Novel computerized psychometric tests as primary screening tools for the diagnosis of minimal hepatic encephalopathy

Ming Luo; Rui Mu; Jian-Fang Liu; Fei-Hu Bai

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Novel computerized psychometric tests as primary screening tools for the diagnosis of minimal hepatic encephalopathy

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Minimal hepatic encephalopathy(MHE)is a critical neurocognitive complication of decompensated liver cirrhosis and portosystemic shunting,which results in a wide range of cognitive deficits including impairments in working attention,psychomotor speed,and executive function.Current guidelines have recommended paper-and-pencil psychometric tests for the diagnosis of MHE.Most high-risk cirrhotic patients are required to be examined;however,paperand-pencil psychometric tests are neither convenient nor rapid to perform in the clinic.Recently,novel computerized psychometric tests,including the inhibitory control test,EncephalApp Stroop App,and critical flicker frequency,have been proven to be rapid,effective,and convenient methods for screening MHE in clinical practice and for identifying high-risk cirrhotic patients for further validation using rigid neuropsychometric examinations.However,diagnostic accuracy of these tests is influenced by educational background,age,and cultural differences.This review summarizes clinical evidence of the application of novel computerized psychometric tests for screening MHE.

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《世界临床病例杂志》 |2020年第16期|P.3377-3389|共13页
作者
Ming Luo; Rui Mu; Jian-Fang Liu; Fei-Hu Bai;
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作者单位

Department of Gastroenterology People’s Hospital of Ningxia Hui Autonomous Region Yinchuan 750021 Ningxia Hui Autonomous Region China;

Department of Gastroenterology People’s Hospital of Ningxia Hui Autonomous Region Yinchuan 750021 Ningxia Hui Autonomous Region China;

Department of Gastroenterology People’s Hospital of Ningxia Hui Autonomous Region Yinchuan 750021 Ningxia Hui Autonomous Region China;

Department of Gastroenterology People’s Hospital of Ningxia Hui Autonomous Region Yinchuan 750021 Ningxia Hui Autonomous Region China;

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原文格式 PDF
正文语种 chi
中图分类消化系及腹部疾病;
关键词
Minimal hepatic encephalopathy; Diagnosis; Psychometric test; Inhibitory control test; EncephalApp Stroop App; Critical flicker frequency;

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Novel computerized psychometric tests as primary screening tools for the diagnosis of minimal hepatic encephalopathy

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