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Abstract Details
Hepatic Encephalopathy: Diagnosis and Treatment in Advanced Liver Disease
Crit Care Nurs Clin North Am. 2022 Sep;34(3):331-339.doi: 10.1016/j.cnc.2022.04.011.
1Veterans Health Administration, North-Western Iowa VAMC, 4101 Woolworth Ave, Medicine Dept 111, Omaha, NE 68105, USA. Electronic address: Vickie.Reed@va.gov.
Abstract
This article aims to focus on identifying hepatic encephalopathy (HE) due to portal hypertension and cirrhosis and implementing the most appropriate treatment. The occurrence of hepatic encephalopathy is prognostic in the life expectancy and quality of life of individuals with cirrhosis. Patients diagnosed with cirrhosis should be thoroughly assessed for HE. Many studies have identified that even HE in a subclinical (covert) presentation is a predicator of increased mortality before and after liver transplant. HE, rather minimal or overt, indicates diminished quality of life and increased health care dollars and mortality.
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