ARIC Data Book. CHD Cohort Surveillance

Transcription

1 Page 1 of 14 Coroner/Medical Examiner Form Data set name: C17CORA1 Instructions: The Coroner/Medical Examiner Form is completed for each eligible out-of-hospital death that was identified as a coroner or medical examiner case on the death certificate, and recorded as such on the Death Certificate Form. CORA01 Date Of Death Q1 564 Range 08/07/ /29/ Missing CORA02 Is the name of coroner's or medical examiner's office available? Q2 57 N No 437 Y Yes 71 Missing CORA03 Abstracting for (Cohort Or Surveillance) Q3 540 C Cohort 24 S Surveillance 1 Missing CORA04 Has an official coroner's or medical examiner's report or another source of information from the coroner's or medical examiner's office been located? Q4 128 N No [skip to Q25] 435 Y Yes 2 Missing CORA05 Autopsy Performed? Q5 366 N No 70 Y Yes 129 Missing

2 Page 2 of 14 CORA06A Recent myocardial infarction Q6a 379 N No 56 Y Yes CORA06B Coronary heart disease/ischemic/atherosclerotic heart disease (other than MI) Q6b 253 N No 182 Y Yes CORA06C Hypertensive Heart Disease Q6c 327 N No 108 Y Yes CORA06D Valvular Heart Disease Q6d 428 N No 7 Y Yes CORA06E Other Heart Disease Q6e 316 N No 119 Y Yes CORA06F Recent Cerebral Hemorrhage Q6f 1 Y 434 N No

3 Page 3 of 14 CORA06G Recent Cerebral Infarction Q6g 1 Y 433 N No CORA06H Recent Cerebral Embolus Q6h 1 Y 434 N No CORA06I Recent Subarachnoid Hemorrhage Q6i 433 N No 2 Y Yes CORA06J Recent Stroke, Other Or Unspecified Type Q6j 419 N No 15 Y Yes CORA07A Was any non cardiac, non stroke finding mentioned as contributing to death? Q7a 180 N No [skip to Q8] 255 Y Yes CORA07B Kidney Disease Q7b 238 N No 17 Y Yes 310 Missing

4 Page 4 of 14 CORA07C Chronic Respiratory Disease Q7c 234 N No 21 Y Yes 310 Missing CORA07D Psychiatric Disease Or Depression Q7d 251 N No 4 Y Yes 310 Missing CORA07E Alcohol Or Drug Addiction Q7e 241 N No 14 Y Yes 310 Missing CORA07F Epilepsy Q7f 250 N No 5 Y Yes 310 Missing CORA07G Liver Disease Q7g 252 N No 3 Y Yes 310 Missing CORA07H Other Q7h 26 N No 229 Y Yes 310 Missing

5 Page 5 of 14 CORA09 Patient had acute symptoms (cardiac or non cardiac) which led to an overt change in activity or to seeking medical care Q9 124 A Patient had acute symptoms (cardiac or non cardiac) which led to an overt change in activity or to seeking medical care 66 B Patient died suddenly and was known to have no acute symptoms [skip to Q11a] 197 C Patient was found dead with no documentation of symptoms [skip to Q11a] 36 D Patient had symptoms but they were chronic (without change) or did not lead to a change in activity or seeking medical care [skip to Q11a] 12 U Unknown [skip to Q11a] CORA10A Shortness of Breath Q10a 70 N No 28 U Unknown 27 Y Yes CORA10B Dizziness Q10b 90 N No 33 U Unknown 2 Y Yes CORA10C Palpitations Q10c 90 N No 32 U Unknown 3 Y Yes

6 Page 6 of 14 CORA10D Marked or increased fatigue, tiredness or weakness Q10d 89 N No 31 U Unknown 5 Y Yes CORA10E Headache Q10e 92 N No 32 U Unknown 1 Y Yes CORA10F Sweating Q10f 84 N No 31 U Unknown 10 Y Yes CORA10G Paralysis Q10g 93 N No 32 U Unknown CORA10H Loss Of Speech Q10h 92 N No 32 U Unknown 1 Y Yes

7 Page 7 of 14 CORA10I Attack of indigestion or nausea or vomiting Q10i 78 N No 28 U Unknown 19 Y Yes CORA10J Other Q10j 65 N No 23 U Unknown 37 Y Yes CORA11A Was there an acute episode(s) of pain or discomfort anywhere in the chest, left arm or shoulder or jaw either just before death or within 72 hours of death? Q11a 178 N No [skip to Q12] 216 U Unknown [skip to Q12] 41 Y Yes CORA11B Pain Specifically Involved Chest Q11b 1 N No 1 U Unknown 39 Y Yes 524 Missing CORA11C Did the patient take or was he/she given nitrates at the time of the acute episode? Q11c 25 N No 15 U Unknown 1 Y Yes 524 Missing

