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Alzheimers Dement. 2018 Mar;14(3):280-292. doi: 10.1016/j.jalz.2017.09.007. Epub 2017 Oct 19.

Progress toward standardized diagnosis of vascular cognitive impairment: Guidelines from the Vascular Impairment of Cognition Classification Consensus Study.

Collaborators (135)

Taragano FE, Kril J, Cavalieri M, Jellinger KA, Kovacs GG, Engelborghs S, Lafosse C, Bertolucci PH, Brucki S, Caramelli P, de Toledo Ferraz Alves TC, Bocti C, Fulop T, Hogan DB, Hsiung GR, Kirk A, Leach L, Robillard A, Sahlas DJ, Guo Q, Tian J, Hokkanen L, Jokinen H, Benisty S, Deramecourt V, Hauw J, Lenoir H, Tsatali M, Tsolaki M, Sundar U, Coen RF, Korczyn AD, Altieri M, Baldereschi M, Caltagirone C, Caravaglios G, Di Carlo A, Di Piero V, Gainotti G, Galluzzi S, Logroscino G, Mecocci P, Moretti DV, Padovani A, Fukui T, Ihara M, Mizuno T, Kim SY, Akinyemi R, Baiyewu O, Ogunniyi A, Szczudlik A, Bastos-Leite AJ, Firmino H, Massano J, Verdelho A, Kruglov LS, Ikram MK, Kandiah N, Arana E, Barroso-Ribal J, Calatayud T, Cruz-Jentoft AJ, López-Pousa S, Martinez-Lage P, Mataro M, Börjesson-Hanson A, Englund E, Laukka EJ, Qiu C, Viitanen M, Biessels GJ, de Leeuw FE, den Heijer T, Exalto LG, Kappelle LJ, Prins ND, Richard E, Schmand B, van den Berg E, van der Flier WM, Bilgic B, Allan LM, Archer J, Attems J, Bayer A, Blackburn D, Brayne C, Bullock R, Connelly PJ, Farrant A, Fish M, Harkness K, Ince PG, Langhorne P, Mann J, Matthews FE, Mayer P, Pendlebury ST, Perneczky R, Peters R, Smithard D, Stephan BC, Swartz JE, Todd S, Werring DJ, Wijayasiri SN, Wilcock G, Zamboni G, Au R, Borson S, Bozoki A, Browndyke JN, Corrada MM, Crane PK, Diniz BS, Etcher L, Fillit H, Greenberg SM, Grinberg LT, Hurt SW, Lamar M, Mielke M, Ott BR, Perry G, Powers WJ, Ramos-Estebanez C, Reed B, Roberts RO, Romero JR, Saykin AJ, Seshadri S, Silbert L, Stern Y, Zarow C.

Author information

1
Translational Health Sciences, University of Bristol, Bristol, UK.
2
Sunnybrook Research Institute, University of Toronto, Ontario, Canada.
3
Department of Pharmacology, National University of Singapore, Singapore.
4
Department of Neurology and Center for Neuroscience, University of California at Davis, Sacramento, California, USA.
5
Neurology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
6
Divison of Medical Sciences, Oxford University, Oxford, UK.
7
Institute of Neuroscience, Newcastle University, Newcastle, UK.
8
Department of Psychiatry, University of Cambridge School of Clinical Medicine, Cambridge, UK.
9
NEUROFARBA Department, University of Florence, Florence, Italy.
10
Inserm U1171, University of Lille, Lille, France.
11
Methodist Neurological Institute, Houston, Texas, USA.
12
Memory Clinic at Department of Neuropsychiatry, Sahlgrenska University Hospital, Mölndal, Sweden; Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden.
13
School of Psychiatry, University of New South Wales, Sydney, Australia; Neuropsychiatric Institute, Prince of Wales Hospital, Randwick, New South Wales, Australia.
14
Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden.
15
Population Health Sciences, University of Bristol, Bristol, UK.
16
Institute of Clinical Sciences, Block B, Queens University Belfast, Belfast, UK.
17
Translational Health Sciences, University of Bristol, Bristol, UK. Electronic address: patrick.kehoe@bristol.ac.uk.

Abstract

INTRODUCTION:

Progress in understanding and management of vascular cognitive impairment (VCI) has been hampered by lack of consensus on diagnosis, reflecting the use of multiple different assessment protocols. A large multinational group of clinicians and researchers participated in a two-phase Vascular Impairment of Cognition Classification Consensus Study (VICCCS) to agree on principles (VICCCS-1) and protocols (VICCCS-2) for diagnosis of VCI. We present VICCCS-2.

METHODS:

We used VICCCS-1 principles and published diagnostic guidelines as points of reference for an online Delphi survey aimed at achieving consensus on clinical diagnosis of VCI.

RESULTS:

Six survey rounds comprising 65-79 participants agreed guidelines for diagnosis of VICCCS-revised mild and major forms of VCI and endorsed the National Institute of Neurological Disorders-Canadian Stroke Network neuropsychological assessment protocols and recommendations for imaging.

DISCUSSION:

The VICCCS-2 suggests standardized use of the National Institute of Neurological Disorders-Canadian Stroke Network recommendations on neuropsychological and imaging assessment for diagnosis of VCI so as to promote research collaboration.

KEYWORDS:

Criteria; Delphi; Guidelines; Vascular cognitive impairment; Vascular dementia; consensus

PMID:
29055812
DOI:
10.1016/j.jalz.2017.09.007

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