Normalisation of the psychometric encephalopathy score within the Cameroonian population

Autor: Larissa Pessidjo Djomatcho, Mathurin Pierre Kowo, Antonin Ndjitoyap Ndam, Sylvain Raoul Simeni Njonnou, Gabin Ulrich Kenfack, Firmin Ankouane Andoulo, Servais Fiacre Eloumou Bagnaka, Winnie Tatiana Bekolo, Agnès Malongue, Isabelle Dang Babagna, Magloire Biwolé Sida, Henry Luma, Oudou Njoya
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMC Gastroenterology, Vol 21, Iss 1, Pp 1-7 (2021)
Druh dokumentu: article
ISSN: 1471-230X
DOI: 10.1186/s12876-021-01858-7
Popis: Abstract Background Minimal hepatic encephalopathy (MHE) is the presence of neuropsychological abnormalities detectable by psychometric tests. Psychometric Hepatic Encephalopathy Score (PHES) is a gold standard test for the early diagnosis of MHE in cirrhotic patients. The aim of this study was to standardize the PHES in a healthy Cameroonian population and to evaluate the prevalence of MHE among cirrhotic patients. Methods This was a prospective, multicentric study from 1 December 2018 to 31 July 2019 in two groups: healthy volunteers and cirrhotic patients without clinical signs of hepatic encephalopathy. The results of the number connection test-A, number connection test-B, serial dotting test, line tracing test were expressed in seconds and those of the digit symbol test in points. Results A total of 102 healthy volunteers (54 men, 48 women) and 50 cirrhotic patients (29 men, 31 women) were included. The mean age was 38.1 ± 12.55 years in healthy volunteers and 49.3 ± 15.6 years in cirrhotic patients. The mean years of education level was 11.63 ± 4.20 years in healthy volunteers and 9.62 ± 3.9 years in cirrhotic patients. The PHES of the healthy volunteer group was − 0.08 ± 1.28 and the cut-off between normal and pathological values was set at − 3 points. PHES of the cirrhotic patients was − 7.66 ± 5.62 points and significantly lower than that of volunteers (p
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