Overt Hepatic Encephalopathy: More Than Meets the Eye.
Am J Gastroenterol
; 2024 May 02.
Article
em En
| MEDLINE
| ID: mdl-38587287
ABSTRACT
INTRODUCTION:
We aimed to assess the reliability of a qualitative approach to overt hepatic encephalopathy (OHE) diagnosis compared with the semiquantitative, and recommended one.METHODS:
The above 2 methods were compared in 411 outpatients (71% males, 60 ± 10 years, model for end-stage liver disease 13.5 ± 5.0).RESULTS:
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.DISCUSSION:
Qualitative clinical evaluation of OHE is not reliable, and recommendations should be followed.
Texto completo:
1
Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article