Diagnoses and Treatment Needs

 


Diagnoses and Treatment Needs:
General Information

When?

Time 1

Time 2

Time 3

Time 4

Time 5

Time 6

Time 7

Where?

Intensive Protocol
(IP)
-
Intensive Protocol
(IP)
Intensive Protocol
(IP)
-
-
-

Questionnaire

 -
-
-
-
-
-
-

SIR Data bank

IP:
Medici
rec/table 11 (I1DIAG)
-
IP:
Medici
rec/table 211 (I3DIAG)
IP:
Medici
rec/table 311 (I4DIAG)
-
-
-

Literature: Borchelt, Gilberg, Horgas, & Geiselmann (1996; 1999); Linden, Gilberg, Horgas, & Steinhagen-Thiessen (1996; 1999); Steinhagen-Thiessen & Borchelt (1996; 1999). 

 


Diagnoses and Treatment Needs:
Data Available in BASE

Note:
According to the design, variable names for Time 1 have the prefix I1,
names for Time 3 have the prefix I3, and names for Time 4 have the prefix I4.

BASE items / variables

English translations

Variable names
Time 1

Variable names
Time 3

Variable names
Time 4

1.

ST ID

Participant ID

ID
+
+

2.

Lfd. Diagnose Nr.

Serial no. of diagnosis

I1DINR
+
+

3.

ICD-9 Code:

Für die Diagnosen wurden die Codierungen der ICD-9 verwendet. Wo es keinen passenden Code gab, wurden die folgenden Ergänzungen vorgenommen.

ICD-9 code:

The ICD-9 was used for diagnoses' coding. Where the ICD lacked a fitting code, the additions listed below were made.

 

2746 = NONICD: Hyperurikaemie
2747 = NONICD: Harnsäurekrist. i. Sediment
4013 = NONICD: renale Hypertonie
4015 = NONICD: sekund. Hypertonie
4403 = NONICD: AVK Stadium I, I-II
4404 = NONICD: AVK Stadium II
4405 = NONICD: AVK Stadium III
4406 = NONICD: AVK Stadium IV
7154 = NONICD: Gonarthrose (Knie)
7155 = NONICD: Coxarthrose (Hüfte)
7156 = NONICD: Omarthrose (Schulter)
7157 = NONICD: Finger, Hand
8980 = NONICD: Amputation Finger (max. 3)
8981 = NONICD: Amputation Hand
8982 = NONICD: Amputation Unterarm
8983 = NONICD: Amputation Oberarm
8984 = NONICD: Amputation Zehen
8985 = NONICD: Amputation Fuß
8986 = NONICD: Amputation Unterschenkel
8987 = NONICD: Amputation Oberschenkel
8988 = NONICD: Amputation Hand, Unterarm, Oberarm beidseitig
8989 = NONICD: Amputation Unterschenkel, Oberschenkel beidseitig

2746 = NONICD: hyperuricaemia
2747 = NONICD: uric acid crystals present in sediment
4013 = NONICD: renal hypertension
4015 = NONICD: secondary hypertension
4403 = NONICD: peripheral vascular disease, stage I, I-II
4404 = NONICD: peripheral vascular disease, stage II
4405 = NONICD: peripheral vascular disease, stage III
4406 = NONICD: peripheral vascular disease, stage IV
7154 = NONICD: gonarthrosis (degenerative knee changes)
7155 = NONICD: coxarthrosis (degenerative hip changes)
7156 = NONICD: omarthrosis (degenerative shoulder changes)
7157 = NONICD: finger, hand
8980 = NONICD: amputation finger (max. 3)
8981 = NONICD: amputation hand
8982 = NONICD: amputation lower arm
8983 = NONICD: amputation upper arm
8984 = NONICD: amputation toe
8985 = NONICD: amputation foot
8986 = NONICD: amputation lower leg
8987 = NONICD: amputation leg
8988 = NONICD: amputation hand, lower arm, upper arm, right and left
8989 = NONICD: amputation lower leg, leg, right and left

I1DI2608
 -
 -

4.

Vitale Bedrohung?

1 = keine
2 = moeglich
3 = wahrscheinlich
4 = akut
8 = nicht beurteilbar

Life threatening?

1 = none
2 = possible
3 = probable
4 = acute
8 = cannot be assessed

I1DI2612
+
+

5.

Alter

Age

I1DIALT
-
-

6.

Quelle

1 = ST, Hausarzt und Projektarzt
2 = Hausarzt und Projektarzt
3 = ST und Projektarzt
4 = nur Projektarzt
5 = ST und Hausarzt
6 = nur Hausarzt
7 = nur ST

Source

1 = participant, family doctor, and project physician
2 = family doctor and project physician
3 = participant and project physician
4 = only project physician
5 = participant and family doctor
6 = only family doctor
7 = only participant

I1DI2609
+
+

7.

