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Unlocking the Secrets of Covert Hepatic Encephalopathy: What Every Practitioner Needs to Know!

Unlocking the Secrets of Covert Hepatic Encephalopathy: What Every Practitioner Needs to Know!

Covert hepatic encephalopathy (CHE) is a silent yet significant complication of cirrhosis that affects a large number of patients. Despite its prevalence, CHE often goes undiagnosed due to logistical barriers in testing. The recent development of the EncephalApp Stroop test offers a promising solution to this challenge.

The Importance of Patient-Reported Outcomes

Patient-reported outcomes (PROs) are crucial for understanding the full spectrum of disease impact on individuals. In chronic conditions like cirrhosis, PROs are often severely impaired due to complications such as CHE. Addressing these outcomes can lead to better overall patient care and improved quality of life.

The Role of the EncephalApp Stroop Test

The EncephalApp Stroop test was developed to diagnose CHE effectively and efficiently. It leverages the cognitive domains tested in traditional methods like the Psychometric Hepatic Encephalopathy Score (PHES) but in a more accessible format. This app-based approach allows for widespread application and ease of use in clinical settings.

Why Choose an App-Based Approach?

Implementing the EncephalApp in Clinical Practice

For practitioners looking to improve their diagnostic capabilities for CHE, integrating the EncephalApp into routine practice can be highly beneficial. Here are some steps to consider:

  1. Familiarize Yourself with the App: Spend time understanding how the app functions and its underlying principles.
  2. Train Your Staff: Ensure that medical assistants and nurses are trained in administering the test effectively.
  3. Educate Patients: Inform patients about the purpose and benefits of the test to encourage participation.
  4. Monitor Outcomes: Use the app's results to guide treatment decisions and track improvements in PROs over time.

The Future of CHE Diagnosis

The success of the EncephalApp has paved the way for further research and development in CHE diagnosis. Ongoing studies aim to refine age-based cut-offs and expand language availability, making this tool even more versatile across different populations.

Encouraging Further Research

The development of the EncephalApp highlights the potential for technology-driven solutions in gastroenterology. Practitioners are encouraged to explore similar innovations that can address other unmet needs in their field.

To read the original research paper, please follow this link: Adventures in Developing an App for Covert Hepatic Encephalopathy.


Citation: Bajaj, J. S. (2017). Adventures in developing an app for covert hepatic encephalopathy. Clinical and Translational Gastroenterology, Nature Publishing Group. https://doi.org/10.1038/ctg.2017.14
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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