Prof. Kennedy R. Lees, (VISTA Chair)Institute of Cardiovascular and Medical SciencesUniversity of Glasgow Dr. Myzoon Ali (VISTA Coordinator)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.
Section 1.0 Clinical Dataset InformationSection 1.1Using the checklist below, please ensure that your clinical datasets meet the eligibility criteria for VISTA-Acute.
Minimum dataset of 100 Patients
Documented entry criteria
Documented consent following local IRB-approved procedure
Baseline assessment includes recording of neurological deficit by Oxford, NIHSS, SSS or similar
Baseline assessment within 24 hours of stroke onset
Confirmation of stroke diagnosis by cerebral imaging within 7 days
Outcome assessed between 1 and 6 months after stroke onset
Outcome assessment includes recording of at least one of NIHSS, SSS, Rankin, Barthel or GOS
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-Acute Steering Committee:
Section 2.2Please detail the inclusion of relevant documents for your clinical dataset in the check-box below and attach these documents using the file transfer link that will be sent separately.
All fields marked with * are essential
Please tick all files that are attached electronically
Raw Data* 1
Data Dictionary 2
Annotated CRF* 3
Ethics Approval* 5
Consent to hold/ collect original data 5
Section 3.0 Memorandum of Understanding Summary
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-Prevention.
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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