Progress toward standardized diagnosis of vascular cognitive impairment: Guidelines from the Vascular Impairment of Cognition Classification Consensus Study
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., 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 DJ., 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., 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 Y., Passmore AP., Love S., Kehoe PG.
AbstractIntroductionProgress 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.MethodsWe 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.ResultsSix 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.DiscussionThe 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.