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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.
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 language | English |
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Pages (from-to) | 280-292 |
Number of pages | 13 |
Journal | Alzheimer's and Dementia |
Volume | 14 |
Issue number | 3 |
Early online date | 19 Oct 2017 |
DOIs | |
Publication status | E-pub ahead of print - 19 Oct 2017 |
Keywords
- Journal Article
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Dive into the research topics of 'Progress towards standardised diagnosis of vascular cognitive impairment: Guidelines from the Vascular Impairment of Cognition Classification Consensus Study'. Together they form a unique fingerprint.Projects
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Profiles
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Professor Yoav Ben-Shlomo
- Bristol Medical School (PHS) - Professor of Clinical Epidemiology
- Bristol Poverty Institute
- Bristol Population Health Science Institute
- Cancer
- Bristol Neuroscience
- Centre for Academic Primary Care
Person: Academic , Member
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Professor Patrick Gavin Kehoe
- Bristol Population Health Science Institute
- Bristol Medical School (THS) - Gestetner Professor of Translational Dementia Research
- Dementia Research Groups
- Bristol Neuroscience
Person: Academic , Member