STROKOG

Consortium of post-stroke/TIA or high vascular risk studies from around the world. Originally established in 2016, it was the first international effort to harmonise work on post-stroke dementia.

 

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STROKOG is a consortium of post-stroke/TIA or high vascular risk studies from around the worl

About STROKOG

STROKOG is a consortium of post-stroke/TIA or high vascular risk studies from around the world. STROKOG aims to harmonise data across our international member studies; to conduct joint analyses that explore questions in relation to vascular cognitive impairment and dementia (VCID), which represent a major health care burden on our society with projections to grow in the future.

STROKOG aims to increase awareness of cognitive deficits in relation to stroke and other cerebrovascular disease. We anticipate that the findings of STROKOG will help guide and optimize preventative strategies and health policy, both in Australia and internationally.

The consortium is expanding from 2022 to include, in addition to studies with stroke/TIA patients, studies with high vascular risk patients or intervention studies that aim to reduce the impact of cerebrovascular disease.

Please see below for:

  • Membership criteria
  • Research studies
  • Research propssals

 STROKOG currently includes 43 studies from 21 countries and 5 continents. We encourage qualified researchers to propose research projects using STROKOG data. Please refer to the research proposals below for more information.

Consortium

Membership criteria

The membership criteria for STROKOG have been revised in 2023. Studies with the following features are invited to participate:

  • Studies of stroke, TIA, or high vascular risk patients with cognitive decline or impairment as primary or secondary outcomes (i.e., cognitive assessments were conducted, even if brief); or
  • Intervention studies with the objective of reducing the impact of CVD, with cognition as primary or secondary outcome.


Membership will be officially ratified by study leaders signing a memorandum of understanding that entails willingness to:

  • Willing to share data (on a per-project basis) at either the level of individuals or in summary form, and/or provide the results of in-house analyses performed using STROKOG protocols (although members are not obliged to share data until they are ready),
  • Willing to share images with collaborators, within legislative and ethical constraints of the study,
  • Willing to contribute intellectually to meet the objectives of STROKOG,
  • Committed to the ethical principles of the consortium, and
  • Willing to contribute to the training and mentorship of junior researcher within their own groups or in STROKOG generally.
  • The willingness to share biospecimens collected by the studies for research purposes is an option that may be considered.

Interested parties please contact the STROKOG Coordinator about joining STROKOG.

Jessica Lo | jessica.lo@unsw.edu.au.

STROKOG Scientific Steering Committee

The STROKOG Scientific Steering Committee is formed to lead the scientific agenda of the consortium and provide ongoing support and governance. It comprises of one representative from each of the contributing studies, generally the lead investigator or a delegate.

