Overt Hepatic Encephalopathy: More Than Meets the Eye.
cross_sectional · Level IV
Where this comes from
- Record sourced from PubMed, PMID 38587287.
- Also identified by DOI 10.14309/ajg.0000000000002795 and PMC identifier 11365597.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
We aimed to assess the reliability of a qualitative approach to overt hepatic encephalopathy (OHE) diagnosis compared with the semiquantitative, and recommended one. The above 2 methods were compared in 411 outpatients (71% males, 60 ± 10 years, model for end-stage liver disease 13.5 ± 5.0). Of the 73 patients with OHE on quantitative assessment, 19 (26%) were missed on qualitative assessment, with no difference in the likelihood of the physician missing grades II or III. Sixty-eight (20%) of the 270 patients with no OHE on quantitative assessment were wrongly qualified as having OHE. Qualitative clinical evaluation of OHE is not reliable, and recommendations should be followed.
Medical subject headings
- Hepatic Encephalopathy