Evidence map›Paper›PMID 39015557›Full record

ArticleMedComm2024

Detection of minimal hepatic encephalopathy in patients with cirrhosis based on the Stroop-CN model (NCRCID-CHESS 2106): a prospective multicenter study.

Xiaoyan Li, Shanghao Liu, Ying Guo, Hongmei Zu, Huiling Xiang, Shaoqi Yang, Xiaoning Zhang, Fanping Meng, Yangzhen Bianba, Jie Li and 24 more

Registry-linked trialAbstract read
In one paragraph

Article in MedComm, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07612670 (A Prospective Cohort Study on the Epidemiological Investigation, Diagnosis, and Treatment of Hepatic Encephalopathy), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07612670 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Prospective Cohort Study on the Epidemiological Investigation, Diagnosis, and Treatment of Hepatic Encephalopathy

Typeobservational_patient_registrySponsorThe First Affiliated Hospital with Nanjing Medical UniversityRan2026 to 2028Enrolled700ConditionsHepatic Encephalopathy, Minimal Hepatic Encephalopathy, Liver CirrhosisArmswechat mini-program
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors.

Xiaoyan LiMedical School of Chinese PLA Beijing China.
Shanghao LiuCenter of Portal Hypertension Department of Radiology Zhongda Hospital, Medical School, Southeast University, Nurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology (Southeast University) Nanjing China.
Ying GuoDepartment of Hepatology The Third People's Hospital of Taiyuan Taiyuan China.
Hongmei ZuDepartment of Gastroenterology The Fourth People's Hospital of Qinghai Province Xining China.
Huiling XiangDepartment of Gastroenterology and Hepatology Tianjin Third Central Hospital, Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Institute of Hepatobiliary Disease Tianjin China.
Shaoqi YangDepartment of Gastroenterology The General Hospital of Ningxia Medical University Yinchuan China.
Xiaoning ZhangSenior Department of Infectious Diseases The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases Beijing China.
Fanping MengSenior Department of Infectious Diseases The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases Beijing China.
Yangzhen BianbaDepartment of Hepatology The Third People's Hospital of Tibet Autonomous Region Lhasa China.
Jie LiDepartment of Infectious Diseases Nanjing Drum Tower Hospital, The Affiliated Hospital of Medical School Nanjing University Nanjing China.
Fei LiuDepartment of Infectious Diseases Hunan Key Laboratory of Viral Hepatitis Xiangya Hospital Central South University Changsha China.
Chuang LeiDepartment of Infectious Diseases The First People's Hospital of Changde City Changde China.
Jiaojian LvDepartment of Infectious Disease Lishui City People's Hospital Lishui China.
Qiao-Hua YangHepatology Department of Infectious Diseases Center The First People's Hospital of Huaihua Huaihua China.
Wei FuDepartment of Hepatology Shenyang 739 Hospital Shenyang China.
Wei YeLiver Cirrhosis Treatment Center Nanjing Hospital Affiliated to Nanjing University of Traditional Chinese Medicine Nanjing China.
Jiafang ChenDepartment of Gastroenterology Datong City Fourth People's Hospital Datong China.
Yanjing GaoDepartment of Gastroenterology Qilu Hospital of Shandong University Jinan China.
Caiyun WuDepartment of Hepatology Third People's Hospital of Linfen City Linfen China.
Ningning WangDepartment of Gastroenterology The First Hospital of China Medical University Shenyang China.
Qi ZhengDepartment of Hepatology Hepatology Research Institute The First Affiliated Hospital Fujian Medical University Fuzhou China.
Fang WangDepartment of Hepatology Shenzhen Third People's Hospital, National Clinical Research Center for Infectious Disease, The Second Affiliated Hospital, School of Medicine, Southern University of Science and Technology Shenzhen China.
Jiali YuDepartment of Gastroenterology The First Affiliated Hospital of Dalian Medical University Dalian China.
Jing WangDepartment of Gastroenterology The Second Affiliated Hospital of Baotou Medical College Baotou China.
Xiaoting YangDepartment of Gastroenterology Wuzhong People's Hospital Wuzhong China.
Xiangmei WangDepartment of Severe Hepatology Mengchao Hepatobiliary Hospital of Fujian Medical University Fuzhou China.
Yayuan LiuDepartment of Gastroenterology Central hospital of Dandong Dandong China.
Xuelan ZhaoDepartment of Gastroenterology Liver Diseases Chongqing Public Health Medical Center Chongqing China.
Chenxi WuLiver Disease Diagnosis and Treatment Center Yiyang Fourth People's Hospital Yiyang China.
Wei GouQingdao Sixth People's Hospital Qingdao China.
Jasmohan S BajajDivision of Gastroenterology, Hepatology and Nutrition Virginia Commonwealth University and Central Virginia Veterans Healthcare System Richmond Virginia USA.
Fu-Sheng WangMedical School of Chinese PLA Beijing China.
Junliang FuMedical School of Chinese PLA Beijing China.
Xiaolong QiCenter of Portal Hypertension Department of Radiology Zhongda Hospital, Medical School, Southeast University, Nurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology (Southeast University) Nanjing China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minimal hepatic encephalopathy (MHE) has a substantial impact on the clinical outcomes and quality of life (QOL) of patients with cirrhosis. However, timely diagnosis and intervention are challenging due to sophisticated diagnostic methods. In this study, 673 healthy controls and 905 patients with cirrhosis were screened, and 660 healthy controls and 757 patients with cirrhosis, divided into the test (292 patients) and validation (465 patients) cohort, were analyzed after screening. A diagnostic model of the Stroop test (Stroop-CN) was constructed by multivariate linear regression based on the results of healthy controls. The prevalence of MHE and the comparison results with psychometric hepatic encephalopathy score through the Stroop-CN model were stable in the test and validation cohorts. Moreover, the prevalence of MHE remained significantly higher in patients with worse disease conditions marked as high Child-Pugh grades and the Model for End-stage Liver Disease and Sodium (MELD-Na) scores in the test and validation cohort. The EuroQol 5-D questionnaire revealed that patients with MHE had a worse QOL than those without MHE both in the test and validation cohort. In conclusion, an easy and practical Stroop-CN model for MHE diagnosis based on the EncephalApp is established. It is found that a considerable number of Chinese patients with cirrhosis experience MHE, which significantly impacts their QOL.

Indexed as

cirrhosisminimal hepatic encephalopathyquality of lifeStroop test

Identifiers

PMID39015557
PMCPMC11247336

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