MemberStudy, Country
Dr Rufus AkinyemiCognitive Function After Stroke Nigeria (CogFAST-Nigeria), Nigeria
Professor Hee-Joon BaeBundang VCI cohort (Bundang VCI), Korea
Professor Philip BathPrevention Of Decline in Cognition After Stroke Trial (PODCAST), UK
Professor Régis BordetClinical Biological and Pharmacological Factors Influencing Stroke Outcome (BIOSTROKE) and Study of Factors Influencing Post-Stroke Dementia (STROKDEM), France
Dr Amy BrodtmannCognition and Neocortical Volume After Stroke (CANVAS), Australia
Professor Christopher ChenCognitive Outcome After Stroke (COAST), Singapore
Dr Chih-Ping ChungStroke Registry Study of Taipei Veterans General Hospital (SRS@TVGH), Taiwan  
Dr Charlotte CordonnierPrognosis of Intracerebral Haemorrhage (PITCH), France
Dr Paul de KortPrediction of cognitive recovery after stroke (PROCRAS), Netherlands
Dr David DesmondEpidemiologic Study of the Risk of Dementia After Stroke, USA
Professor Martin DichgansDeterminants of Dementia After Stroke (DEDEMAS), Germany
Dr Abdel DouiriSouth London Stroke Register (SLSR), UK
Dr Fatemeh GeranmayehImperial Post-stroke Aphasia Recovery Study, UK
Professor Olivier GodefroyGroupe de Réflexion pour l'Evaluation COGnitive VASCulaire study (GRECOG-VASC), France
Dr Michael HoffmannDurban Stroke Data Bank (DSDB), South Africa
Dr Masafumi IharaRisk Assessment of Cnm-positive Streptococcus Mtuans in Stroke Survivors (RAMESSES), Japan  
Dr Hanna JokinenHelsinki Stroke Aging Memory (SAM), Finland
Professor Raj KalariaCognitive Function After Stroke (CogFAST), UK
Dr Nagaendran KandiahNational Neuroscience Institute (Post Stroke Cognitive Impairment) Study, Singapore
Professor Frini KarayanidisSystems of Care in Minor Stroke & TIA: Cognition (INSIST-COG), Australia
Dr Aleksandra Klimkowicz-MrowiecCracow Stroke Database and PRospective Observational POLIsh Study (PROPOLIS), Poland
Dr Sebestian KöhlerCognition and Affect after Stroke: Prospective Evaluation of Risks (CASPER) and Maastricht Cognitive Disorders After Stroke (CODAS), The Netherlands
Dr Gary LauThe HKU Stroke Cohort, Hong Kong
Professor Byung-Chul LeeKorean-Vascular Cognitive Impairment Harmonization Standards Study (K-VCIHS), Korea
Dr Thomas LindenGöteborg 70+ Stroke Study, Sweden
Professor Hugh Stephen MarkusSt George's Cognition and Neuroimaging in Stroke (SCANS), UK and Apathy and Outcome after Stroke Study, UK 
Dr Javier Marta-MorenoICTUS Cog Aragón (ICTUS), Spain 
Professor Vincent MokStroke Registry Investigating Cognitive Decline (STRIDE), Hong Kong
Dr Akin Ojagemi Delirium and Risk of Vascular dementia after a Stroke (DRIVERS), Nigeria
Professor Michael O'SullivanWhite Matter Connections and Memory: The STRATEGIC Study, UK
Dr Behnam SabayanProspective Study of Pravastatin in the Elderly at Risk (PROSPER), The Netherlands, Scotland, Ireland
Professor Perminder SachdevSydney Stroke Study (SSS), Australia
Professor Ingvild Tina SaltvedtNor-COAST, Norway
Professor Velandai SrikanthNorth East Melbourne Stroke Incidence Study (NEMESIS), Australia
Professor Latchezar TraykovBulgarian Post-stroke Study and Subcortical small vessel disease - Bulgarian cohort, Bulgaria
Professor Joanna WardlawMild Stroke Study II (MSS-II), UK
Professor Kyung-Ho YuHallym VCI, Korea
Professor Qun XuRenji CSVD Cohort Study (RCCS), China

