This document can be used to prepare or evaluate feasibility of ancillary study proposals and paper proposals, but is NOT intended for publication.

Stroke/Carotid Artery Disease Outcome Details (Form 121/132)

File NameData as ofPopulationData collectedOne row perRows
outc_strk_carotid_inv.dat2/17/2024CT+OSMain, Ext1, Ext2Outcome Form8,586

In Ext2 these outcomes are only adjudicated for Medical Record Cohort (MRC) ppts.

ID - WHI Participant Common ID
Col 1
NMissing
8,5860
ASCSOURCE - Ascertainment Source
Col 2
ValueDescriptionN%
1Local Form 1211,11213
2Central Form 1214004.7
3Central Form 1327,07482.4
CAROTID - Carotid Artery Disease
Col 3
Usage Notes:

Carotid Artery Disease was adjudicated for CT and OS participants through Ext1. In Ext2 It is only adjudicated for the Medical Record Cohort. Carotid Artery Disease occurring on or after a Stroke is not counted.

ValueDescriptionN%
0No00
1Yes1,65719.3
Missing6,92980.7%
STRKHEMO - Hemorrhagic Stroke
Col 4
Usage Notes:

Defined as a Stroke where the diagnosis question indicates a hemorrhagic stroke. Hemorrhagic Stroke was adjudicated for CT and OS participants through Ext1. In Ext2 it is only adjudicated for the Medical Record Cohort. Strokes from cause of death, Form 121 and early versions of 132 were not able to determine Hemorrhagic/Ischemic classification. Includes inpatient strokes for the core WHI study and inpatient and outpatient strokes after the core study closeout.

ValueDescriptionN%
0No00
1Yes1,08712.7
Missing7,49987.3%
STRKISCH - Ischemic Stroke
Col 5
Usage Notes:

Defined as a Stroke where the diagnosis question indicates an iscemic stroke. Ischemic Stroke was adjudicated for CT and OS participants through Ext1. In Ext2 it is only adjudicated for the Medical Record Cohort. Strokes from cause of death, Form 121 and early versions of 132 were not able to determine Hemorrhagic/Ischemic classification. Includes inpatient strokes for the core WHI study and inpatient and outpatient strokes after the core study closeout.

ValueDescriptionN%
0No00
1Yes5,81067.7
Missing2,77632.3%
STROKE - Stroke
Col 6
Usage Notes:

Defined as the first occurrence of Stroke or a Death due to Cerebrovascular. Stroke was adjudicated for CT and OS participants through Ext1. In Ext2 it is only adjudicated for the Medical Record Cohort. In order to be able to classify strokes, WHI uses central adjudications if possible, even though Strokes were only fully centrally adjudicated in HT participants. See the DEATH and DEATHSRC variables for details about the death adjudication process. Includes inpatient strokes for the core WHI study and inpatient and outpatient strokes after the core study closeout.

ValueDescriptionN%
0No00
1Yes6,93180.7
Missing1,65519.3%
STROKEDX - Stroke diagnosis
Col 7
Usage Notes:

Value 6 was only on form 121 and early versions of form 132. Strokes with a diagnosis code of 6 were unable to be classified as Hemorrhagic or Ischemic.

ValueDescriptionN%
6Central nervous system complications during/from procedure00
1Subarachnoid hemorrhage2372.8
2Intraparenchymal hemorrhage8269.6
3Other or unspec intracranial hemorrhage240.3
4Occlusion of cerebral arteries w/infarction5,81067.7
5Acute but ill-defined cerebrovascular disease330.4
Missing1,65619.3%
STROKEPROC - Stroke occurred during or resulted from a procedure
Col 8
Usage Notes:

Not collected on early versions of F132. A stroke is defined as procedure-related if it occurs within 24 hours after any procedure or within 30 days after a cardioversion or invasive cardiovascular procedure.

ValueDescriptionN%
0No6,24472.7
1Yes3674.3
9Unknown390.5
Missing1,93622.5%
STROKEOUTPAT - F132 Stroke diagnosed or managed as outpatient
Col 9

Was the stroke diagnosed or managed as an outpatient?* *The outpatient setting includes any emergency department or observation unit, short hospital stays of less than 24 hours duration or a direct admission to a rehab facility without an associated admission to an acute care hospital.

Usage Notes:

Only collected after WHI closeout.

