Repository logo
 

Progress towards standardised diagnosis of vascular cognitive impairment: guidelines from the vascular impairment of cognition classification consensus study (VICCCS)

Accepted version
Peer-reviewed

Change log

Authors

Kehoe, P 
Skrobot, OA 
Black, SE 
Chen, C 
DeCarli, C 

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 (NINDS-CSN) neuropsychological assessment protocols and recommendations for imaging. DISCUSSION: VICCCS-2 suggests standardised use of NINDS-CSN recommendations on neuropsychological and imaging assessment for diagnosis of VCI so as to promote research collaboration.

Description

Keywords

Criteria, Delphi, Guidelines, Vascular cognitive impairment, Vascular dementia, consensus, Brain, Delphi Technique, Dementia, Vascular, Humans

Journal Title

Alzheimer's & Dementia

Conference Name

Journal ISSN

1552-5260
1552-5279

Volume Title

Publisher

Elsevier
Sponsorship
Alzheimer's Society (226 (AS-DTC-2014-027))
Medical Research Council (MR/L023784/1)
This work was supported by a project grant (Ref117) from the Alzheimer’s Society (UK).