Sicherheit

1 = sicher
2 = sehr wahrscheinlich
3 = wahrscheinlich
4 = fraglich
5 = sehr unsicher

Certainty

1 = certain
2 = very probable
3 = probable
4 = questionable
5 = very uncertain

I1DI2610
+
+

8.

Medizinischer Schweregrad

1 = leicht
2 = mittel
3 = schwer
8 = nicht beurteilbar

Medical severity level

1 = mild
2 = moderate
3 = severe
8 = cannot be assessed

I1DI2611
+
+

9.

seit (Monate)

since (months)

I1DI2613
+
+

10.

Subjektiver Schweregrad

1 = keiner
2 = gering
3 = deutlich
4 = schwer
8 = nicht beurteilbar

Subjective severity level

1 = none
2 = negligible
3 = distinct
4 = severe
8 = cannot be assessed

I1DI2614
+
+

11.

Med.Nr. A

Med.No.A

I1DI2615
+
+

12.

Med.Nr.B

Med.No.B

I1DI2616
+
+

13.

Med.Nr.C

Med.No.C

I1DI2617
+
+

14.

Med.Nr.D

Med.No.D

I1DI2618
+
+

15.

Med.Nr.E

Med.No.E

I1DI2619
+
+

16.

Med.Nr.F

Med.No.F

I1DI2620
-
-

17.

Med.Nr.G

Med.No.G

I1DI2621
-
-

18.

Med.Nr.H

Med.No.H

I1DI2622
-
-

19.

Med.Nr.I

Med.No.I

I1DI2623
-
-

20.

Med.Nr.J

Med.No.J

I1DI2624
-
-

21.

Behandlungsindikation

1 = zwingend erforderlich
2 = therap. sinnvoll
3 = teilw.sinnv.od.fraglich
4 = ueberw.nicht sinvoll
5 = absol.nicht sinvoll

Indication for therapy

1 = urgently necessary
2 = therapeutically useful
3 = partly useful or questionable
4 = mainly not useful
5 = absolutely not useful

I1DI2625
+
+

22.

Medikationskombination

1 = Monotherapie
2 = Komb.medikation
3 = Multimedikation

Combination of medication

1 = monotherapy
2 = combined medication
3 = multiple medications

I1DI2626
+
+

23.

Andere medikamentöse Behandlungsnotwendigkeit

1 = nicht sinnvoll
2 = evtl. sinnvoll
3 = sehr sinnvoll
4 = zwingend geboten

Other necessity for medical therapy

1 = not useful
2 = possibly useful
3 = very useful
4 = imperative

I1DI2627
+
+

24.

Fehlmedikation

1 = ja
2 = fraglich
3 = nein

Mismedication

1 = yes
2 = questionable
3 = no

I1DI2628
+
+

25.

Untermedikation

1 = ja
2 = fraglich
3 = nein

Undermedication

1 = yes
2 = questionable
3 = no

I1DI2629
+
+

26.

Übermedikation

1 = ja
2 = fraglich
3 = nein

Overmedication

1 = yes
2 = questionable
3 = no

I1DI2630
+
+

27.

Um ein globaleres Maß für den Erkrankungszustand der Untersuchungsteilnehmerinnen und -teilnehmer zu gewinnen, wurden einzelne Diagnosegruppen zu komplexeren Krankeitsbildern aggregiert. Zu jeder dieser aggregierten Diagnosen existiert je eine Variable für den medizinischen Schweregrad, das Ausmaß der vitalen Bedrohung und den subjektiven Schweregrad der Erkrankung. Eine ausführliche Begründung und Beschreibung dieses Vorgehens findet sich im Kapitel 6 des Begleitbuches zur Berliner Altersstudie.
Genaue Informationen zur Vorgehensweise bei der Aggregierung sind im Büro der zentralen Projektkoordination auf Anfrage erhältlich.

To gain a more global view on a participants' status of health, selected diagnoses were aggregated to establish a more complex syndrome. For each of these aggregated diagnoses one variable exists for each of the following: degree of medical severeness, degree of vital threat and degree of subjective severeness.
A detailed description and justification of this procedure can be found in chapter 5 of the BASE-handbook.
Detailed information on the process of aggregation itself is available in the office of the central project-coordination upon request.