8 Page 8 of 14 CORA11D Was the discomfort or pain diagnosed as having a non-cardiac origin? Q11d 36 N No 3 U Unknown 2 Y Yes 524 Missing CORA12 Place Of Death Q A Home (or other private residence) 5 B Work 5 C In a public building 10 E On the street 12 F In an automobile 41 G In nursing home 78 H In emergency room 11 I In an ambulance 7 J In hospital 19 O Other 1 U Unknown CORA13A Anyone Witness Death? Q13a 238 N No [skip to Q15] 27 U Unknown [skip to Q15] 170 Y Yes CORA13B Have Name/Address Of Witness? Q13b 48 N No 88 Y Yes 429 Missing

9 Page 9 of 14 CORA13C Relationship Of Witness To Decedent Q13c 11 C Daughter/Son 4 F Friend 94 O Other 7 R Other Relative 34 S Spouse 17 U Unknown 2 W Workmate 396 Missing CORA14 Time from onset of acute symptoms to death (or time since last known to be alive if no known acute symptoms) (Choose only one): Q14 45 A 5 minutes or less 72 B More than 5 minutes to 1 hour 27 C More than 1 hour to 24 hours 7 D More than 24 hours 19 U Unknown 395 Missing CORA15A Is there a history of a myocardial infarction prior to the onset of this event? Q15a 285 N No [skip to Q16] 99 U Unknown [skip to Q16] 50 Y Yes CORA15B Did an MI occur within four weeks prior to this event? Q15b 40 N No [skip to Q16] 8 U Unknown [skip to Q16] 1 Y Yes 516 Missing

10 Page 10 of 14 CORA15C Was the deceased hospitalized for the MI? Q15c 1 N No [skip to Q16] 564 Missing CORA15D Do You Know The Name Of The Hosp? Q15d 565 Missing CORA16 Is there any history of angina pectoris or coronary insufficiency? Q N No 132 U Unknown 45 Y Yes CORA17 Is there a history of any other chronic ischemic heart disease? Q N No 113 U Unknown 50 Y Yes CORA18 Is there a history of valvular disease or cardiomyopathy? Q N No 110 U Unknown 16 Y Yes CORA19 Is there a history of coronary bypass surgery prior to this event? Q N No 51 U Unknown 20 Y Yes

11 Page 11 of 14 CORA20 Is there a history of coronary angioplasty prior to this event? Q N No 119 U Unknown 3 Y Yes CORA21A Is there a history of stroke prior to this event? Q21a 319 N No [skip to Q22] 69 U Unknown [skip to Q22] 46 Y Yes CORA21B Did a stroke occur within four weeks prior to this event? Q21b 28 N No 17 U Unknown 1 Y Yes 519 Missing CORA22 Is there a history of hypertension (high blood pressure) prior to this event? Q22 92 N No 74 U Unknown 267 Y Yes 132 Missing CORA22A Is there a history of diabetes? Q22a 146 N No 36 U Yes 109 Y Unknown 274 Missing

12 Page 12 of 14 CORA22B Is there a history of smoking? Q22b 23 N No 255 U Yes 13 Y Unknown 274 Missing CORA23A Nitrates? Q23a 273 N No 122 U Unknown 39 Y Yes CORA23B Calcium channel blockers 23b 263 N No 128 U Unknown 43 Y Yes CORA23C Beta-blockers Q23c 239 N No 127 U Unknown 68 Y Yes CORA23D Digitalis Q23d 280 N No 123 U Unknown 31 Y Yes

13 Page 13 of 14 CORA23E ACE or angiotensin II inhibitors Q23e 168 N No 66 U Unknown 57 Y Yes 274 Missing CORA23F Aspirin Q23f 205 N No 66 U Unknown 20 Y Yes 274 Missing CORA24 Was this form completed by abstraction or by interview with the coroner? Q A Abstraction 129 I Interview CORA25 Abstractor's Code Number Q Present Text suppressed 2 Missing CORA26 Date Of Completion Q Range 07/17/ /28/ Missing CORA27 IFI Needed (deleted in version C) Q27 94 A 471 Missing

14 Page 14 of 14 CORA28 HRA Needed (deleted in version C) Q Missing CORA29 STR Needed (deleted in version C) Q Missing CORA30 AUT Needed (deleted in version C) Q30 63 D 502 Missing CORAFLAG =1 If CORA (Or Later Ver) Is Present ID ARIC Occurrence ID 565 Present Text suppressed