Ace inhibitor-induced cough Validation Guidelines
October16, 2012
Ver. 01

Background:

Cough is a common side effect associated with ace inhibitor (ACEi) use. Patients with ACEi-induced cough are sometimes switched to an angiotensin receptor blocker (ARB) medication.

Case/Control Definitions:

Cases

For chart validation, a Case is defined as: Any person with a cough noted as an allergy or adverse event associated with ACEi use. A historical reference is acceptable.

Conditions for exclusion in CASES are:

  1. No history of ACEi use.
  2. No history of cough associated with ACEi.

Controls

For chart validation, a Control is defined as: Patients on an ACEi for at least 6 months without a documented allergy/adverse reaction of cough. (For example, it is acceptable for a patient to have a upper respiratory infection that produces a cough if the physician does not stop the ACEi or attribute the cough to the ACEi.)

Conditions for exclusion in CONTROLS are:

  1. Control has ever been switched from ACEi to ARB. It is okay if the control is on both and ACEi and an ARB.
  2. Any report of adverse effects including cough, angioedema, shortness of breath, dyspnea associated with an ACEi.
  3. On ACEi for less than 6 months.

Sample Selection:

Chart review validation of case/control status for 50 cases and 50 controls identified from automated data/electronic medical record using a computer algorithm. Selection of cases and controls for review will be at random.

Overall Instructions:

The review will encompass the entire medical record. The reviewer will not be blind to case/control status.

Information to be given to the reviewer:

  • ID
  • Info necessary to look up or pull chart

Fields to be completed:

  • Case or control status.

Glossary/Codebook:

Synonyms for ace inhibitor

accupril

accuprin

accupro

"ace "

ace inhibitor

ace(

ace-

ace-i

ace-inhibitor

ace:

ace_

acecor

acei

aceinhibitor

aceon

acepress

acepril

acequin

acercomp

acovil

acuitel

alopresin

altace

apopril

benazepril

benazeprilum

bonuten

briem

capoten

captolane

captopril

captopryl

captoril

carasel

cardace

cesplon

cibacen

cilazapril

coversyl

delix

dilabar

enalapril

fosinopril

gadopril

garranil

hipertil

hypertil

hypren

hytren

inhibace

inhibril

kinfil

korec

linopril

lisinopril

lisipril

lopirin

lopril

lostapres

lotensin

lysinopril

mavik

moexipril

monopril

noperten

perindopril

pramace

presiten

prinivil

quark

quinapril

quinazil

ramace

ramipril

renormax

sinopril

spirapril

staril

tenosbon

tensoprel

trandolapril

trandolaprilum

triatec

tritace

unipril

univasc

vasotec

vesdil

Zestril

Synonyms for angiotensin receptor blockers

candesartan

atacand

irbesartan

avapro

losartan

cozaar

valsartan

diovan

telmisartan

micardis

eprosartan

olmesartan

benicar

atacand hct

avalide

benicar hct

diovan hct

hyzaar

micardis hct

teveten hct

Page 1 of 4