.001

Malignome:
med. Schweregrad

Malignancies:
medical severeness

I1CCARCS
+
+

Malignome:
vitale Bedrohung

Malignancies:
vital threat

I1CCARCV
+
+

Malignome:
subj. Schweregrad

Malignancies:
subjective severeness

I1CCARCB
+
+

.002

Schilddrüsenerkrankung:
med. Schweregrad

Thyroid disorders:
medical severeness

I1CTHYRS
+
+

Schilddrüsenerkrankung:
vitale Bedrohung

Thyroid disorders:
vital threat

I1CTHYRV
+
+

Schilddrüsenerkrankung:
subj. Schweregrad

Thyroid disorders:
subjective severeness

I1CTHYRB
+
+

.003

Diabetes mellitus:
med. Schweregrad

Diabetes mellitus:
medical severeness

I1CDIABS
+
+

Diabetes mellitus:
vitale Bedrohung

Diabetes mellitus:
vital threat

I1CDIABV
+
+

Diabetes mellitus:
subj. Schweregrad

Diabetes mellitus:
subjective severeness

I1CDIABB
+
+

.004

Hyperlipidämie:
med. Schweregrad

Hyperlipidemia:
medical severeness

I1CHLPAS
+
+

Hyperlipidämie:
vitale Bedrohung

Hyperlipidemia:
vital threat

I1CHLPAV
+
+

Hyperlipidämie:
subj. Schweregrad

Hyperlipidemia:
subjective severeness

I1CHLPAB
+
+

.005

Gicht / Hyperurikämie
med. Schweregrad

Gout / hyperuricemia:
medical severeness

I1CGICHS
+
+

Gicht / Hyperurikämie
vitale Bedrohung

Gout / hyperuricemia:
vital threat

I1CGICHV
+
+

Gicht / Hyperurikämie
subj. Schweregrad

Gout / hyperuricemia:
subjective severeness

I1CGICHB
+
+

.006

Anämie:
med. Schweregrad

Anemia:
medical severeness

I1CANEMS
+
+

Anämie:
vitale Bedrohung

Anemia:
vital threat

I1CANEMV
+
+

Anämie:
subj. Schweregrad

Anemia:
subjective severeness

I1CANEMB
+
+

.007

ZNS-Erkrankung:
med. Schweregrad

CNS disorders:
medical severeness

I1CZNVSS
+
+

ZNS-Erkrankung:
vitale Bedrohung

CNS disorders:
vital threat

I1CZNVSV
+
+

ZNS-Erkrankung:
subj. Schweregrad

CNS disorders:
subjective severeness

I1CZNVSB
+
+

.008

PNS-Erkrankung:
med. Schweregrad

PNS disorders:
medical severeness

I1CPNVSS
+
+

PNS-Erkrankung:
vitale Bedrohung

PNS disorders:
vital threat

I1CPNVSV
+
+

PNS-Erkrankung:
subj. Schweregrad

PNS disorders:
subjective severeness

I1CPNVSB
+
+

.009

Hypertonie:
med. Schweregrad

Hypertension:
medical severeness

I1CRRHIS
+
+

Hypertonie:
vitale Bedrohung

Hypertension:
vital threat

I1CRRHIV
+
+

Hypertonie:
subj. Schweregrad

Hypertension:
subjective severeness

I1CRRHIB
+
+

.010

Zustand nach Myokardinfarkt:
med. Schweregrad

Past myocardial infarction:
medical severeness

I1CZNMIS
+
+

Zustand nach Myokardinfarkt:
vitale Bedrohung

Past myocardial infarction:
vital threat

I1CZNMIV
+
+

Zustand nach Myokardinfarkt:
subj. Schweregrad

Past myocardial infarction:
subjective severeness

I1CZNMIB
+
+

.011

Koronare Herzkrankheit:
med. Schweregrad

Coronary heart disease:
medical severeness

I1CKHKTS
+
+

Koronare Herzkrankheit: vitale Bedrohung

Coronary heart disease:
vital threat

I1CKHKTV
+
+

Koronare Herzkrankheit: subj. Schweregrad

Coronary heart disease:
subjective severeness

I1CKHKTB
+
+

.012

Erregungsleitungsstörung:
med. Schweregrad

Conduction block:
medical severeness

I1CBLOCS
+
+

Erregungsleitungsstörung:
vitale Bedrohung

Conduction block:
vital threat

I1CBLOCV
+
+

Erregungsleitungsstörung:
subj. Schweregrad

Conduction block:
subjective severeness

I1CBLOCB
+
+

.013

Herzrhythmusstörung:
med. Schweregrad

Arrhythmia:
medical severeness

I1CHRSTS
+
+

Herzrhythmusstörung:
vitale Bedrohung

Arrhythmia:
vital threat

I1CHRSTV
+
+

Herzrhythmusstörung:
subj. Schweregrad

Arrhythmia:
subjective severeness

I1CHRSTB
+
+

.014

Herzinsuffiziens:
med. Schweregrad

Congestive heart failure:
medical severeness

I1CHFFZS
+
+

Herzinsuffiziens:
vitale Bedrohung

Congestive heart failure:
vital threat

I1CHFFZV
+
+

