Progress toward standardized diagnosis of vascular cognitive impairment: Guidelines from the Vascular Impairment of Cognition Classification Consensus Study
Olivia Anna Skrobot(University of Bristol), Sandra E. Black(Sunnybrook Health Science Centre), Christopher Chen(National University of Singapore), Charles DeCarli(University of California, Davis), Timo Erkinjuntti(University of Helsinki), Gary A. Ford(University of Oxford), Raj N. Kalaria(Newcastle University), John T. O’Brien(University of Cambridge), Leonardo Pantoni(University of Florence), Florence Pasquier(Inserm), Gustavo C. Román(Houston Methodist), Anders Wallin(Sahlgrenska University Hospital), Perminder S. Sachdev(UNSW Sydney), Ingmar Skoog(University of Bristol), VICCCS group(University of Gothenburg), Fernando Taragano(Sahlgrenska University Hospital), Jillian J. Kril(Queen's University Belfast), Margherita Cavalieri(Queen's University Belfast), K. A. Jellinger(Queen's University Belfast), Gábor G. Kovács(University of Bristol), S. Engelborghs(University of Bristol), C. Lafosse(University of Bristol), Paulo Henrique Ferreira Bertolucci(University of Bristol), Sônia Maria Dozzi Brucki(University of Bristol), Paulo Caramelli(University of Bristol), Tania C. T. Ferraz Alves(University of Bristol), Christian Bocti(University of Bristol), Tamás Fülöp(University of Bristol), David B. Hogan(University of Bristol), Ging‐Yuek Robin Hsiung(University of Bristol), Andrew Kirk(University of Bristol), Lopa Leach(University of Bristol), A. Robillard(University of Bristol), Demetrios J. Sahlas(University of Bristol), Qihao Guo(University of Bristol), Jiang Tian(University of Bristol), Laura Hokkanen(University of Bristol), Hanna Jokinen(University of Bristol), Sarah Benisty(University of Bristol), Vincent Deramecourt(University of Bristol), Jean‐Jacques Hauw(University of Bristol), H. Lenoir(University of Bristol), Marianna Tsatali(University of Bristol), Magda Tsolaki(University of Bristol), Uma Sundar(University of Bristol), Robert F. Coen(University of Bristol), Amos D. Korczyn(University of Bristol), M. Altieri(University of Bristol), Marzia Baldereschi(University of Bristol), C. Caltagirone(University of Bristol), G. Caravaglios(University of Bristol), Antonio Di Carlo(University of Bristol), Vittorio Di Piero(University of Bristol), Guido Gainotti(University of Bristol), Samantha Galluzzi(University of Bristol), Giancarlo Logroscino(University of Bristol), Patrizia Mecocci(University of Bristol), Davide Vito Moretti(University of Bristol), Alessandro Padovani(University of Bristol), Toshiya Fukui(University of Bristol), Masafumi Ihara(University of Bristol), Toshiki Mizuno(University of Bristol), Soo Young Kim(University of Bristol), Rufus Akinyemi(University of Bristol), Olusegun Baiyewu(University of Bristol), Adesola Ogunniyi(University of Bristol), A. Szczudlik(University of Bristol), António J. Bastos‐Leite(University of Bristol), Horácio Firmino(University of Bristol), João Massano(University of Bristol), Ana Verdelho(University of Bristol), L. S. Kruglov(University of Bristol), M. Kamran Ikram(University of Bristol), Nagaendran Kandiah(University of Bristol), Estanislao Arana(University of Bristol), J. Barroso‐Ribal(University of Bristol), T Calatayud(University of Bristol), Alfonso J. Cruz‐Jentoft(University of Bristol), Secundino López‐Pousa(University of Bristol), Pablo Martínez‐Lage(University of Bristol), María Mataró(University of Bristol), Anne Börjesson‐Hanson(University of Bristol), Elisabet Englund(University of Bristol), Erika J. Laukka(University of Bristol), Cheng‐Wei Qiu(University of Bristol), Matti Viitanen(University of Bristol), Geert Jan Biessels(University of Bristol), F.‐E. de Leeuw(University of Bristol), Tom den Heijer(University of Bristol), Lieza G. Exalto(University of Bristol), L. Jaap Kappelle(University of Bristol), Niels D. Prins(University of Bristol), Edo Richard(University of Bristol), Ben Schmand(University of Bristol), Esther van den Berg(University of Bristol), Wiesje M. van der Flier(University of Bristol), Başar Bılgıç(University of Bristol), Louise Allan(University of Bristol), Judy Archer(University of Bristol), Johannes Attems(University of Bristol), Antony Bayer(University of Bristol), D. Blackburn(University of Bristol), Carol Brayne(University of Bristol), R. Morris Bullock(University of Bristol), Peter Connelly(University of Bristol), Andrew Farrant(University of Bristol), Mark Fish(University of Bristol), Karen Harkness(University of Bristol), Paul G. Ince(University of Bristol), Peter Langhorne(University of Bristol), J. John Mann(University of Bristol), Fiona E. Matthews(University of Bristol), Patricia Mayer(University of Bristol), Sarah T. Pendlebury(University of Bristol), Robert Perneczky(University of Bristol), Ruth Peters(University of Bristol), David Smithard(University of Bristol), Blossom C. M. Stephan(University of Bristol), Jacqueline Swartz(University of Bristol), Stephen Todd(University of Bristol), David J. Werring(University of Bristol), Sandini Wijayasiri(University of Bristol), Gordon Wilcock(University of Bristol), Giovanna Zamboni(University of Bristol), Rhoda Au(University of Bristol), Soo Borson(University of Bristol), Andrea Bozoki(University of Bristol), Jeffrey N. Browndyke(University of Bristol), María M. Corrada(University of Bristol), Paul K. Crane(University of Bristol), Breno S. Diniz(University of Bristol), L. Etcher(University of Bristol), Howard Fillit(University of Bristol), Steven M. Greenberg(University of Bristol), Lea T. Grinberg(University of Bristol), Stephen W. Hurt(University of Bristol), Melissa Lamar(University of Bristol), Michelle M. Mielke(University of Bristol), Brian R. Ott(University of Bristol), George Perry(University of Bristol), William J. Powers(University of Bristol), Ciro Ramos-Estébanez(University of Bristol), Bruce Reed(University of Bristol), Rosebud O. Roberts(University of Bristol), José R. Romero(University of Bristol), Andrew J. Saykin(University of Bristol), Sudha Seshadri(University of Bristol), Lisa C. Silbert(University of Bristol), Yaakov Stern(University of Bristol), Chris Zarow(University of Bristol), Yoav Ben‐Shlomo(University of Bristol), Anthony Peter Passmore(University of Bristol), Seth Love(University of Bristol), Patrick G. Kehoe(University of Bristol)
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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 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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