CPRN Surgical Data Elements
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1
Variable / Field Name
Form NameSection HeaderField TypeField Label
Choices, Calculations, OR Slider Labels
Field Note
Text Validation Type OR Show Slider Number
Text Validation Min
Text Validation Max
Identifier?
Branching Logic (Show field only if...)
Required Field?
Custom Alignment
Question Number (surveys only)
Matrix Group Name
Matrix Ranking?
Field Annotation
2
encdate_preopclinic
nsgy_preop_visit
text
Date of Patient Encounter
date_mdy
3
prev_proc_dev
nsgy_preop_visit
Pre-Operative Medical History
checkbox
Previous procedure/device?
1, Spinal Fusion | 2, G-Tube | 3, Trach | 4, Mitrofanoff | 5, ACE | 6, Other Procedure/Device | 7, No Other Procedure/Device
4
prev_proc_dev_other
nsgy_preop_visit
text
Previous procedure/device - Other
[prev_proc_dev(6)] = '1'
5
previous_itb_infection
nsgy_preop_visit
yesno
Previous ITB Infection
6
previous_pouch
nsgy_preop_visit
yesnoPrevious Pouch
7
icu_adm_dystonic
nsgy_preop_visit
yesno
Previous ICU Admission for Dystonic Crises
8
historytx_presurg
nsgy_preop_visit
checkbox
History of treatments prior to surgery
1, Anti-Spastic Oral Medication | 2, Intramuscular Medication | 3, Intrathecal Baclofen | 4, Selective Dorsal Rhizotomy | 5, Fusion Surgery | 6, Ortho Other Surgery | 7, Other | 8, None
9
historytx_presurg_other
nsgy_preop_visit
text
History of treatments prior to surgery - Other
[historytx_presurg(7)] = '1'
10
surgery_indication
nsgy_preop_visit
checkbox
Indication for Surgery
1, Poor Gait | 2, Poor Spasticity | 3, Ease of ADLs | 4, Poor Dystonia | 5, Other
11
surgery_indication_other
nsgy_preop_visit
text
Indication for Surgery - Other
[surgery_indication(4)] = '1'
12
clinics_seen
nsgy_preop_visit
checkbox
Clinics at which patient has ever been seen:
1, PM&R | 2, Physical Therapy | 3, Orthopedics | 4, Neurosurgery | 5, Other
13
clinics_seen_other
nsgy_preop_visit
text
Clinics at which patient has ever been seen - Other
[clinics_seen(5)] = '1'
14
preop_signssympt
nsgy_preop_visit
checkbox
Pre-operative signs and symptoms
1, Clonus | 2, Positive Babinski Response | 3, Hyperreflexia | 4, Weakness | 5, Incoordination | 6, Reduced Control of Individual Muscle Groups | 7, Spread of Reflexes to Other Muscle Groups | 8, Other
15
preopsignssympt_other
nsgy_preop_visit
text
Pre-operative signs and symptoms - Other
[preop_signssympt(8)] = '1'
16
preop_imaging
nsgy_preop_visit
Pre-Operative Imaging
checkbox
Pre-operative imaging ordered
1, Brain (MRI/CT) | 2, Spine (MRI/CT) | 3, Hip X-Ray | 4, Scoliosis X-Ray
17
date_pre_brainmri
nsgy_preop_visit
text
Date of Completion - Brain (MRI/CT)
date_mdy
[preop_imaging(1)] = '1'
18
date_pre_spinemri
nsgy_preop_visit
text
Date of Completion - Spine (MRI/CT)
date_mdy
[preop_imaging(2)] = '1'
19
date_pre_hipxray
nsgy_preop_visit
text
Date of Completion - Hip X-Ray
date_mdy
[preop_imaging(3)] = '1'
20
date_pre_scoliosisxray
nsgy_preop_visit
text
Date of Completion - Scoliosis X-Ray
[preop_imaging(4)] = '1'
21
brainmri_pre_find
nsgy_preop_visit
radio
Brain MRI Findings
1, Result typical of CP | 2, Hydrocephalus | 3, Other
[preop_imaging(1)] = '1'
22
brainmri_pre_find_other