Member studies

StudyCountryKey reference(s)
Apathy and Outcome after Stroke StudyUKPallucca C et al. (2024)
Bundang VCI cohort (Bundang-VCI)KoreaLim et al. (2014)
Bulgarian Post-Stroke StudyBulgariaMehrabian et al. (2015)
Clinical Biological and Pharmacological Factors Influencing Stroke Outcome (BIOSTROKE)FranceDucroquet et al. (2013)
Cognition and Affect after Stroke: Prospective Evaluation of Risks (CASPER)NetherlandsDouven et al. (2016)
Cognition and Neocortical Volume After Stroke (CANVAS)AustraliaBrodtmann et al. (2014)
Cognitive Function After Stroke (CogFAST-UK)UKAllan et al. (2011)
Cognitive Function After Stroke Nigeria (CogFAST-Nigeria)NigeriaAkinyemi et al. (2014)
Cognitive Outcome After Stroke (COAST)SingaporeDong et al. (2012)
Cracow Stroke Database (Cracow)PolandKlimkowicz et al. (2004; 2006)
Cognitive Outcome After Stroke (COAST)SingaporeDong et al. (2012)
Delirium and Risk of Vascular dementia after a Stroke (DRIVERS)NigeriaOjagbemi et al. (2017)
Determinants of Dementia After Stroke (DEDEMAS)GermanyWollenweber et al. (2013)
Durban Stroke Data Bank (DSDB)South AfricaHoffmann (1998; 2001)
Epidemiologic study of the risk of dementia after stroke (Epi USA)USADesmond et al. (2000, 2002)
Göteborg 70+ Stroke Study (Göteborg Neuro70+)SwedenLinden et al. (2004; 2007)
Groupe de Réflexion pour l'Evaluation COGnitive VASCulaire study (GRECOG-VASC) IDEA3 (follow up)FranceGodefroy et al. (2012)
Hallym VCIKoreaKH Yu et al. (2013)
Helsinki Stroke Aging Memory (SAM)FinlandJokinen et al. (2015); Oksala (2009)
ICTUS Cog Aragón (ICTUS)SpainJavier Marta Moreno (2021)
Imperial Post-stroke Aphasia Recovery StudyUKStefaniak et al. (2022)
Maastricht Cognitive Disorders After Stroke (CODAS)NetherlandsRasquin et al. (2005)
Mild Stroke Study II (MSS–II)UKHeye et al. (2015; 2016)Valdes Hernanadez et al. (2015)
Korean-Vascular Cognitive Impairment Harmonization Standards Study (K-VCIHS)KoreaYu et al. (2013)
Nor-COASTNorwayMunthe-Kaas et al (2020)
North East Melbourne Stroke Incidence Study (NEMESIS)AustraliaSrikanth et al. (2003; 2004; 2006)
National Neuroscience Institute study (NNI Singapore)SingaporeKandiah et al. (2011; 2014, 2016)
Prediction of cognitive recovery after stroke (PROCRAS)NetherlandsAben et al. 2018
Prevention Of Decline in Cognition After Stroke Trial (PODCAST)UKBath et al (2017)
Prognosis of Intracerebral Haemorrhage (PITCH)FranceCordonnier et al. (2010); Moulin et al. (2016)
PRospective Observational POLIsh Study (PROPOLIS)PolandPasińska et al. 2019
Prospective Study of Pravastatin in the Elderly at Risk (PROSPER) Scotland, Ireland, NetherlandsShepherd et al. (2002)
Risk Assessment of Cnm-positive Streptococcus Mtuans in Stroke Survivors (RAMESSES)JapanSatoshi et al. (2022)
Renji CSVD Cohort Study (RCCS)ChinaCao et al. (2016); Sun et al. (2016)
South London Stroke Register (SLSR)UKWolfe et al. (2011)
Douiri et al. (2013)
St George's Cognition and Neuroimaging in Stroke (SCANS)UKLawrence et al. (2015)
Stroke Registry Investigating Cognitive Decline (STRIDE)Hong KongYang et al. (2015); Liu et al. (2015); Wang et al. (2015a, 2015b); Mok et al. (2016)
Stroke Registry Study of Taipei Veterans General Hospital (SRS@TVGH)TaiwanLee YC et al. (2020)
Study of Factors Influencing Post-Stroke Dementia (STROKDEM)FrancePonchel et al. (2016)
Subcortical Small Vessel Disease - Bulgarian CohortBulgariaLatchezar Traykov (2012)
Sydney Stroke Study (SSS)AustraliaSachdev et al. (2004; 2014)
Systems of Care in Minor Stroke & TIA: Cognition (INSIST-COG)AustraliaNA
The HKU Stroke CohortHong KongLau et al. (2017)
White Matter Connections and Memory: The STRATEGIC StudyUKNA

Member in negotiation

Methodology paper

Sachdev PS, Lo JW, Crawford JD, et al. STROKOG (Stroke and Cognition consortium): An international consortium to examine the epidemiology, diagnosis, and treatment of neurocognitive disorders in relation to cerebrovascular disease. Alzheimer's & Dementia : Diagnosis, Assessment & Disease Monitoring. 2017;7:11-23. doi:10.1016/j.dadm.2016.10.006.