ValueDescriptionN%
0No4,64754.1
1Yes2132.5
Missing3,72643.4%
STROKEOXFORD - Oxfordshire Classification
Col 10
ValueDescriptionN%
1Total Anterior Circulation Infarction (TACI )3724.3
2Partial Anterior Circulation Infarction (PACI)2,82532.9
3Lacunar Infarction (LACI)1,58618.5
4Posterior Circulation Infarction (POCI)98711.5
Missing2,81632.8%
STROKETOAST - TOAST Classification
Col 11

Trial of Org 10172 in Acute Stroke Treatment (TOAST) Classification

Usage Notes:

A "probable" diagnosis is made if the clinical findings, neuroimaging data, and results of diagnostic studies are consistent with one subtype and other etiologies have been excluded. A "possible" diagnosis is made when the clinical findings and neuroimaging data suggest a specific subtype but other studies are not done.

ValueDescriptionN%
1Probable large artery atherosclerosis2803.3
2Probable cardioembolism1,42016.5
3Probable small vessel occlusion (lacune)7448.7
4Probable stroke of other determined etiology1401.6
5Possible large artery atherosclerosis1161.4
6Possible cardioembolism3574.2
7Possible small vessel occlusion (lacune)3313.9
10Possible Stroke of other determined etiology600.7
11Stroke undetermined two or more causes identified4985.8
12Stroke undetermind negative evaluation97611.4
13Stroke undetermined incomplete evaluation8489.9
Missing2,81632.8%
STROKEBASE - Stroke diagnosis based on
Col 12
ValueDescriptionN%
1Rapid neuro deficit & CT/MRI lesion & w/o evid. of blood4,62353.8
2Rapid neuro deficit duration >= 24 hrs & rad n/a620.7
3Rapid neuro deficit duration >= 24hrs & rad early no acute8299.7
4Surgical evidence of ischemic infarction10
5CT or MRI blood hemor. in subarachnoid or intra-parenchymal1,02812
6Positive lumbar puncture40
7Surgical evidence of hemorrhage20
8None of the above3784.4
Missing1,65919.3%
STROKE28DEATH - Hospitalized stroke within 28 days of death
Col 13

If stroke fatal: Hospitalized stroke within 28 days of death

ValueDescriptionN%
0No460.5
1Yes7328.5
Missing7,80890.9%
STROKEPREV - Previous stroke and no other lethal disease
Col 14

If stroke fatal: Previous stroke and no known potentially lethal non-cerebrovascular disease process

ValueDescriptionN%
0No7538.8
1Yes250.3
Missing7,80890.9%
STROKEPOSTMORT - Stroke diagnosed at post-mortem
Col 15

If stroke fatal: Stroke diagnosed as cause of death at post-mortem examination

ValueDescriptionN%
0No7278.5
1Yes510.6
Missing7,80890.9%
STROKEDEATHCERT - Stroke listed on death certificate
Col 16

If stroke fatal: Stroke listed as underlying cause of death on death certificate

ValueDescriptionN%
0No1772.1
1Yes6007
Missing7,80991%
STROKEGLASGOW - Glascow stroke outcome scale
Col 17

Participant’s functional status at the time of discharge (Glasgow Outcome Scale)

ValueDescriptionN%
1Good recovery2,32427.1
2Moderately disabled1,76220.5
3Severely disabled1,84021.4
4Vegetative survival550.6
5Deceased7348.5
6Unable to assign category1902.2
Missing1,68119.6%
CARDX - Carotid artery disease diagnosis
Col 18
Usage Notes:

Collected on all versions of form 121, only collected on form 132 after WHI closeout.

ValueDescriptionN%
1Occlusion/stenosis w/o documentation of cerebral infarction1,54618
2Occlusion/stenosis w documentation of cerebral infarcation891
Missing6,95181%
CARBHOSP - Carotid artery disease based on hosp discharge
Col 19

Carotid artery disease based on: Symptomatic disease with carotid artery disease listed on the hospital discharge summary

Usage Notes:

Collected on all versions of form 121, only collected on form 132 after WHI closeout.

ValueDescriptionN%
0No1,04412.2
1Yes5916.9
Missing6,95181%
CARBABNORMAL - Carotid artery disease based on abnormal findings
Col 20

Carotid artery disease based on: Symptomatic disease with abnormal findings (>= 50% stenosis) on carotid angiogram, MRA, or Doppler flow study

Usage Notes:

Collected on all versions of form 121, only collected on form 132 after WHI closeout.

ValueDescriptionN%
0No90110.5
1Yes7348.5
Missing6,95181%
CARBPROC - Carotid artery disease based on vasc/surg proc.
Col 21

Carotid artery disease based on: Vascular or surgical procedure to improve flow to the ipsilateral brain.

Usage Notes:

Collected on all versions of form 121, only collected on form 132 after WHI closeout.

ValueDescriptionN%
0No2553
1Yes1,38016.1
Missing6,95181%