How do you classify hepatic encephalopathy?

Based on etiology, HE is classified in to 3 ‘types’:

Type A: due to acute liver failure.
Type B: due predominantly to portosystemic shunting or bypass.
Type C: due to cirrhosis.

How many grades are there in hepatic encephalopathy?

The most often used is the West Haven criteria (WHC), which differentiate between four grades of clinically overt HE.

How is meld calculated?

How Is Your MELD Score Calculated? Your MELD score is based on results from four blood tests that, together, show how well your body is functioning. You will be tested for: INR (internal normalized ratio): Indicates whether your liver is making the proteins necessary for blood to clot.

How is encephalopathy measured?

PAPER-AND-PENCIL TESTS The Psychometric Hepatic Encephalopathy Score (PHES) is the current ‘gold standard’ pencil-and-paper test battery for the psychometric evaluation of patients with HE, standardized and validated by Weissenborn and colleagues34.

What are the different grades of hepatic encephalopathy?

The most commonly used staging scale of Hepatic Encephalopathy is called the West Haven Grading System: Grade 0: Minimal HE This stage is very hard to detect as changes in your memory, concentration and intellectual functioning are so minimal that they may not be outwardly noticeable, even to you.

How is hepatic encephalopathy staged?

The most commonly used staging scale of Hepatic Encephalopathy is called the West Haven Grading System: This stage is very hard to detect as changes in your memory, concentration and intellectual functioning are so minimal that they may not be outwardly noticeable, even to you.

What is the West Haven Criteria for hepatic encephalopathy?

West Haven Criteria: The West Haven criteria grades the severity of the hepatic encephalopathy based on a clinical assessment, with a score ranging from grade 0 (no abnormalities) to grade 4 (coma).[9,11]

What is the Glasgow Coma Scale for hepatic encephalopathy?

overt hepatic encephalopathy; it grades the severity of the hepatic encephalopathy based on a clinical assessment, with a score ranging from grade 0 (no abnormalities) to grade 4 (coma) (Figure 3). [9,10] The Glasgow Coma Scale, however, may be more useful in persons with severe encephalopathy and a marked