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RATE OF CCURRENCE OF MINIMAL HEPATIC ENCEPALOPATHY IN UNEDUCATED PATIENTS PRESENT WITH COMPENSATED CIRRHOSIS

Dr Iqra Waheed, Dr Asghar Ali, Dr Zuhaira Chaudary

Objective: This research work aimed to find out the rate of occurrence of MHE (Minimal Hepatic Encephalopathy) among uneducated patients suffering from compensated cirrhosis. Methodology: Uneducated patients suffering from compensated cirrhosis present with F4 Score on Shear Wave Elastography, were recruited for this research work after obtaining their verbal consent. One hundred and six was the estimation of sample size. Recruited patients underwent two tests for identification of the MHE, NCT-A (Number Connection Test-A) and BDT (Block Design Test). We labelled the patients as positive for MHE who obtained ≥ thirty seconds. Result: Among total one hundred and ten recruited patients, 10.90% patients were alcoholics and there was no detection of hepatic viral infection in 8.20% patients. Total 48.20% patients were present with positive HCV whereas there was positive HBV in 13.60% patients. We detected MHE in 65.50% (n: 72) patients. We found the main differences MHE Stage-2 & Stage-3 by 2 methods of tests. Overall, detection of more patients carried out by BDT and it gave high staging in Stage-2 and Stage-3 in comparison with the NCT-A test method. Conclusion: The detection of MHE is possible in uneducated patients with the utilization of BDT and NCT-A test procedures. KEY WORDS: MHE, NCT-A, BDT, occurrence, rate, HBV, infection, HCV, staging, consent, utilization, differences, positive, compensated cirrhosis.