nsgy_preop_visit
text
Brain MRI Findings - Other
[preop_imaging(1)] = '1' and [brainmri_pre_find] = '3'
23
scoliosisxray_pre_findings
nsgy_preop_visit
radio
Scoliosis X-Ray Findings
1, Scoliosis | 2, Kyphosis | 3, Lordosis | 4, None of the above
[preop_imaging(4)] = '1'
24
encdate_neurosurgery
nsgy_infection_protocols
text
Date of Patient Encounter
date_mdy
25
hospital_of_surgery
nsgy_infection_protocols
text
Hospital of Surgery
26
surgeon_name
nsgy_infection_protocols
textSurgeon NameLast, First
27
operating_room_num
nsgy_infection_protocols
text
Operating Room Number
28
postop_los_neuro
nsgy_infection_protocols
text
Hospital length of stay (in days) - Neuro
integer0
29
time_pt_flat_postop
nsgy_infection_protocols
radio
Length of Time Patient Kept Flat Post-Operatively
1, None | 2, 24 Hrs | 3, 48 Hrs | 4, 72 Hrs | 5, >72 Hrs
30
preop_infection_reduc
nsgy_infection_protocols
Pre-Op Infection Reduction
checkbox
Pre-Op Infection Reduction Steps Recorded
1, CHG (Dynahex)/Hibiclens Bath at Home | 2, CHG Wipes in Pre-Op | 3, Nasal Mupirocin Pre-Op | 4, Other Location Mupirocin Pre-Op | 5, Staph Screen | 6, Patient Temperature Recorded | 7, Nutrition | 8, Skin Integrity Screen
31
duration_nasalmup
nsgy_infection_protocols
text
Duration - Nasal Mupirocin
[preop_infection_reduc(3)] = '1'
32
location_mupirocin
nsgy_infection_protocols
checkbox
Location - Other Location Mupirocin
1, G-tube | 2, Trach | 3, Mitrofanoff
[preop_infection_reduc(4)] = '1'
33
nutrition_screen
nsgy_infection_protocols
yesnoPoor Nutrition?BMI < 18.5
[preop_infection_reduc(7)] = '1'
34
nutrition_referral
nsgy_infection_protocols
yesno
Nutrition Referral/Visit?
[preop_infection_reduc(7)] = '1'
35
open_wound
nsgy_infection_protocols
yesnoOpen Wound?
[preop_infection_reduc(8)] = '1'
36
preop_abx
nsgy_infection_protocols
yesno
Pre-Op Antibiotics?
37
preop_abx_60min
nsgy_infection_protocols
yesno
IV ABX Within 60' of incision?
[preop_abx] = '1'
38
preprep_infec_reduc
nsgy_infection_protocols
Pre-Prep & Prep Infection Reduction
checkbox
Pre-Prep Infection Reduction Steps Recorded
1, Betadine | 2, Alcohol | 3, Hibiclens | 4, Chloraprep
39
prep_infec_reduc
nsgy_infection_protocols
checkbox
Prep Infection Reduction Steps Recorded
1, Betadine Scrub | 2, Betadine Paint | 3, Chloraprep | 4, Ioban
40
surgeon_prep
nsgy_infection_protocols
checkbox
Surgeon/Techs Preparation
1, Water-Aided Hand Scrub Used | 2, Waterless Hand Scrub Used | 3, Double-Gloving Used
41
surg_scrub_water
nsgy_infection_protocols
text
Number Scrubbed - Water-Aided Hand Scrub Used
integer
[surgeon_prep(1)] = '1'
42
surg_scrub_waterless
nsgy_infection_protocols
text
Number Scrubbed - Waterless Hand Scrub Used
integer
[surgeon_prep(2)] = '1'
43
surg_scrub_glove
nsgy_infection_protocols
text
Number Double Gloved - Double-Gloving Used
integer
[surgeon_prep(3)] = '1'
44
proc_infec_reduc
nsgy_infection_protocols
Procedure & Post-Op Infection Reduction
checkbox
Procedures Infection Reduction Steps Recorded
1, Bacitracin Irrigation | 2, Wrap Pump in Antiseptic Sponge After Filling (If Baclofen Pump Procedure) | 3, Intrathecal Antibotics (Vanc./Gent./Other) | 4, Antibiotic Sutures | 5, Antibiotic Powder in Wounds (Vanc./Baci.)
