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Hepatogastroenterology ; 47(32): 455-60, 2000.
Article in English | MEDLINE | ID: mdl-10791212

ABSTRACT

BACKGROUND/AIMS: In alcohol abusers an alteration of responses to psychometric tests has been reported, even when clinical symptoms of hepatic encephalopathy (HE) are absent. Our research was intended to individualize a simple psychometric test, easy enough to be performed also at the patient's home, able to reveal an impending encephalopathy and, consequently, to facilitate earlier treatment. METHODOLOGY: Twenty-six consecutive male alcoholics were engaged and, after informed consent, the following schedule was applied: administration of a psychometric test, followed by a drawing of blood for the determination of many blood parameters. After 15 days of treatment to detoxicate patients, psychometric tests and blood examinations were repeated. RESULTS: The results confirmed that common blood examinations are not useful to monitor brain damage in chronic alcoholism, that a psychometric test is able to demonstrate a therapeutic improvement and that a positive and significant correlation has been observed between BBCA/AAA ratio and WAIS Score. CONCLUSIONS: These preliminary results suggest that it is possible to suspect dangerous biochemical changes by means of a simple psychometric test.


Subject(s)
Hepatic Encephalopathy/diagnosis , Liver Cirrhosis, Alcoholic/diagnosis , Wechsler Scales/statistics & numerical data , Adult , Hepatic Encephalopathy/psychology , Humans , Liver Cirrhosis, Alcoholic/psychology , Liver Function Tests , Male , Middle Aged , Psychometrics , Risk Factors , Sensitivity and Specificity
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