Hospitalisations and comorbidities

Record

Hospitalisation period CR  PR      reference period 

Hospitalisation occurred CR  PR 

Specifies whether the individual has been admitted to hospital as an inpatient (that is, with an overnight stay) for any reason (irrespective of circumstances or connection to their SMA) and for any duration, sometime during the period from Begin date to End date. Note that these dates do not specify the begin and end of a hospitalisation; they only define the period to which this item applies. An inpatient stay in a rehabilitation hospital is to be included in this item and in the record Hospitalisation. If the value of this item is Yes, the details of all hospitalisations must be collected in instances of the record Hospitalisation.

Item type: yes/no
Related items in previous version: 12.00
Usage in other datasets: DMD
Record

Hospitalisation CR  PR       

This record contains details for the hospitalisations that match the criteria specified in Hospitalisation occurred (inpatient treatments with an overnight stay).

At baseline, details for all hospitalisations in the past 12 months should collected. At subsequent updates, all hospitalisations since the last entry should be collected, while keeping any previously entered data.

The time period for this record must match the time period in the record Hospitalisation period. In case a different time period is used in the record Hospitalisation period (for example, if it is asked whether there have been any hospitalisations in the 24 months before the baseline entry, instead of only 12), all hospitalisations during that period must be collected.

Hospitalisation admission date CR  PR 

Admission date of this hospitalisation.

Item type: date
Related items in previous version: 12.02
Usage in other datasets: DMD
Hospitalisation type CR  PR 

Type of hospitalisation.

The quoted definition of acute care is taken from Hirshon 2013.

Item type: single selection
Related items in previous version: 12.01
Usage in other datasets: DMD
Value ID Description
Planned

Planned (admission was scheduled in advance, e.g. planned surgery, scan, or administration of treatment)

Acute

Acute (admission was in response to a “sudden, often unexpected, urgent or emergent episode of injury and illness that can lead to death or disability without rapid intervention”)

Hospitalisation nights CR  PR 

Number of nights the individual spent in hospital during this hospitalisation.

Item type: integer
Consistency rules:

Value must be positive

Related items in previous version: 12.03
Usage in other datasets: DMD
Hospitalisation acute reason code CR 

Main reason for this hospitalisation as a code in the classification specified in Hospitalisation acute reason classification. This item is intended mainly for acute hospitalisations and must be collected if Hospitalisation type is Acute. However, it may also be provided if Hospitalisation type is Planned, if an emergency occurred during the planned hospitalisation which would otherwise have required an acute hospitalisation.

Registries, in particular patient-reported ones, may provide users with a list of predefined reasons which are mapped to their respective codes.

Item type: restricted text
Related items in previous version: 12.04
Usage in other datasets: DMD
Hospitalisation acute reason classification CR 

Classification used for the value of Hospitalisation acute reason code. If a registry collects codes using a fixed classification, it is not required to collect the classification explicitly from the user; in this case, a fixed value for this item may be used instead.

Item type: single selection
Consistency rules:

Must be provided in case Hospitalisation acute reason code is provided.

Related items in previous version: 12.04
Usage in other datasets: DMD
Value ID Description
ICD-10

ICD-10

ICD-11

ICD-11

MedDRA

MedDRA

Hospitalisation planned reason CR 

Main reason for this hospitalisation. This item is only applicable to planned hospitalisations and must be collected only if Hospitalisation type is Planned.

In addition to the values listed for this item, registries may add further options in their data collection forms if relevant locally, and/or provide a free text field. However, additional options not specified in this dataset must not be provided in a data submission for a TREAT-NMD enquiry. Future revisions of this dataset may include additional values, and these can be suggested (along with justification) by using the “Report an issue with this item” function.

Item type: single selection
Related items in previous version: 12.05
Usage in other datasets: DMD
Value ID Description
G-tube placement

Placement of g-tube

Sleep study

Sleep study

Scoliosis surgery

Scoliosis surgery

Hip surgery

Hip surgery

Contracture surgery

Surgical treatment of contractures

Disease-modifying therapy

Administration of disease-modifying therapy

Checkup

Routine checkup

Hospitalisation SAE CR 

Specifies whether the reason for the hospitalisation specified in Hospitalisation acute reason code was classed as a serious adverse event (SAE) in relation to a disease-modifying therapy.