45
postop_abx
nsgy_infection_protocols
yesno
Post-Op Antibiotics
46
sdr_performed
nsgy_sdr_surgery
SDR SurgeryyesnoSDR Performed
47
date_sdr_surg
nsgy_sdr_surgery
text
Date of Surgery
date_mdy
48
eleclead_area
nsgy_sdr_surgery
checkbox
Area of Electrical Leads Placement
1, Surface | 2, Intramuscular | 3, None
49
eleclead_location
nsgy_sdr_surgery
checkbox
Location of Electrical Leads Placement
1, Hamstring | 2, Quadriceps | 3, Gastrocnemius | 4, Hip Adductors | 5, Hip Flexors | 6, Small Muscles of Foot | 7, Tibialis Anterior | 8, EHL | 9, Peronei | 10, Rectal | 11, Other
50
eleclead_location_other
nsgy_sdr_surgery
text
Location of Electrical Leads Placement - Other
[eleclead_location(11)] = '1'
51
eleclead_exp
nsgy_sdr_surgery
radio
Extent of Level of Exposure
1, 1 Level | 2, 1.5 Levels | 3, 2 Levels | 4, 5 Levels | 5, Other
52
eleclead_exp_other
nsgy_sdr_surgery
text
Extent of Level of Exposure - Other
[eleclead_exp] = '5'
53
elecphys_findings
nsgy_sdr_surgery
checkbox
Electrophysiology Findings
1, Tetanic Contractions | 2, Bilateral Spread at Threshold | 3, SDR Not Done Selectively | 4, Rolling (TS Park Method ) | 5, Downloadable Electrical Record | 6, Other
54
elecphys_findings_other
nsgy_sdr_surgery
text
Electrophysiology Findings - Other
[elecphys_findings(6)] = '1'
55
num_left_rootlets
nsgy_sdr_surgery
text
Number of Left Rootlets Tested
integer
56
perc_left_root_cut
nsgy_sdr_surgery
radio
Percentage of Left Cross-Sectional Sensory Roots Cut
1, None | 2, < 20% | 3, 20-40% | 4, 41-60% | 5, >60%
57
num_right_rootlets
nsgy_sdr_surgery
text
Number of Right Rootlets Tested
integer
58
perc_right_root_cut
nsgy_sdr_surgery
radio
Percentage of Right Cross-Sectional Sensory Roots Cut
1, None | 2, < 20% | 3, 20-40% | 4, 41-60% | 5, >60%
59
intra_op_musc_ev
nsgy_sdr_surgery
yesno
Intra-operative muscle evaluation
60
bone_replaced
nsgy_sdr_surgery
yesnoBone replaced
61
postop_pain_control
nsgy_sdr_surgery
checkbox
Initial Post-Operative Pain Control
1, Pain Pump | 2, Epidural Catheter | 3, IV Pain Medication | 4, Neurontin | 5, Alternating Doses of OTC Oral Pain Medications | 6, Other
62
postop_pain_control_other
nsgy_sdr_surgery
text
Initial Post-Operative Pain Control - Other
[postop_pain_control(6)] = '1'
63
bp_surg
nsgy_bp_surgery
Baclofen Pump Surgery
yesno
Baclofen Pump Surgery Performed
64
bp_surg_type
nsgy_bp_surgery
radio
Type of Baclofen Pump Surgery
1, New Baclofen Pump Surgery | 2, Replacement Pump | 3, Catheter Revision | 4, Wound Revision | 5, System Removal
65
bp_surg_date
nsgy_bp_surgery
text
Date of Surgery
date_mdy
66
baclofen_trial
nsgy_bp_surgery
radioBaclofen Trial
1, Bolus Trial | 2, Catheter Trial | 3, Neither | 4, Both
67
new_pump_size
