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Kirklin Solutions - STS Intermacs

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Kirklin Solutions - STS Intermacs

  • Home
  • Administration
    • STS Intermacs Leaders
    • Data and Clinical Coordinating Center
  • Research
    • Publications
    • Current Projects
    • Research Proposals
  • Participation
    • Join Intermacs
  • Intermacs Appendices
  • Reports
    • Quarterly Site Reports
    • Research SAS Datasets
    • Live Data/Form Downloads
    • Intermacs Reporting FAQ
    • Outcome Analytics
  • Pedimacs
    • Pedimacs Appendices
    • Pedimacs Research Proposals
  • Contact Us

Pedimacs Data Collection Forms Archive

Version 5.0

  • Patient Screening Log
  • Demographics
  • Pre-Implant
  • Pre-Implant Long
  • Implant
  • Implant Discharge
  • 1 Week Follow-Up
  • 1 Month Follow-Up
  • 3 Month Follow-Up
  • 3 Month Follow-Up Long
  • 1 Year Post Recovery
  • Adverse Events
  • Transfer Form
  • Withdraw Consent

Version 4.0

  • Patient Screening Log
  • Demographics
  • Pre-Implant
  • Implant
  • Implant Discharge
  • 1 Week Follow-Up
  • 1 Month Follow-Up
  • 3 Month Follow-Up
  • 1 Year Post Recovery
  • Adverse Events
  • Transfer Form
  • Patient Withdraw Consent

Version 1.0

  • Screening Log
  • Patient Demographics
  • Pre-Implant
  • Implant
  • Implant Discharge
  • 1 Week and 1 Month Follow-Up
  • 3 Month and 6 Month Follow-Up
  • Rehospitalization
  • Infection
  • Neurological Dysfunction
  • Device Malfunction
  • Bleeding
  • Other Adverse Events
  • Death
  • Explant
  • Functional Capacity
  • QOL Pre-Implant
  • QOL 3 and 6 Month Follow-Up
  • VAD QOL

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