Registries should clearly inform the data provider that completing this data item does not replace the need to report SAEs immediately via their local reporting mechanisms.

SAE = Serious Adverse Event. “Any untoward medical occurrence that at any dose:

  • results in death,
  • is life-threatening (NOTE: The term "life-threatening" in the definition of "serious" refers to an event in which the patient was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe.
  • requires inpatient hospitalisation or prolongation of existing hospitalisation,
  • results in persistent or significant disability/incapacity, or
  • is a congenital anomaly/birth defect.”

(EMA ICH E2A)

Item type: yes/no
Related items in previous version: 12.06
Usage in other datasets: DMD
Hospitalisation SAE DMT CR 

Disease-modifying therapy to which this SAE was related.

Item type: single selection
Related items in previous version: 12.06
Usage in other datasets: DMDDMD
Value ID Description
Nusinersen

Spinraza (nusinersen)

Onasemnogene abeparvovec

Zolgensma (AVXS-101)

Risdiplam

Evrysdi (risdiplam)

Record

Comorbidities period CR  PR      reference period 

Comorbidities diagnosed CR  PR 

Specifies whether the individual has been diagnosed with other comorbidities during the period from Begin date to End date. This includes any comorbidities diagnosed earlier than Begin date which still held during this period. In this context comorbidities are defined as any additional medical conditions occurring alongside the neuromuscular condition.

This item applies only to comorbidities that have not been recorded in Hospitalisation acute reason code as the reason for a hospitalisation.

If the value of this item is Yes, details on each comorbidity during that period must be specified in instances of the record Comorbidity.

Item type: yes/no
Related items in previous version: 12.10
Usage in other datasets: DMDLGMD
Record

Comorbidity CR  PR    episode   

This record contains details for comorbidities that held during the reference periods specified in Comorbidities period.

The start date of the episode must be the date of the diagnosis of the comorbidity specified in Comorbidity code, if known. The stop date of the episode must be the end of the symptoms of the comorbidity.

Note that the start and stop dates of comorbidity episodes may extend over multiple reference periods. For example, a comorbidity that held during the 12 months before the baseline entry may have been diagnosed many years earlier. Furthermore, a comorbidity that was entered at baseline may still hold at follow up; in this case, the Ongoing date of the episode already entered should be updated to the date of the follow up.

Related items in previous version: 12.12, 12.13
Comorbidity code CR  PR 

Comorbidity as code of the classification specified in Comorbidity classification. Registries, in particular patient-reported registries, may provide common comorbidities as a list in their data collection forms or have users enter the diagnosis in a free-text field which is then coded by a curator.

Item type: restricted text
Related items in previous version: 12.11
Usage in other datasets: DMDLGMD
Comorbidity classification CR  PR 

Classification used in the item Comorbidity code. The list of possible values may be amended in future versions of the dataset to enable the use of codes present only in local ICD-10 modifications.

Item type: single selection
Related items in previous version: 12.11
Usage in other datasets: DMDLGMD
Value ID Description
ICD-10

ICD-10

ICD-11

ICD-11

MedDRA

MedDRA

Comorbidity SAE CR 

Specifies whether this comorbidity was classed as a serious adverse event (SAE) in relation to a disease-modifying therapy.

Registries should clearly inform the data provider that completing this data item does not replace the need to report SAEs immediately via their local reporting mechanisms.

SAE = Serious Adverse Event. “Any untoward medical occurrence that at any dose:

  • results in death,
  • is life-threatening (NOTE: The term "life-threatening" in the definition of "serious" refers to an event in which the patient was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe.
  • requires inpatient hospitalisation or prolongation of existing hospitalisation,
  • results in persistent or significant disability/incapacity, or
  • is a congenital anomaly/birth defect.”

(EMA ICH E2A)

Item type: yes/no
Related items in previous version: 12.14
Usage in other datasets: DMD
Comorbidity SAE DMT CR 

Disease-modifying therapy to which this SAE was related.

Item type: single selection
Related items in previous version: 12.15
Usage in other datasets: DMDDMD
Value ID Description
Nusinersen

Spinraza (nusinersen)

Onasemnogene abeparvovec

Zolgensma (AVXS-101)

Risdiplam

Evrysdi (risdiplam)