nsgy_bp_surgery
New Baclofen Pump
radioNew Pump Size
1, 40 mL | 2, 20 mL
[bp_surg_type] = '1'
68
new_pump_replace
nsgy_bp_surgery
radio
New Pump Placement
1, Subfascial | 2, Subcutaneous
[bp_surg_type] = '1'
69
cath_tip_level
nsgy_bp_surgery
radio
Catheter Tip Level
1, High Cervical | 2, Mid Cervical | 3, Mid Thoracic | 4, Intraventricular
[bp_surg_type] = '1'
70
cns_entry
nsgy_bp_surgery
radioCNS Entry Site
1, Laminectomy | 2, Parasaggital | 3, Midline | 4, Mid Lumbar | 5, Low Lumbar | 6, Cervicothoracic | 7, Cranial
[bp_surg_type] = '1'
71
old_pump_size
nsgy_bp_surgery
Baclofen Pump Replacement
radioOld Pump Size
1, 40 mL | 2, 20 mL
[bp_surg_type] = '2'
72
reason_for_replacement
nsgy_bp_surgery
radio
Reason for Replacement
1, End of Service | 2, Pump Malfunction
[bp_surg_type] = '2'
73
old_catheter_model
nsgy_bp_surgery
Baclofen Pump Catheter Revision
radio
Old Catheter Model
1, 8709 | 2, Ascenda
[bp_surg_type] = '3'
74
spinal_seg_replace
nsgy_bp_surgery
yesno
Spinal Segment Replaced
[bp_surg_type] = '3'
75
pump_seg_replace
nsgy_bp_surgery
yesno
Pump Segment Replaced
[bp_surg_type] = '3'
76
parasaggittal
nsgy_bp_surgery
yesnoParasaggittal
[bp_surg_type] = '3'
77
midline
nsgy_bp_surgery
yesnoMidline
[bp_surg_type] = '3'
78
cath_tip_level_2
nsgy_bp_surgery
radio
Catheter Tip Level
1, High Cervical | 2, Mid Cervical | 3, Mid Thoracic | 4, Intraventricular
[bp_surg_type] = '3'
79
cns_entry_2
nsgy_bp_surgery
radioCNS Entry Site
1, Laminectomy | 2, Parasaggital | 3, Midline | 4, Mid Lumbar | 5, Low Lumbar | 6, Cervicothoracic | 7, Cranial
[bp_surg_type] = '3'
80
reason_for_revision
nsgy_bp_surgery
radio
Reason for Catheter Revision
1, Clinical Withdrawal | 2, CSF Leak | 3, Pseudomeningocele | 4, Broken or Disconnected Catheter | 5, Reposition Catheter Tip | 6, Suspected Catheter Occlusion | 7, Documented Catheter Occlusion
[bp_surg_type] = '3'
81
location_of_revision
nsgy_bp_surgery
Baclofen Pump Wound Revision
radio
Location of Revision
1, Abdominal | 2, Lumbar
[bp_surg_type] = '4'
82
reason_for_wound_rev
nsgy_bp_surgery
radio
Reason for Wound Revision
1, Dehiscence | 2, Exposed Hardware | 3, CSF Leak | 4, Abdominal Binder | 5, Suspected Infection | 6, Culture-Positive Infection
[bp_surg_type] = '4'
83
reason_for_removal
nsgy_bp_surgery
Baclofen Pump System Removal
checkbox
Reason for Removal
1, CSF Leak | 2, Lack of Efficacy | 3, Family Dissatisfied | 4, Suspected Infection | 5, Culture-Positive Infection
[bp_surg_type] = '5'
84
name_of_organisms
nsgy_bp_surgery
text
Name of Organisms
[bp_surg_type] = '5'
85
encdate_postopclinic
nsgy_post_op_visit
text
Date of Patient Encounter
date_mdy
86
surgerytype
nsgy_post_op_visit
radio
Which Surgery Did the Patient Receive?