Herzinsuffiziens:
subj. Schweregrad

Congestive heart failure:
subjective severeness

I1CHFFZB
+
+

.015

Zerebralarteriosklerose:
med. Schweregrad

Cerebral atherosclerosis:
medical severeness

I1CZAVKS
+
+

Zerebralarteriosklerose:
vitale Bedrohung

Cerebral atherosclerosis:
vital threat

I1CZAVKV
+
+

Zerebralarteriosklerose:
subj. Schweregrad

Cerebral atherosclerosis:
subjective severeness

I1CZAVKB
+
+

.016

Arterielle Verschlußkrankheit:
med. Schweregrad

Peripheral vascular disease:
medical severeness

I1CPAVKS
+
+

Arterielle Verschlußkrankheit:
vitale Bedrohung

Peripheral vascular disease:
vital threat

I1CPAVKV
+
+

Arterielle Verschlußkrankheit:
subj. Schweregrad

Peripheral vascular disease:
subjective severeness

I1CPAVKB
+
+

.017

Hypotonie:
med. Schweregrad

Postural hypotension:
medical severeness

I1CRRLOS
+
+

Hypotonie:
vitale Bedrohung

Postural hypotension:
vital threat

I1CRRLOV
+
+

Hypotonie:
subj. Schweregrad

Postural hypotension:
subjective severeness

I1CRRLOB
+
+

.018

Chronisch obstruktive Lungenerkrankung:
med. Schweregrad

Chronic bronchitis:
medical severeness

I1CCOLDS
+
+

Chronisch obstruktive Lungenerkrankung:
vitale Bedrohung

Chronic bronchitis:
vital threat

I1CCOLDV
+
+

Chronisch obstruktive Lungenerkrankung:
subj. Schweregrad

Chronic bronchitis:
subjective severeness

I1CCOLDB
+
+

.019

Chronische Obstipation:
med. Schweregrad

Chronic constipation:
medical severeness

I1COBSTS
+
+

Chronische Obstipation:
vitale Bedrohung

Chronic constipation:
vital threat

I1COBSTV
+
+

Chronische Obstipation:
subj. Schweregrad

Chronic constipation:
subjective severeness

I1COBSTB
+
+

.020

Hepatopathien:
med. Schweregrad

Hepatopathies:
medical severeness

I1CCIRHS
+
+

Hepatopathien:
vitale Bedrohung

Hepatopathies:
vital threat

I1CCIRHV
+
+

Hepatopathien:
subj. Schweregrad

Hepatopathies:
subjective severeness

I1CCIRHB
+
+

.021

Nephropathien:
med. Schweregrad

Nephropathies:
medical severeness

I1CNEPHS
+
+

Nephropathien:
vitale Bedrohung

Nephropathies:
vital threat

I1CNEPHV
+
+

Nephropathien:
subj. Schweregrad

Nephropathies:
subjective severeness

I1CNEPHB
+
+

.022

Harninkontinenz:
med. Schweregrad

Urinary incontinence:
medical severeness

I1CHINKS
+
+

Harninkontinenz:
vitale Bedrohung

Urinary incontinence:
vital threat

I1CHINKV
+
+

Harninkontinenz:
subj. Schweregrad

Urinary incontinence:
subjective severeness

I1CHINKB
+
+

.023

Stuhlinkontinenz:
med. Schweregrad

Fecal incontinence:
medical severeness

I1CSINKS
+
+

Stuhlinkontinenz:
vitale Bedrohung

Fecal incontinence:
vital threat

I1CSINKV
+
+

Stuhlinkontinenz:
subj. Schweregrad

Fecal incontinence:
subjective severeness

I1CSINKB
+
+

.024

Osteoarthrosen:
med. Schweregrad

Osteoarthritis:
medical severeness

I1CARTHS
+
+

Osteoarthrosen:
vitale Bedrohung

Osteoarthritis:
vital threat

I1CARTHV
+
+

Osteoarthrosen:
subj. Schweregrad

Osteoarthritis:
subjective severeness

I1CARTHB
+
+

.025

Dorsopathien:
med. Schweregrad

Dorsopathies:
medical severeness

I1CDORSS
+
+

Dorsopathien:
vitale Bedrohung

Dorsopathies:
vital threat

I1CDORSV
+
+

Dorsopathien:
subj. Schweregrad

Dorsopathies:
subjective severeness

I1CDORSB
+
+

.026

Osteoporose:
med. Schweregrad

Osteoporosis:
medical severeness

I1COPORS
+
+

Osteoporose:
vitale Bedrohung

Osteoporosis:
vital threat

I1COPORV
+
+

Osteoporose:
subj. Schweregrad

Osteoporosis:
subjective severeness

I1COPORB
+
+

28.

Anzahl der mittel- bis schwergradigen körperlichen Erkrankungen

Number of medium and severe physical diseases

IKNDS23
+
+

29.

Anzahl der subjektiv schwergradigen Erkrankungen

Number of subjectively severe diseases

IKNDB34
+
+