Clinical evaluation of the ICD-10 criteria for vascular dementia

Wetterling, Tilman; Kanitz, Rolf-Dieter; Borgis, K. J.

doi:10.1007/bf02191521

Cited by 14 publications

(8 citation statements)

References 78 publications

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“…There are 5 'not otherwise specified' categories that are more often used than 0.5%: F03 (unspecified dementia), F20.9 (schizophrenia not otherwise specified), F29 (unspecified nonorganic psychosis), F32.9 (depressive episode not otherwise specified) and F99 (unspecified mental disorder). The high frequency of cases with unspecified dementia (F03) may partly reflect the difficulties of proper asignment that have been shown in detail for the diagnosis of vascular dementia [13]. Furthermore, the results reveal that the vast majority of cases with 'not otherwise specified' diagnostic categories come from three sites (Oxford, Bangalore and Denmark).…”

Section: Discussionmentioning

confidence: 61%

Use of the ICD-10 Classification in Psychiatry: An International Survey

Michels

Malchow

et al. 2000

Psychopathology

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On the background of some years of experience with ICD-10 psychiatric diagnoses in many countries of the world, an international comparison was performed to evaluate the frequency and use of the ICD-10 psychiatric diagnoses. For future revision of the ICD-10, it is important to know which diagnostic categories are either not used or are used possibly in an unspecific manner. Nineteen departments of psychiatry in 10 different countries took part in the study, presenting data on 33,857 treatment cases leading to a total of 25,470 ICD-10 main diagnoses. The analysis of data reveals that on a four-character level (Fxx.x), the 10 most often used diagnostic categories represent 40% of all main diagnoses, and 70% on a three-character level (Fxx.–). There are 32 specific diagnostic categories on a four-character level which are not used at all and 121 which are used less frequently than 0.1% in inpatient and outpatient treatment. The study shows that the ICD-10 classification is in use in a variety of treatment settings worldwide. Further results and limitations of this study are discussed against the background of transcultural differences.

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Section: Discussionmentioning

confidence: 61%

Use of the ICD-10 Classification in Psychiatry: An International Survey

Michels

Malchow

et al. 2000

Psychopathology

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“…We did not study possible ICD-10 subtypes of VaD in the present study. 22 The agreement between NINDS-AIREN and ICD-10 was good (concordance, 85%; weighted ϭ0.87), as well. They both require focal neurological signs to be present, which were infrequent in the present patients with a history of ischemic stroke.…”

Section: Discussionmentioning

confidence: 91%

Comparison of Different Clinical Criteria (DSM-III, ADDTC, ICD-10, NINDS-AIREN, DSM-IV) for the Diagnosis of Vascular Dementia

Pohjasvaara

Mäntylä

Ylikoski

et al. 2000

Stroke

199

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(nϭ39) by ICD-10, and 91.6% (nϭ98) by DSM-IV criteria. The concordance between DSM-III/ICD-10 was perfect (100%; ϭ1.0), between ICD-10/NINDS-AIREN and ADDTC/DSM-IV good to moderate (85.0% and 87.3%; ϭ0.87 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 criteria were requirement of (1) focal neurological signs, (2) unequal distribution of deficits in higher cortical functions, and (3) evidence of relevant CVD based 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.

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“…The definition of dementia is only outlined and somewhat broad [9,10]. Significant CVD should be reasonably judged to be etiologically related to the dementia by history of stroke, evidence of cerebral infarction, but there is no requirement about the information concerning brain imaging in the ICD-10 criteria.…”

Section: Overview Of Diagnostic Criteriamentioning

confidence: 99%