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Documentation of vascular risk factors in vascular dementia

Published online by Cambridge University Press:  02 January 2018

Rahul Rao*
Affiliation:
Portnalls Unit, Farnborough Hospital, Farnborough Common, Orpington, Kent BR6 8ND
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Abstract

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The diagnosis of vascular dementia may often be made on the basis of structural neuroimaging, this may not always be reliable. In view of this, a retrospective study of 30 case notes with diagnosis of vascular dementia was undertaken to examine the documentation of vascular risk factors and presence of cerebrovascular disease. Specific recommendations were then made for the future case note documentation. Nine months later, 10 case notes were examined to assess the impact of the recommendations. A noticeable improvement in the documentation of most risk factors was observed. The wider implications of these findings are discussed.

Type
Audit
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

References

American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.Google Scholar
Brust, J. C. (1988) Vascular dementia is overdiagnosed. Archives of Neurology, 45, 799801.Google Scholar
Drachman, D. A. (1993) New criteria for the diagnosis of vascular dementia: do we know enough yet? Neurology, 43, 243245.CrossRefGoogle ScholarPubMed
Hachinski, V. C. (1992) Preventable senility: a call for action against vascular dementias. Lancet, 340, 645648.Google Scholar
Kotsoris, H., Barclay, L. L., Kheyfets, S., et al (1987) Urinary and gait disturbances as markers for early multi-infarct dementia. Stroke, 18, 138141.CrossRefGoogle ScholarPubMed
Lopez, O. L., larumbe, M. R., Becker, J. T., et al (1994) Reliability of the NINDS-AIREN clinical criteria for the diagnosis of vascular dementia. Neurology, 42, 12401245.Google Scholar
Skoog, I. (1994) Risk factors for vascular dementia: a review. Dementia, 5, 137144.Google ScholarPubMed
Tatemichi, T. K., Desmond, D. W., Paik, M., et al (1993) Clinical determinants of dementia related to stroke. Annals of Neurology, 33, 568575.Google Scholar
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