The New Jersey Acute Stroke Registry (njasr), Version 1 Data Collection Manual Effective Date: January 1, 2014 Last Revised Date: October 1, 2016

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APPENDIX VIII (CONT.)

Item	Variable name	Text Prompt	Field Type	Legal Values
G. Non-Treatment with Thrombolytics
79	ContraWarn	Documented Exclusions (Contraindications) or Relative Exclusions (Warnings) for not initiating IV Thrombolytic in the 0-3 hr treatment window	Numeric	1 = Yes 0 = No
80	ContraWarn2	Documented Exclusions (Contraindications) or Relative Exclusions (Warnings) for not initiating IV Thrombolytic in the 3-4.5 hr treatment window	Numeric	1 = Yes 0 = No
Exclusions (Contraindications)
81, 81_2	NonTrtBl, NonTrtBl2	Active internal bleeding	Numeric	1 = Yes 0 = No
82, 82_2	NonTrtCT, NonTrtCT2	CT demonstrates multilobar infarction (hypodensity >1/3 cerebral hemisphere)	Numeric	1 = Yes 0 = No
83, 83_2	NonTrtHxHem, NonTrtHxHem2	History of intracranial hemorrhage, intracranial neoplasm, arteriovenous malformation or aneurysm	Numeric	1 = Yes 0 = No
84, 84_2	NonTrtPlat, NonTrtPlat2	Acute bleeding diathesis (low platelet count, increased PTT, INR ≥ 1.7 or use of NOAC. This includes: Platelet count <100 000/mm³; Heparin received within 48 hours resulting in abnormally elevated aPTT greater than the limit or normal; current use of anticoagulant with INR >1.7 or PT >15 seconds; current use of direct thrombin inhibitors or direct factor Xa inhibitors with elevated sensitive laboratory tests (such as aPTT, INR, platelet count, and ECT; TT; or appropriate factor Xa activity assays)	Numeric	1 = Yes 0 = No
85, 85_2	NonTrtTr, NonTrtTr2	Recent intracranial or spinal surgery, significant head trauma or stroke in previous 3 months	Numeric	1 = Yes 0 = No
87, 87_2	NonTrtBP, NonTrtBP2	Elevated blood pressure (systolic >185 or diastolic >110 mmHg) despite treatment	Numeric	1 = Yes 0 = No
89, 89_2	NonTrtSuHem, NonTrtSuHem2	Symptoms may suggest subarachnoid hemorrhage	Numeric	1 = Yes 0 = No
89a, 89a_2	NonTrtAP NonTrtAP2	Arterial puncture at noncompressible site in previous 7 days	Numeric	1 = Yes 0 = No
92, 92_2	NonTrtG NonTrtG2	Blood glucose concentration <50mg/dL (2.7 mmol/L)	Numeric	1 = Yes 0 = No

APPENDIX VIII (CONT.)

Item	Variable name	Text Prompt	Field Type	Legal Values
Relative Exclusions (Warnings)
91, 91_2	NonTrtNC, NonTrtNC2	Care team unable to determine eligibility	Numeric	1 = Yes 0 = No
94, 94_2	NonTrtOH, NonTrtOH2	IV or IA thrombolysis/thrombectomy at an outside hospital prior to arrival	Numeric	1 = Yes 0 = No
96, 96_2	NonTrtIL, NonTrtIL2	Life expectancy < 1 year or severe co-morbid illness or CMO on admission	Numeric	1 = Yes 0 = No
97, 97_2	NonTrtMI, NonTrtMI2	Recent myocardial infarction (within previous 3 months)	Numeric	1 = Yes 0 = No
98, 98_2	NonTrtPreg, NonTrtPreg2	Pregnancy	Numeric	1 = Yes 0 = No
99, 99_2	NonTrtFr, NonTrtFr2	Patient/family refused	Numeric	1 = Yes 0 = No
100, 100_2	NonTrtSM, NonTrtSM2	Stroke severity too mild	Numeric	1 = Yes 0 = No
102, 102_2	NonTrtRI, NonTrtRI2	Rapid improvement	Numeric	1 = Yes 0 = No
88, 88_2	NonTrstS, NonTrtS2	Seizure at onset with postictal residual neurological impairments	Numeric	1 = Yes 0 = No
86, 86_2	NonTrtSurg, NonTrtSurg2	Major surgery or serious trauma within previous 14 days	Numeric	1 = Yes 0 = No
102a, 102a_2	NonTrtRecHem2	Recent gastrointestinal or urinary tract hemorrhage (within previous 21 days)	Numeric	1 = Yes 0 = No
Hospital-Related or Other Factors:
103, 103_2	NonTrtA, NonTrtA2	Delay in patient arrival	Numeric	1 = Yes 0 = No
104, 104_2	NonTrtDDx, NonTrtDDx2	Delay in stroke diagnosis	Numeric	1 = Yes 0 = No
105, 105_2	NonTrtTD, NonTrtTD2	In-hospital Time Delay, In-hospital Time Delay2	Numeric	1 = Yes 0 = No
106, 106_2	NonTrtIV, NonTrtIV2	No IV access	Numeric	1 = Yes 0 = No
107, 107_2	NonTrtOt, NonTrtOt2	Other (specify)	Text	Total 25 characters
H. Medical History
108	MedHisAF	Atrial Fib/Flutter - history	Numeric	1 = Yes 0 = No
109	MedHisMI	Myocardial infarction (MI) or coronary artery disease (CAD) -history	Numeric	1 = Yes 0 = No
110	MedHisCS	Carotid stenosis - history	Numeric	1 = Yes 0 = No
111	MedHisPG	Current pregnancy or pregnancy or within 6 weeks after delivery or termination of pregnancy	Numeric	1 = Yes 0 = No
112	MedHisDM	Diabetes Mellitus - history	Numeric	1 = Yes 0 = No
113	MedHisDrug	Drugs - history	Numeric	1 = Yes 0 = No

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The New Jersey Acute Stroke Registry (njasr), Version 1 Data Collection Manual Effective Date: January 1, 2014 Last Revised Date: October 1, 2016

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