Prof. Martin Dichgans, (VISTA-Cognition Chair)Institute for Stroke and Dementia ResearchGerman Center for Neurodegenerative Diseases (DZNE)Dr. Terence J. Quinn (VISTA-Cognition Co-Chair)Institutes of Cardiovascular and Medical Sciences. University of Glasgowwww.firstname.lastname@example.org
Data Contribution FormClinical datasets will be lodged with the Robertson Centre for Biostatistics, University of Glasgow on behalf of VISTA. Please complete all applicable sections.
Section 1.0 Clinical Dataset InformationSection 1.1Using the checklist below, please ensure that your clinical datasets meet the eligibility criteria for VISTA-Cognition.
Clinical stroke cohort including a minimum of 50 patients
Clinical confirmation of stroke, including cerebral imaging
Documented entry criteria for the cohort including assessment of cognitive state (for example exclusion of dementia at study recruitment or baseline cognitive assessment)
Exclusion of patients with subarachnoid haemorrhage from the cohort
Documented consent or waiver of consent following local IRB-approved procedure
Appropriate copyright permissions have been obtained for use of psychological assessments
Availability of multi-domain cognitive assessment data and / or outcomes data describing clinical diagnosis of a recognised psychological syndrome (for example dementia or a dementia subtype)
Clear description of timing of assessment in relation to index stroke
Monitoring procedures existed to validate data
Please check the boxes corresponding to the format of your data.
SAS data sets
Microsoft Excel spreadsheets
Microsoft Access Database
Other (please state)
Section 2.0 Contribution Procedure Please provide contact details for the Principal Investigator(s) who will represent the trial on the VISTA-Plus Steering Committee:
Section 3.0 Memorandum of Understanding
I hereby acknowledge that I have read and understood the terms and conditions and consent to the contribution of the proposed trial/ registry to VISTA-Cognition.
The raw datasets can be transferred using the University of Glasgow’s file transfer system. A separate link will be emailed to you following submission of this form.
Agree to Terms and Conditions
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