West Haven criteria for hepatic encephalopathy
Grades hepatic encephalopathy severity.
Inputs
0 of 1Clinical picture
When to use
- Cirrhosis with altered mental status.
Pearls and pitfalls
- Grades 2 and higher are overt; grade 1 is covert with minimal hepatic encephalopathy.
Why use
The standard grading in guidelines and trials.
| Criterion | Points |
|---|---|
| Clinical picture: Normal, or only psychometric abnormalities | 0 |
| Trivial lack of awareness, euphoria or anxiety, shortened attention | +1 |
| Lethargy, disorientation for time, personality change, asterixis | +2 |
| Somnolence to semistupor, responsive to stimuli, confused, gross disorientation | +3 |
| Coma | +4 |