Emergency Department Data Collection



Neonatal Intensive Care Units’ (NICUS) Data Collection – Variable checklistThe variables listed below are available subject to data custodian and ethical approval. Please indicate the variables requested and provide justification for their inclusion in your study. Note that identifying variables (e.g. name, address) have been displayed here but will not usually be released.VariableJustificationInfant details FORMCHECKBOX Infant nameNot available to researchers FORMCHECKBOX Infant date/time of birth FORMTEXT ????? FORMCHECKBOX Birth hospital medical record numberNot available to researchers FORMCHECKBOX NICUS registration hospitalNot available to researchers FORMCHECKBOX NICUS registration hospital medical record numberNot available to researchers FORMCHECKBOX NICUS random number FORMTEXT ?????Father details FORMCHECKBOX Name if availableNot available to researchersMother details FORMCHECKBOX NameNot available to researchers FORMCHECKBOX Date of birth (from 2007 onwards)Not available to researchers FORMCHECKBOX Age FORMTEXT ????? FORMCHECKBOX Address at baby’s birth (street number, street name, locality, postcode)Not available to researchers FORMCHECKBOX Local Health District of residence FORMTEXT ????? FORMCHECKBOX Hospital of deliveryNot available to researchers FORMCHECKBOX Medical record number at hospital of deliveryNot available to researchers FORMCHECKBOX Ethnicity FORMTEXT ????? FORMCHECKBOX Consanguinity (2010 onwards) FORMTEXT ?????Previous Pregnancies FORMCHECKBOX Total number FORMTEXT ????? FORMCHECKBOX Number >20weeks gestation FORMTEXT ????? FORMCHECKBOX Perinatal loss FORMTEXT ????? FORMCHECKBOX Preterm birth FORMTEXT ?????Pregnancy Details FORMCHECKBOX Estimated date of delivery (2007 onwards) FORMTEXT ????? FORMCHECKBOX Artificial reproductive techniques FORMTEXT ????? FORMCHECKBOX Prenatal care (2007 onwards) FORMTEXT ????? FORMCHECKBOX Duration of rupture of membranes FORMTEXT ????? FORMCHECKBOX Date/time rupture of membranes (2006 onwards) FORMTEXT ????? FORMCHECKBOX Antenatal steroids FORMTEXT ?????Pre-existing maternal medical problems (2003 onwards) FORMCHECKBOX Essential hypertension FORMTEXT ????? FORMCHECKBOX Diabetes mellitus FORMTEXT ????? FORMCHECKBOX Systemic lupus erythematosus FORMTEXT ????? FORMCHECKBOX Chronic renal disease FORMTEXT ????? FORMCHECKBOX Chronic cardiac disease (2007 onwards) FORMTEXT ????? FORMCHECKBOX Other maternal medical problem FORMTEXT ?????Antenatal Complications FORMCHECKBOX Twin to twin transfusion (2007 onwards) FORMTEXT ????? FORMCHECKBOX Hypertension of pregnancy FORMTEXT ????? FORMCHECKBOX Gestational diabetes (2001 onwards) FORMTEXT ????? FORMCHECKBOX Antepartum haemorrhage FORMTEXT ????? FORMCHECKBOX Suspected intrauterine growth restriction by ultrasound FORMTEXT ????? FORMCHECKBOX Antenatal diagnosis of fetal anomaly FORMTEXT ????? FORMCHECKBOX Fetal compromise FORMTEXT ????? FORMCHECKBOX Chorioamnionitis (2001 onwards) FORMTEXT ????? FORMCHECKBOX Maternal antibiotics (2006 onwards) FORMTEXT ????? FORMCHECKBOX Magnesium sulphate (2009 onwards) FORMTEXT ????? FORMCHECKBOX Preterm labour FORMTEXT ????? FORMCHECKBOX Drug use (2001 onwards) FORMTEXT ????? FORMCHECKBOX Other antenatal complications FORMTEXT ?????Labour & Delivery details FORMCHECKBOX Presentation before delivery FORMTEXT ????? FORMCHECKBOX Type of labour FORMTEXT ????? FORMCHECKBOX Problem leading to delivery FORMTEXT ????? FORMCHECKBOX Type of delivery FORMTEXT ?????Resuscitation details FORMCHECKBOX Oxygen FORMTEXT ????? FORMCHECKBOX Mask/NPT FORMTEXT ????? FORMCHECKBOX ETT ventilation FORMTEXT ????? FORMCHECKBOX Adrenaline (2007 onwards) FORMTEXT ????? FORMCHECKBOX Compressions (2007 onwards) FORMTEXT ????? FORMCHECKBOX Tracheal suctioning for meconium (2007 onwards) FORMTEXT ?????Neonatal details FORMCHECKBOX Gestation FORMTEXT ????? FORMCHECKBOX Birth weight FORMTEXT ????? FORMCHECKBOX Birth weight percentile FORMTEXT ????? FORMCHECKBOX Head circumference FORMTEXT ????? FORMCHECKBOX Head circumference percentile FORMTEXT ????? FORMCHECKBOX Sex FORMTEXT ????? FORMCHECKBOX