Table 1.
Clinical and Management Details According to Clinician’s Pre-Test Probability of Hepatic Encephalopathy (HE)
| Clinician’s pre- test probability of HE |
n (%) | Ammonia level “positive” for clinicians (±SD) |
Ammonia test ordered before seeing patient |
Cirrhosis (%) |
Ammonia test result (±SD) |
Provider who ordered test |
Prior HE diagnosis |
Lactulose administered |
HE diagnosed |
|---|---|---|---|---|---|---|---|---|---|
| <25% | 18 (36%) | 67.8 (19.5) | 6 (33.3%) | 50% | 33.1 (18.2) | Physician=11 APP=4 Nurse=3 |
4 (44%) | 5 (55.6%) | 1 (11%) Grade 1 |
| 25-75% | 21 (41%) | 69.5 (19.1) | 3 (14.2%) | 86% | 82.1 (40.2) | Physician=11 APP=6 Nurse=4 |
16 (88.9%) | 16 (88.9%) | 8 (44%) 2 - Grade 3 5 – Grade 2 1 – Grade 1 |
| >75% | 11 (22%) | 60.9 (21.2) | 4 (36.3%) | 91% | 82.5 (48.6) | Physician=3 APP=4 Nurse=4 |
9 (90%) | 9 (90%) | 9 (90%) 1 - Grade 3 5 – Grade 2 3 – Grade 1 1 – Grade 0 |
HE: Hepatic encephalopathy, APP: Advance practice provider