Progress toward standardized diagnosis of vascular cognitive impairment: Guidelines from the Vascular Impairment of Cognition Classification Consensus Study Academic Article uri icon

  •  
  • Overview
  •  
  • Research
  •  
  • Identity
  •  
  • Additional Document Info
  •  
  • View All
  •  

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.

authors

  • Skrobot, Olivia A
  • Black, Sandra E
  • Chen, Christopher
  • DeCarli, Charles
  • Erkinjuntti, Timo
  • Ford, Gary A
  • Kalaria, Rajesh N
  • O'Brien, John
  • Pantoni, Leonardo
  • Pasquier, Florence
  • Roman, Gustavo C
  • Wallin, Anders
  • Sachdev, Perminder
  • Skoog, Ingmar
  • 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, Demetrios
  • 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, F-E
  • 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
  • Ben-Shlomo, Yoav
  • Passmore, Anthony P
  • Love, Seth
  • Kehoe, Patrick G

publication date

  • March 2018