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Titolo:
Comparison of different clinical criteria (DSM-III, ADDTC, ICD-10, NINDS-AIREN, DSM-IV) for the diagnosis of vascular dementia
Autore:
Pohjasvaara, T; Mantyla, R; Ylikoski, R; Kaste, M; Erkinjuntti, T;
Indirizzi:
Univ Helsinki, Cent Hosp, Dept Clin Neurosci, Memory Res Unit, FIN-00029 HYKS, Finland Univ Helsinki HYKS Finland FIN-00029 y Res Unit, FIN-00029 HYKS, Finland Univ Helsinki, Cent Hosp, Stroke Unit, FIN-00029 HYKS, Finland Univ Helsinki HYKS Finland FIN-00029 troke Unit, FIN-00029 HYKS, Finland Univ Helsinki, Cent Hosp, Dept Radiol, FIN-00029 HYKS, Finland Univ Helsinki HYKS Finland FIN-00029 ept Radiol, FIN-00029 HYKS, Finland
Titolo Testata:
STROKE
fascicolo: 12, volume: 31, anno: 2000,
pagine: 2952 - 2957
SICI:
0039-2499(200012)31:12<2952:CODCC(>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
WHITE-MATTER HYPERINTENSITIES; COHORT; STROKE; DETERMINANTS; CENTERS;
Keywords:
dementia; diagnosis; stroke;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Erkinjuntti, T Univ Helsinki, Cent Hosp, Dept Clin Neurosci, Memory Res Unit, POB 300, FIN-00029 HYKS, Finland Univ Helsinki POB 300 HYKS Finland FIN-00029 HYKS, Finland
Citazione:
T. Pohjasvaara et al., "Comparison of different clinical criteria (DSM-III, ADDTC, ICD-10, NINDS-AIREN, DSM-IV) for the diagnosis of vascular dementia", STROKE, 31(12), 2000, pp. 2952-2957

Abstract

Background and Purpose-The criteria for vascular dementia (VaD) include definition of the cognitive syndrome and the vascular cause. Different criteria for dementia identify different frequencies and clusters of patients. Inaddition, variation in defining the cause and etiology may have an effect. We compared different clinical criteria for VaD in series of patients withpoststroke dementia. Methods-The study group comprised 107 patients fulfilling the Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) definition for dementia from a cohort of consecutive patients with ischemic stroke who completed a comprehensive neuropsychological test battery and MRI. The mean age (SD) of the patients was 71.4 (7.6) years. The definitions of vascular cause of VaD were those of the DSM-III (1980), Alzheimer's Disease Diagnostic and Treatment Centers (ADDTC; 1992), International Statistical Classification of Diseases, 10th Revision (ICD-10; 1992), National Institute ofNeurological Disorders and Stroke-Association Internationale pour la Recherche et l'Enseignement en Neurosciences (NINDS-AIREN; 1993), and Diagnosticand Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV; 1994). Results-The number of cases that could be classified as VaD according to the different criteria varied considerably: 36.4% (n=39) by DSM-III, 86.9% (n=93) by ADDTC, 32.7% (n=35) by NINDS-AIREN, 36.4% (n=39) by ICD-10, and 91.6% (n=98) by DSM-IV criteria. The concordance between DSM-III/ICD-10 was perfect (100%; kappa =1.0), between ICD-10/NINDS-AIREN and ADDTC/DSM-IV goodto moderate (85.0% and 87.3%; kappa =0.87 and 0.37, respectively), but otherwise poor between the other criteria. Only 31 patients fulfilled all the criteria for VaD applied. Major discriminating factors between the criteriawere requirement of (1) focal neurological signs, (2) unequal distributionof deficits in higher cortical functions, and (3) evidence of relevant CVDbased on brain imaging findings. Conclusions-Current criteria of VaD identify different frequencies and clusters of patients and are not interchangeable. Optimally, prospective studies with clinicopathological correlation could identify new criteria. Meanwhile, focus on more homogeneous subtypes (eg, small-vessel subcortical VaD) and detailed neuroimaging criteria could improve the diagnostics.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 07:38:17