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

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; VICCCS group; Taragano, F. E.; Kril, J.; Cavalieri, M.; Jellinger, K. A.; Kovacs, G. G.; Engelborghs, S.; Lafosse, C.; Bertolucci, P. H.; Brucki, S.; Caramelli, P.; de 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.; Bastos-Leite, A. J.; Firmino, H.; Massano, J.; Verdelho, A.; Kruglov, L. S.; Ikram, M. K.; Kandiah, N.; Arana, E.; Barroso-Ribal, J.; Calatayud, T.; Cruz-Jentoft, A. J.; López-Pousa, S.; Martinez-Lage, P.; Mataro, M.; Börjesson-Hanson, A.; Englund, E.; Laukka, E. J.; Qiu, C.; Viitanen, M.; Biessels, G. J.; de Leeuw, F.-E.; den Heijer, T.; Exalto, L. G.; Kappelle, L. J.; Prins, N. D.; Richard, E.; Schmand, B.; van den Berg, E.; van der 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.; Ramos-Estebanez, C.; Reed, B.; Roberts, R. O.; Romero, J. R.; Saykin, A. J.; Seshadri, S.; Silbert, L.; Stern, Yaakov; Zarow, C.; Ben-Shlomo, Yoav; Passmore, Anthony P.; Love, Seth; Kehoe, Patrick G.

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.

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Title
Alzheimer's & Dementia
DOI
https://doi.org/10.1016/j.jalz.2017.09.007

More About This Work

Academic Units
Neurology
Published Here
July 20, 2021