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

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Skrobot, OA; Black, SE; Chen, C; DeCarli, C; Erkinjuntti, T; Ford, GA; Kalaria, RN; O'Brien, J; Pantoni, L; Pasquier, F; Roman, GC; Wallin, A; Sachdev, P; Skoog, I; VICCCS group, ; Ben-Shlomo, Y; Passmore, AP; Love, S; Kehoe, PG

Published Date

  • March 2018

Published In

Volume / Issue

  • 14 / 3

Start / End Page

  • 280 - 292

PubMed ID

  • 29055812

Pubmed Central ID

  • 29055812

Electronic International Standard Serial Number (EISSN)

  • 1552-5279

Digital Object Identifier (DOI)

  • 10.1016/j.jalz.2017.09.007

Language

  • eng

Conference Location

  • United States