Minimal hepatic encephalopathy, also known as MHE, affects a person’s ability to do basic activities such as drive a vehicle. Over the long term, it can cause mental confusion and possibly lead to death. MHE is difficult to diagnose because specialized tests are needed to diagnose affected patients, who may appear normal to clinicians on routine physical examination, said Jasmohan Bajaj, M.D., associate professor in the Department of Gastroenterology, Hepatology and Nutrition in the VCU School of Medicine.
The EncephalApp Stroop findings demonstrate that the app’s performance changes with patient status. In other words, the app’s performance improves when a patient’s condition improves, and it worsens when a patient’s condition worsens. Because MHE affects driving performance, the app also correlates its performance with a patient’s performance in a driving simulation.
Bajaj, who practices at both VCU Health and the McGuire VA Medical Center, developed the app.
“The existing tests are hard to come by and also need trained personnel,” he said. “Therefore, the EncephalApp was developed to greatly simplify the diagnostic process.”
“The strength of this app could increase treatment rates and hopefully result in better patient outcomes.”
Validation of the app as a health care tool opens the door for its use as a point-of-care instrument that providers can use to quickly, easily and confidently evaluate their patients who may be suffering from MHE. Additionally, it can be used to evaluate psychomotor speed and cognitive flexibility through identification in various combinations of ink colors and words. It is currently available on iTunes and Google Play, and there are both Android and iOS versions. The phone and tablet versions have an equivalent performance.
“We are excited about the new development in this app that will continue to quickly identify MHE patients, as well as help clinicians chart their progress or decline,” Bajaj said. “The strength of this app could increase treatment rates and hopefully result in better patient outcomes.”
Bajaj’s research was featured in the October issue of Clinical Gastroenterology and Hepatology.
About VCU and VCU Health
Virginia Commonwealth University is a major, urban public research university with national and international rankings in sponsored research. Located in downtown Richmond, VCU enrolls more than 31,000 students in 226 degree and certificate programs in the arts, sciences and humanities. Sixty-seven of the programs are unique in Virginia, many of them crossing the disciplines of VCU’s 13 schools and one college. The only academic medical center and Level I trauma center in the region, VCU Health is comprised of five health sciences schools (Allied Health Professions, Dentistry, Medicine, Nursing, Pharmacy), VCU Medical Center, Community Memorial Hospital, Children’s Hospital of Richmond at VCU, VCU Massey Cancer Center and Virginia Premier.