Plurality FORMTEXT ????? FORMCHECKBOX Birth order FORMTEXT ????? FORMCHECKBOX Place of birth FORMTEXT ????? FORMCHECKBOX APGAR scores at 1 and 5 minutes FORMTEXT ????? FORMCHECKBOX Admission temperature FORMTEXT ????? FORMCHECKBOX Worst base excess/deficit in first 12 hours of life FORMTEXT ?????Morbidities FORMCHECKBOX Congenital anomalies – ICD-10-AM codes FORMTEXT ????? FORMCHECKBOX Chronic lung disease (CLD) – respiratory support at 36 weeks for infants born <32 weeks gestation FORMTEXT ????? FORMCHECKBOX Necrotising enterocolitis FORMTEXT ????? FORMCHECKBOX Retinopathy of prematurity (ROP) FORMTEXT ????? FORMCHECKBOX Intraventricular haemorrhage FORMTEXT ????? FORMCHECKBOX Acquired hydrocephalus FORMTEXT ????? FORMCHECKBOX Porencephalic cyst FORMTEXT ????? FORMCHECKBOX Periventricular leucomalacia FORMTEXT ????? FORMCHECKBOX Patent ductus arteriosus (PDA) FORMTEXT ????? FORMCHECKBOX Spontaneous airleak FORMTEXT ????? FORMCHECKBOX Seizures (2003 onwards) FORMTEXT ????? FORMCHECKBOX Hypoxic ischaemic encephalopathy (2003 onwards) FORMTEXT ????? FORMCHECKBOX Pulmonary hypertension (2003 onwards) FORMTEXT ?????Respiratory support details FORMCHECKBOX Primary respiratory diagnosis FORMTEXT ????? FORMCHECKBOX High frequency ventilation (days) FORMTEXT ????? FORMCHECKBOX CPAP (days) FORMTEXT ????? FORMCHECKBOX High Flow oxygen/air >1/L (days) (2009 onwards) FORMTEXT ????? FORMCHECKBOX Oxygen (days) FORMTEXT ?????Treatment details FORMCHECKBOX Surfactant FORMTEXT ????? FORMCHECKBOX Nitric oxide FORMTEXT ????? FORMCHECKBOX Inotropes (2010 onwards) FORMTEXT ????? FORMCHECKBOX Antibiotics (2007 onwards) FORMTEXT ????? FORMCHECKBOX Caffeine (2012 onwards) FORMTEXT ????? FORMCHECKBOX Postnatal steroids for CLD FORMTEXT ????? FORMCHECKBOX VegF intraocular injection for ROP (2012 onwards) FORMTEXT ????? FORMCHECKBOX Indomethacin for PDA FORMTEXT ????? FORMCHECKBOX Ibuprofen for PDA FORMTEXT ????? FORMCHECKBOX Total parenteral nutrition FORMTEXT ????? FORMCHECKBOX Immunisation (2007 onwards) FORMTEXT ????? FORMCHECKBOX Intentional hypothermia (2007 onwards) FORMTEXT ????? FORMCHECKBOX Blood transfusion (2007 onwards) FORMTEXT ????? FORMCHECKBOX Exchange transfusion (2007 onwards) FORMTEXT ????? FORMCHECKBOX Maximum serum bilirubin (2012 onwards) FORMTEXT ?????Sepsis details FORMCHECKBOX Blood and cerebrospinal fluid only FORMTEXT ????? FORMCHECKBOX Date culture taken FORMTEXT ????? FORMCHECKBOX Site FORMTEXT ????? FORMCHECKBOX Organism FORMTEXT ?????Central line details (2003 onwards) FORMCHECKBOX Date in/out FORMTEXT ????? FORMCHECKBOX Type of line FORMTEXT ?????Surgery details FORMCHECKBOX ICD-10-AM codes FORMTEXT ????? FORMCHECKBOX Date surgery FORMTEXT ????? FORMCHECKBOX Place surgery FORMTEXT ?????Feeding details (2003 onwards) FORMCHECKBOX Mother intended to breast feed FORMTEXT ????? FORMCHECKBOX First feed breast milk FORMTEXT ????? FORMCHECKBOX Discharge feed breast milk FORMTEXT ????? FORMCHECKBOX Home on tube feeds (2007 onwards) FORMTEXT ?????Discharge details FORMCHECKBOX Age (days) at discharge FORMTEXT ????? FORMCHECKBOX Growth parameters at discharge (from 2007 onwards) FORMTEXT ????? FORMCHECKBOX SWISH Hearing test (2009 onwards) FORMTEXT ?????Death details FORMCHECKBOX Date/time of death FORMTEXT ????? FORMCHECKBOX Death prior to discharge FORMTEXT ????? FORMCHECKBOX Place of death FORMTEXT ????? FORMCHECKBOX Cause of death FORMTEXT ????? FORMCHECKBOX Postmortem performed FORMTEXT ?????Developmental outcome at 1 and 2-3 years of age, corrected for prematurity for infants <29 weeks gestation born 1/1/1998 onwards FORMCHECKBOX Weight FORMTEXT ????? FORMCHECKBOX Height FORMTEXT ????? FORMCHECKBOX Head circumference FORMTEXT ????? FORMCHECKBOX Cerebral palsy FORMTEXT ????? FORMCHECKBOX Bilateral blindness FORMTEXT ????? FORMCHECKBOX Bilateral hearing aids FORMTEXT ????? FORMCHECKBOX Unilateral/bilateral cochlear implants FORMTEXT ????? FORMCHECKBOX Developmental delay FORMTEXT ????? FORMCHECKBOX Functional disability FORMTEXT ?????Other/comments FORMTEXT ????? ................
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