Table 1.
Baseline and psychometric variables in the three groups of patients with cirrhosis in the cross-sectional study part A
Normal cirrhotics (N=52) | Minimal HE (N=120) | Overt HE (N=54) | P value of comparison between normal and Overt HE | P value of comparison between Minimal and Overt HE | |
---|---|---|---|---|---|
Age (years) | 52 ± 2 | 55 ± 1 | 55 ± 1 | 0.23 | 0.28 |
Education (years) | 14 ± 2 | 14 ± 2 | 13 ± 1 | 0.14 | 0.17 |
Etiology of cirrhosis (HCV/Alcohol/Both/Other) | 38/5/4/5 | 80/21/11/8 | 39/7/5/3 | 0.5 | 0.3 |
MELD score (median) | 8 | 9 | 10 | 0.10 | 0.45 |
Number connection-A (seconds) | 27 ± 8 | 38 ± 15 | 45 ± 32 | 0.001 | 0.22 |
Number connection-B (seconds) | 75 ± 41 | 115 ± 60 | 131 ± 72 | 0.0001 | 0.23 |
Digit symbol test (raw score) | 72 ± 13 | 53 ± 13 | 46 ± 18 | 0.0001 | 0.03 |
Block design test (raw score) | 37 ± 12 | 27 ± 11 | 26 ± 11 | 0.0001 | 0.80 |
ICT lures (number responded out of 40) | 5 ± 4 | 13 ± 7 | 13 ± 9 | 0.0001 | 0.79 |
ICT targets (% correct response) | 98 ± 3 | 92 ± 9 | 91 ± 10 | 0.0001 | 0.66 |
All comparisons between the normal cirrhotics and the 2 impaired groups were significant at a level of p<0.001. A high score on number connection-A/B and ICT lures and a low digit symbol, block design and ICT target number indicate poor psychometric performance. Only digit symbol test was significantly more impaired in overt patients compared to those with minimal HE; the rest of the comparison was statistically similar.
HE: hepatic encephalopathy, ICT: inhibitory control test.