Remote monitoring of cognition in cirrhosis and encephalopathy: future opportunity and challenge.
Remote monitoring of cognition in cirrhosis and encephalopathy: future opportunity and challenge.
复制标题
DOI：
10.1007/s11011-022-01134-x
复制
发表时间：
2023-06
影响因子：
3.6
通讯作者：
中科院分区：
文献类型：
--
作者：
肝性脑病（HE）是慢性肝病和门静脉高压症的一种极其重要的并发症，但尤其是在早期隐蔽阶段，诊断不足，是住院和发病的常见原因。显着的认知缺陷通常是微妙的神经精神变化，已被广泛描述。虽然传统的评估方法在实践中仍未得到充分利用，并且与其他疾病存在显着的混淆，但移动技术已成为提供简单和动态认知评估的潜在未来工具。这篇综述讨论了认知评估工具的激增，描述了脑病中可能的应用以及这种实施可能面临的挑战。实时评估认知具有显着的潜在优势，有助于早期检测和干预，并提供对现实世界功能的更现实的测量。尽管如此，在广泛推广和接受临床使用之前，仍然存在可靠性、隐私性、适用性等问题，必须解决这些问题。无论如何，移动技术在医疗保健领域的快速采用可能会对未来脑病和肝病的治疗产生重大影响。
Hepatic Encephalopathy (HE) is a critically important complication of chronic liver disease and portal hypertension, but especially in early covert stages remains underdiagnosed and a common cause of hospitalization and morbidity. Defined by often subtle neuropsychiatric changes, significant cognitive deficits have been extensively described. While traditional methods of assessment remain underutilized in practice and subject to significant confounding with other diseases, mobile technology has emerged as a potential future tool to provide simple and dynamic cognitive assessments. This review discusses the proliferation of cognitive assessment tools, describing possible applications in encephalopathy and the challenges such an implementation may face. There are significant potential advantages to assessing cognition in real time in order to aid early detection and intervention and provide a more realistic measurement of real-world function. Despite this, there are issues with reliability, privacy, applicability and more which must be addressed prior to wide proliferation and acceptance for clinical use. Regardless, the rapid uptake of mobile technology in healthcare is likely to have significant implications for the future management of encephalopathy and liver disease at large.
评估患者通过互联网连接技术的熟练程度及其对肝硬化电子健康的偏好。
影响因子：
5.3
作者：
Ismond KP;Eslamparast T;Farhat K;Stickland M;Spence JC;Bailey RJ;Abraldes JG;Spiers JA;Tandon P
通讯作者：
Tandon P
影响因子：
3.9
作者：
Amodio P;Montagnese S
通讯作者：
Montagnese S