1, SDR | 2, ITB
87
spinal_deformity_date
nsgy_post_op_visit
text
Date Spinal Deformity Assessed
date_mdy
88
spinal_deformity
nsgy_post_op_visit
radio
Spinal Deformity Developed
1, New Spinal Deformity | 2, Progressive Spinal Deformity | 3, Spinal Fusion Required | 4, No Spinal Deformity Developed
89
psuedomen_3mo
nsgy_post_op_visit
yesno
Pseudomeningocele Within 3-Months of Surgery
90
sdr_imp_6mos
nsgy_post_op_visit
Neurosurgery Post-Op - SDR
checkbox
Signs and Symptoms Improved 6-Months Post-Operatively
1, Clonus | 2, Positive Babinski Response | 3, Hyperreflexia | 4, Weakness | 5, Incoordination | 6, Reduced Control of Individual Muscle Groups | 7, Spread of Reflexes to Other Muscle Groups | 8, Change in Bowel or Bladder Function | 9, Other
[surgerytype] = '1'
91
sdr_imp_6mos_other
nsgy_post_op_visit
text
Signs and Symptoms Improved 6-Months Post-Operatively - Other
[sdr_imp_6mos(8)] = '1'
92
sdr_worse_6mos
nsgy_post_op_visit
checkbox
Signs and Symptoms Worsened 6-Months Post-Operatively
1, Clonus | 2, Positive Babinski Response | 3, Hyperreflexia | 4, Weakness | 5, Incoordination | 6, Reduced Control of Individual Muscle Groups | 7, Spread of Reflexes to Other Muscle Groups | 8, Change in Bowel or Bladder Function | 9, Other
[surgerytype] = '1'
93
sdr_worse_6mos_other
nsgy_post_op_visit
text
Signs and Symptoms Worsened 6-Months Post-Operatively - Other
[sdr_worse_6mos(7)] = '1'
94
sdr_postop_tx
nsgy_post_op_visit
checkbox
Treatment Undergone Since Surgical Intervention
1, Anti-Spastic Oral Medication | 2, Intramuscular Medication | 3, Intrathecal Baclofen | 4, Fusion Surgery | 5, Ortho Other Surgery | 6, Other | 7, None
[surgerytype] = '1'
95
sdr_postop_tx_other
nsgy_post_op_visit
text
Treatment Undergone Since Surgical Intervention - Other
[sdr_postop_tx(6)] = '1'
96
itb_maintdose_3mos
nsgy_post_op_visit
Neurosurgery Post-Op - ITB
text
Maintenance Dose at 3 Months (in milligrams)
integer501000
[surgerytype] = '2'
97
itb_csf_leak_3mos
nsgy_post_op_visit
yesno
CSF Leak within 3 months of surgery?
[surgerytype] = '2'
98
itb_imp_3mos
nsgy_post_op_visit
checkbox
Signs and Symptoms Improved 3-Months Post-Operatively
1, Clonus | 2, Positive Babinski Response | 3, Hyperreflexia | 4, Weakness | 5, Incoordination | 6, Reduced Control of Individual Muscle Groups | 7, Spread of Reflexes to Other Muscle Groups | 8, Change in Bowel or Bladder Function | 9, Other
[surgerytype] = '2'
99
itb_imp_3mos_other
nsgy_post_op_visit
text
Signs and Symptoms Improved 3-Months Post-Operatively
[itb_imp_3mos(8)] = '1'
100
itb_worse_3mos
nsgy_post_op_visit
checkbox
Signs and Symptoms Worsened 3-Months Post-Operatively
1, Clonus | 2, Positive Babinski Response | 3, Hyperreflexia | 4, Weakness | 5, Incoordination | 6, Reduced Control of Individual Muscle Groups | 7, Spread of Reflexes to Other Muscle Groups | 8, Change in Bowel or Bladder Function | 9, Other
[surgerytype] = '2'
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CPRN Registry Data Dictionary_Only Surgical Elements 10_26