Research Papers

  1. Lo JW, Crawford JD, Desmond DW, et al. Profile of and risk factors for poststroke cognitive impairment in diverse ethnoregional groups. Neurology. 2019;93(24):e2257-e2271. 
  2. Lo JW, Crawford JD, Samaras K, et al. Association of Prediabetes and Type 2 Diabetes With Cognitive Function After Stroke: A STROKOG Collaboration Study. Stroke. 2020;51(6):1640-1646. 
  3. Tang EYH, Price CI, Robinson L, et al. Assessing the Predictive Validity of Simple Dementia Risk Models in Harmonized Stroke Cohorts. Stroke. 2020;51(7):2095-2102. 
  4. Lo JW, Crawford JD, Desmond DW, et al. Long-Term Cognitive Decline After Stroke: An Individual Participant Data Meta-Analysis. Stroke. 2022;53(4):1318-1327. 
  5. Betrouni N, Jiang J, Duering M, et al. Texture features of MR images predict post-stroke cognitive impairment: validation in a multi-center study. Stroke. 2022;53:3446–3454
  6. Lo JW, Crawford JD, Desmond DW, et al. Short-term Trajectories of Poststroke Cognitive Function: A STROKOG Collaboration Study. Neurology. 2023;100(23):e2331-e2341.  
  7. Oestreich LKL, Lo JW, Di Biase MA, Sachdev PS, et al. Network analysis of neuropsychiatric, cognitive, and functional complications of stroke: implications for novel treatment targets. Psychiatry Clin Neurosci. 2023 Dec 19. doi: 10.1111/pcn.13633.
  8. Ruthmann F, Lo JW, Mendyk-Bordet AM, et al. Prevalence of poststroke anxiety and its associations with global cognitive impairment: an individual participant data analysis. Journal of Affective Disorders. 2025; 369:1136-44.

List of STROKOG projects

Updated January 2025

Project TitleLead Investigator (Affiliation)
Domain-specific cognitive impairments and depression as determinants of post-stroke functional disabilityHanna Jokinen (Helsinki University Hospital and University of Helsinki)
Risk factors for post-stroke depressionBen Lam (CHeBA, UNSW)
Post-stroke neuropsychiatric symptoms: apathy and psychosisMichael Connors (CHeBA, UNSW)
Trajectory of post-stroke depressionLena Oestreich (University of Queensland)
A simple risk model for the prediction of post-stroke dementiaJess Lo (CHeBA, UNSW)
Structural and functional brain disconnections associated with psychiatric complications in stroke survivorsLena Oestreich (University of Queensland)

Research proposal

STROKOG welcomes research proposals from member studies and from other researchers wishing to utilise the wealth and diversity of data held by the STROKOG cohorts. All proposals will be reviewed by the STROKOG Scientific Steering Committee. Interested researchers should contact the STROKOG Coordinator, Jess Lo, to have a preliminary discussion about the project.

Note that STROKOG member studies are not committed to provide data and they may choose to participate on a project-by-project basis. It is a requirement to include the study leader (and up to 2 study members) of the study cohort as co-authors of a publication that resulted from having included the dataset in the project.

Please also note that local IRB ethics is required and proposals from investigators who are not part of STROKOG require sponsorship or endorsement by a lead investigator of a STROKOG member study. Details of all STROKOG member studies and names of lead investigators can be found on this website. It may be appropriate to seek sponsorship from the leader of a study that has investigated similar issues or holds particularly relevant data.

On the right is a flow chart which describes the process to accessing STROKOG data for a research project.

Funding Acknowledgements

We gratefully acknowledge the following funding bodies:

  • Vincent Fairfax Family Foundation (VFFF) (2016-2021)
  • NHMRC Project Grant (2019-2021; APP1161858)
  • NHMRC Centres of Research Excellence (2021-2026; RG203943)
  • NHMRC Centres of Research Excellence (2021 – 2026; ID2006765)

Contacts

Perminder Sachdev: p.sachdev@unsw.edu.au
Co-Director, CHeBA (Centre for Healthy Brain Ageing)
UNSW Medicine
    
Jessica Lo: jessica.lo@unsw.edu.au
Postdoc Fellow, CHeBA (Centre for Healthy Brain Ageing)
UNSW Medicine