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Progress toward standardized diagnosis of vascular cognitive impairment: Guidelines from the Vascular Impairment of Cognition Classification Consensus Study
Author(s) -
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 F.E.,
Kril J.,
Cavalieri M.,
Jellinger K.A.,
Kovacs G.G.,
Engelborghs S.,
Lafosse C.,
Bertolucci P.H.,
Brucki S.,
Caramelli P.,
Toledo Ferraz Alves T.C.,
Bocti C.,
Fulop T.,
Hogan D.B.,
Hsiung G.R.,
Kirk A.,
Leach L.,
Robillard A.,
Sahlas D.J.,
Guo Q.,
Tian J.,
Hokkanen L.,
Jokinen H.,
Benisty S.,
Deramecourt V.,
Hauw J.,
Lenoir H.,
Tsatali M.,
Tsolaki M.,
Sundar U.,
Coen R.F.,
Korczyn A.D.,
Altieri M.,
Baldereschi M.,
Caltagirone C.,
Caravaglios G.,
Di Carlo A.,
Di Piero V.,
Gainotti G.,
Galluzzi S.,
Logroscino G.,
Mecocci P.,
Moretti D.V.,
Padovani A.,
Fukui T.,
Ihara M.,
Mizuno T.,
Kim S.Y.,
Akinyemi R.,
Baiyewu O.,
Ogunniyi A.,
Szczudlik A.,
BastosLeite A.J.,
Firmino H.,
Massano J.,
Verdelho A.,
Kruglov L.S.,
Ikram M.K.,
Kandiah N.,
Arana E.,
BarrosoRibal J.,
Calatayud T.,
CruzJentoft A.J.,
LópezPousa S.,
MartinezLage P.,
Mataro M.,
BörjessonHanson A.,
Englund E.,
Laukka E.J.,
Qiu C.,
Viitanen M.,
Biessels G.J.,
Leeuw F.E.,
Heijer T.,
Exalto L.G.,
Kappelle L.J.,
Prins N.D.,
Richard E.,
Schmand B.,
Berg E.,
Flier W.M.,
Bilgic B.,
Allan L.M.,
Archer J.,
Attems J.,
Bayer A.,
Blackburn D.,
Brayne C.,
Bullock R.,
Connelly P.J.,
Farrant A.,
Fish M.,
Harkness K.,
Ince P.G.,
Langhorne P.,
Mann J.,
Matthews F.E.,
Mayer P.,
Pendlebury S.T.,
Perneczky R.,
Peters R.,
Smithard D.,
Stephan B.C.,
Swartz J.E.,
Todd S.,
Werring D.J.,
Wijayasiri S.N.,
Wilcock G.,
Zamboni G.,
Au R.,
Borson S.,
Bozoki A.,
Browndyke J.N.,
Corrada M.M.,
Crane P.K.,
Diniz B.S.,
Etcher L.,
Fillit H.,
Greenberg S.M.,
Grinberg L.T.,
Hurt S.W.,
Lamar M.,
Mielke M.,
Ott B.R.,
Perry G.,
Powers W.J.,
RamosEstebanez C.,
Reed B.,
Roberts R.O.,
Romero J.R.,
Saykin A.J.,
Seshadri S.,
Silbert L.,
Stern Y.,
Zarow C.,
BenShlomo Yoav,
Passmore Anthony P.,
Love Seth,
Kehoe Patrick G.
Publication year - 2018
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2017.09.007
Subject(s) - cognitive impairment , neuropsychology , medicine , consensus conference , cognition , neuropsychological assessment , delphi method , neuroimaging , psychology , intensive care medicine , psychiatry , statistics , mathematics
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.