Progress towards standardised diagnosis of vascular cognitive impairment: Guidelines from the Vascular Impairment of Cognition Classification Consensus Study

Olivia Skrobot, Sandra Black, Christopher Chen, Charles Decarli, Timo Erkinjuntti, Gary A Ford, Rajesh Kalaria, John O’Brien, Leonardo Pantoni, Florence Pasquier, Gustavo C Roman, Anders Wallin, Perminder S Sachdev, Ingmar Skoog, VICCCS Group, Yoav Ben-Shlomo, Anthony P Passmore, Seth Love, Patrick Gavin Kehoe

Research output: Contribution to journalArticle (Academic Journal)peer-review

192 Citations (Scopus)
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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 (NINDS-CSN) neuropsychological assessment protocols and recommendations for imaging.

DISCUSSION: VICCCS-2 suggests standardised use of NINDS-CSN recommendations on neuropsychological and imaging assessment for diagnosis of VCI so as to promote research collaboration.
Original languageEnglish
Pages (from-to)280-292
Number of pages13
JournalAlzheimer's and Dementia
Volume14
Issue number3
Early online date19 Oct 2017
DOIs
Publication statusE-pub ahead of print - 19 Oct 2017

Keywords

  • Journal Article

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