gi-hepatology
West Haven Criteria for Hepatic Encephalopathy Staging
Standard grading system for hepatic encephalopathy in cirrhotic patients, grading 0-4. Grade 0 (covert/minimal HE) through Grade 4 (coma). Essential for treatment decisions and prognosis.
References
- Vilstrup H et al. Hepatic encephalopathy in chronic liver disease: 2014 Practice Guideline by AASLD and EASL. Hepatology. 2014;60(2):715-735.
- NICE TA337. Rifaximin for preventing episodes of overt hepatic encephalopathy. NICE. 2015.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
- Lactulose · Osmotic laxative / Ammonia reduction (hepatic encephalopathy)
- Lactulose (Hepatic Encephalopathy) · Osmotic Laxative / Ammonia-Reducing Agent
- Rifaximin · Non-Absorbable Antibiotic (Hepatic Encephalopathy / IBS-D)
- Lactulose (Paediatric) · Osmotic Laxative — Constipation / Hepatic Encephalopathy
- Methotrexate (Dermatology — Psoriasis) · Disease-Modifying Antirheumatic / Immunosuppressant
- Thiamine (IV/IM — Pabrinex) · Vitamin B1 (Thiamine) — deficiency treatment / Wernicke's encephalopathy prevention
Decision support only — verify against MDCalc, NICE, or your local guideline before clinical use.