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What is the prevalence of Hepatic Encephalopathy?

How many people does Hepatic Encephalopathy affect? Does it have the same prevalence in men and women? And in the different countries?

Prevalence of Hepatic Encephalopathy

Hepatic Encephalopathy is a condition characterized by impaired brain function due to liver dysfunction. It commonly occurs in individuals with advanced liver disease, such as cirrhosis. The prevalence of Hepatic Encephalopathy varies depending on the population studied and the severity of liver disease. However, it is estimated that up to 30-45% of patients with cirrhosis experience episodes of Hepatic Encephalopathy during their lifetime. Early detection and management are crucial in improving outcomes for affected individuals.



Hepatic Encephalopathy (HE) is a neurological disorder that occurs as a complication of liver dysfunction. It is characterized by a wide range of cognitive, psychiatric, and motor abnormalities. The prevalence of HE varies depending on the underlying liver disease and the population being studied.



In patients with cirrhosis, the prevalence of overt HE ranges from 30% to 45%. This means that nearly one-third to half of cirrhotic patients may experience HE at some point. However, it is important to note that the prevalence of covert HE, which refers to milder forms of the condition with subtle symptoms, is much higher. Studies have reported that up to 60-80% of cirrhotic patients may have covert HE.



The risk of developing HE increases with the severity of liver disease. Approximately 20-30% of patients with mild liver disease, such as non-alcoholic fatty liver disease (NAFLD), may develop HE. On the other hand, in patients with advanced liver disease, such as alcoholic cirrhosis or hepatitis C-related cirrhosis, the prevalence of HE can be as high as 50-70%.



HE is a significant healthcare burden, leading to impaired quality of life, increased hospitalizations, and higher mortality rates. Early detection and management of HE are crucial in improving patient outcomes.


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2 answers
The answer is complicated and depends on too many factors for me to list.

Posted Feb 12, 2018 by Wendy M 2410

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My husband was diagnosed with hep c at the time we and the do,goes didn't think it was that bad. He has no liver damage. Fast forward to August 2017 he broke out in a rash which Dr thought was just an allergic reaction. Gabe steroids and it went away...

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