Stage 2 ; 3, Stage 3 |
| crf1a_isaric_enrol_yn |
Co-enrolment in other observational studies |
yesno |
Has the patient been enrolled in the ISARIC-4C study? |
1, Yes ; 0, No |
| crf1a_isaric_id |
|
text |
ISARIC-4C ID |
|