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Electronic PHES vs Paper-based PHES for Hepatic Encephalopathy
Sponsor: The First Affiliated Hospital with Nanjing Medical University
Summary
This is a prospective, multicenter, randomized crossover diagnostic accuracy study. A total of 80 patients with liver cirrhosis will be enrolled and randomly assigned to two sequence groups at a 1:1 ratio. Participants in Sequence A will complete the paper-based Psychometric Hepatic Encephalopathy Score (PHES) on Day 1 and the electronic PHES on Day 2; participants in Sequence B will receive the tests in reverse order. All tests will be performed at the same time of day with a 1-day washout interval to minimize carryover effect. The primary objective is to verify the equivalence of total scores between electronic and paper-based PHES. Secondary objectives include evaluating the consistency of MHE classification and individual subtest scores, and analyzing the effects of test sequence and time period on results. This study aims to provide evidence for clinical promotion of the electronic PHES tool.
Official title: Evaluation of Diagnostic Performance of Electronic Psychometric Hepatic Encephalopathy Score (PHES): A Randomized Crossover Study
Key Details
Gender
All
Age Range
18 Years - 70 Years
Study Type
INTERVENTIONAL
Enrollment
80
Start Date
2026-10-01
Completion Date
2027-10-01
Last Updated
2026-10-01
Healthy Volunteers
Yes
Interventions
Paper-based Psychometric Hepatic Encephalopathy Score (PHES)
Standard paper-and-pencil version of PHES, including 5 subtests (NCT-A, NCT-B, DST, LTT, SDT), administered by trained investigators according to standard protocol.
Electronic Psychometric Hepatic Encephalopathy Score (PHES)
Electronic mini-program version of PHES with identical subtests and scoring criteria as the paper version, administered on a tablet or smartphone.
Locations (2)
The First Affiliated Hospital of Nanjing Medical University (Jiangsu Province People's Hospital)
Nanjing, Jiangsu, China
The Second Affiliated Hospital of Xi'an Jiaotong University
Xi’an, Shanxi, China