DTRMFALL

Table Description: Determination of Freezing and Falls

1.0 Description: Determination of Falls

View Source CRFs

1.0 CRFs: Click on any PAG_NAME link below to be taken to the CRF used in the PPMI 1.0 Study.

• DTRMFALL

2.0 CRFs: Click on any PAG_NAME link below to be taken to a screenshot of how this eCRF is currently implemented in the PPMI 2.0 Study.

• DTRMFALL

2.0 Data Dictionary

Table Constraints: PATNO, VISIT_ID

ITM_NAME	DSCR	ITM_TYPE	DSCR_1.0	ITM_TYPE_1.0
PTCGBOTH	Source of Information	NUMBER	Source of Information	CHAR
FRZGT1W	Participant currently experiencing freezing of gait	NUMBER	Freezing of gait in past week	CHAR
FLNFR1W	Participant currently experiencing falls not related to freezing	NUMBER	Falls not related to freezing in past wk	CHAR
FRZGT12M	Freezing of gait in past 12 months	NUMBER	Freezing of gait in past 12 months	CHAR
FLNFR12M	Falls not rel to freezing past 12 months	NUMBER	Falls not rel to freezing past 12 months	CHAR
INJFRHIP	Fracture of hip or lower limb	BOOLEAN	Fracture of hip or lower limb	CHAR
INJFRUE	Fracture of upper extremity	BOOLEAN	Fracture of upper extremity	CHAR
INJFRSKL	Skull fracture	BOOLEAN	Skull fracture	CHAR
INJFROTH	Other fracture	BOOLEAN	Other fracture	CHAR
OTHFRCM	Other fracture comment	TEXT	Other fracture, please specify	CHAR
HINJNOLC	Head injury without loss of consciousness	BOOLEAN	head injury without loss consciousness	CHAR
HINJLOC2	Head injury with loss of consciousness	BOOLEAN	head injury, lost conscious	CHAR
INJSTCH	Laceration requiring sutures (stitches)	BOOLEAN	Laceration requiring sutures(stitches)	CHAR
INJOTH	Other Injury	BOOLEAN	Other Injury	CHAR
INJOTHCM	Other injury comment	TEXT	Other injury, please specify	CHAR
FLLDRVIS	Fall resulted in outpatient visit to a healthcare provider	BOOLEAN	Fall resulted in dr visit	CHAR
FLLERVIS	Fall resulted in ER visit	BOOLEAN	Fall resulted in ER visit	CHAR
FLLHOSP	Fall resulted in hospitalization	BOOLEAN	Fall resulted in hospitalization	CHAR
FLLSURG	Fall resulted in surgery	BOOLEAN	Fall resulted in surgery	CHAR
FLLINST	Fall resulted in institutionalization	BOOLEAN	Fall resulted in institutionalization	CHAR

2.0 Code Book

ITM_NAME	CODE	DECODE_2.0	DECODE_1.0
FLLDRVIS	0	No	No
FLLDRVIS	1	Yes	Yes
FLLERVIS	0	No	No
FLLERVIS	1	Yes	Yes
FLLHOSP	0	No	No
FLLHOSP	1	Yes	Yes
FLLINST	0	No	No
FLLINST	1	Yes	Yes
FLLSURG	0	No	No
FLLSURG	1	Yes	Yes
FLNFR12M	0	None	None
FLNFR12M	1	Rare falling	Rare falling
FLNFR12M	2	Occasionally falls, less than once per day	Occasionally falls
FLNFR12M	3	Falls on average of once daily	Falls on average of once daily
FLNFR12M	4	Falls more than once daily	Falls more than once daily
FLNFR1W	0	None	None
FLNFR1W	1	Rare falling	Rare falling
FLNFR1W	2	Occasionally falls, less than once per day	Occasionally falls
FLNFR1W	3	Falls on average of once daily	Falls on average of once daily
FLNFR1W	4	Falls more than once daily	Falls more than once daily
FRZGT12M	0	None	None
FRZGT12M	1	Rare freezing when walking; may have start hesitation	Rare freezing when walking
FRZGT12M	2	Occasional freezing when walking	Occasional freezing when walking
FRZGT12M	3	Frequent freezing; occasional falls from freezing	Frequent freezing, occasional falls
FRZGT12M	4	Frequent falls from freezing	Frequent falls from freezing
FRZGT1W	0	None	None
FRZGT1W	1	Rare freezing when walking; may have start hesitation	Rare freezing when walking
FRZGT1W	2	Occasional freezing when walking	Occasional freezing when walking
FRZGT1W	3	Frequent freezing; occasional falls from freezing	Frequent freezing, occasional falls
FRZGT1W	4	Frequent falls from freezing	Frequent falls from freezing
HINJLOC2	0	No	No
HINJLOC2	1	Yes	Yes
HINJNOLC	0	No	No
HINJNOLC	1	Yes	Yes
INJFRHIP	0	No	No
INJFRHIP	1	Yes	Yes
INJFROTH	0	No	No
INJFROTH	1	Yes	Yes
INJFRSKL	0	No	No
INJFRSKL	1	Yes	Yes
INJFRUE	0	No	No
INJFRUE	1	Yes	Yes
INJOTH	0	No	No
INJOTH	1	Yes	Yes
INJSTCH	0	No	No
INJSTCH	1	Yes	Yes
PTCGBOTH	1	Participant	Patient
PTCGBOTH	2	Caregiver	Caregiver
PTCGBOTH	3	Participant and Caregiver	Patient and Caregiver