Evidence map›Paper›PMID 39822128›Full record

GuidelineAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Canadian Stroke Best Practice Recommendations: Vascular cognitive impairment, 7th edition practice guidelines update, 2024.

Richard H Swartz, R Stewart Longman, M Patrice Lindsay, Rebecca Lund, Aravind Ganesh, Gail A Eskes, Melissa Austin, Lauren E Bechard, Jaspreet Bhangu, Venera C Bruto and 20 more

Abstract readPractice Guideline
In one paragraph

Guideline in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Efficacy and safety ofFrontiers in pharmacology · 2026
    Pooled it
  2. Guideline
  3. Trial
  4. Cognition in Cardiovascular Disease.Current neurology and neuroscience reports · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The enigma of vascular dementia: current state and emerging perspectives.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Diagnostic Accuracy of Anti-factor Xa Activity, PT, and APTT for Clinically Relevant Rivaroxaban Levels in Older AF Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Richard H SwartzDepartment of Neurology, North-East GTA Regional Stroke Network, Toronto, Canada.
R Stewart LongmanAlberta Health Services, Foothills Medical Centre, Calgary, Canada.
M Patrice LindsayDepartment of Mission, Heart and Stroke Foundation of Canada, Toronto, Canada.
Rebecca LundDepartment of Mission, Heart and Stroke Foundation of Canada, Toronto, Canada.
Aravind GaneshDepartment of Clinical Neurosciences, University of Calgary, Calgary, Canada.
Gail A EskesDepartments of Psychiatry and Psychology & Neuroscience, Dalhousie University, Halifax, Canada.
Melissa AustinVancouver Coastal Health Authority, Vancouver, Canada.
Lauren E BechardUniversity of Waterloo, Waterloo, Canada.
Jaspreet BhanguDepartment of Medicine, Division of Geriatric Medicine, Western University, London, Canada.
Venera C BrutoDepartment of Psychology, Mount Sinai Hospital, Toronto, Canada.
Sherri CarterAcquired Brain Injury Program, Nova Scotia Rehabilitation Centre, Halifax, Canada.
Nelly ChowDepartment of Clinical Neurosciences, Alberta Health Services, Calgary, Canada.
Yan DeschaintreDepartment of Neurology, Centre hospitalier de l'Université de Montréal, Montréal, Canada.
Kathleen FedorchukDepartment of Stroke, Yorkton Regional Health Centre Stroke Clinic, Yorkton, Saskatchewan, Canada.
Lesley FellowsMcGill University, McGill University Health Centre Stroke Program, Montreal, Canada.
Norine FoleyworkHORSE Consulting Group, London, Canada.
Lee-Anne GreerDepartment of Psychology, Queen Elizabeth Hospital, Charlottetown, Canada.
Douglas S LeePeter Munk Cardiac Centre, University Health Network, Toronto, Canada.
Carol LeonardDepartment of Audiology and Speech-Language Pathology, University of Ottawa, School of Rehabilitation Sciences, Ottawa, Canada.
Ronak PatelDepartment of Clinical Health Psychology, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Sepideh PoonyaniaSection of Physical Medicine and Rehabilitation, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Valerie PoulinDepartment of Occupational Therapy, Université du Québec à Trois-Rivières, Trois-Rivières, Canada.
Fatima QuraishiSoutheast Toronto Regional Stroke Network, Unity Health Toronto, Toronto, Canada.
Pamela RoachDepartment of Family Medicine, Cumming School of Medicine, Calgary, Canada.
Tricia ShonikerStroke/Neurology and Outpatient CORP Program, Parkwood Institute, London, Canada.
Carmen TuchakGlenrose Rehabilitation Hospital Stroke Program, Edmonton, Canada.
Anita MountainDepartment of Medicine, Division of Physical Medicine and Rehabilitation, Dalhousie University, Halifax, Canada.
Chelsy MartinDepartment of Mission, Heart and Stroke Foundation of Canada, Toronto, Canada.
Eric E SmithDepartment of Clinical Neurosciences, University of Calgary, Calgary, Canada.
Canadian Stroke Best Practice Recommendations Advisory Committee, in collaboration with the Canadian Stroke Consortium, Canadian Neurological Sciences Federation, and CanStroke Recovery Trials Platform

Funding

The Heart and Stroke Foundation of Canada
6 · The paper itself

Abstract

The Canadian Stroke Best Practice Recommendations (CSPR) 7th edition includes this new module on the diagnosis and management of vascular cognitive impairment (VCI) with or without neurodegenerative disease. An expert writing group and people with VCI lived experience (PWLE) reviewed current evidence. Existing recommendations were reviewed and revised, and new recommendations added. Sections include definitions, signs and symptoms, screening, assessment, diagnosis, pharmacological and non-pharmacological management, secondary prevention, rehabilitation, and end-of-life care. PWLE were actively involved in all aspects of the development, ensuring their experiences are integrated. A unique VCI journey map, developed by PWLE, is included, and helped to motivate and anchor the recommendations. We encourage it to be displayed across healthcare settings to raise awareness and support persons with VCI. These VCI CSBPRs emphasize the need for integrated multidisciplinary care across the continuum. Evidence for the diagnosis and management of VCI continues to emerge and gaps in knowledge should drive future research. HIGHLIGHTS: This Canadian Stroke Best Practice Recommendations module focuses specifically on VCI using a structured framework and validated methodology. A comprehensive set of evidence-based recommendations is presented that addresses the continuum from symptom onset to diagnosis, management, and end of life. The recommendations consider individuals who experience VCI because of stroke or because of other vascular pathologies such as atrial fibrillation or heart failure. A journey map of an individual's experience with VCI has been developed by individuals with lived experience. It is a valuable guide to inform educational content, approaches to caring for individuals and families with VCI, and systems planning.

Indexed as

Cognitive DysfunctionDementia, VascularStrokeCanadaHumanscognitive dysfunctiondementiamanagement of VCIpractice guidelinesstrokevascular cognitive impairment

Identifiers

PMID39822128
PMCPMC11772713

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.