Development of a Novel Vocal Biomarker in the Diagnosis and Management of Hepatic Encephalopathy

Overview

Información sobre este estudio

Hepatic encephalopathy (HE) is a serious complication of cirrhotic stage liver disease. It is reported that 30-70% of all patients with cirrhosis have HE. The current diagnostic methodology for HE includes a blood lab monitoring of ammonia and neuropsychometric testing, which can define the diagnosis but cannot assess the vitally important daily variability of this complication.

There are, however, distinct cognitive neurologic findings in HE that could be mapped and exploited for quick and accurate daily assessment. Vocal changes and speech analysis may provide guidance in the diagnosis and management of HE. The computer algorithm calculating vocal changes in HE would be valuable not only for diagnosis but also for monitoring and adjusting therapy based on its results and recommendations. Currently, those diagnoses or therapeutic adjustments are made only through personal, wholly subjective assessment of ill-defined symptoms.

Elegibilidad para la participación

Los requisitos de elegibilidad de los participantes incluyen la edad, el sexo, el tipo y el estadio de la enfermedad, y los problemas de salud o tratamientos previos. Las pautas difieren de un estudio a otro e identifican quiénes pueden o no pueden participar. No hay garantía de que cada persona elegible que desee participar en un ensayo se inscribirá. Comunícate con el equipo del estudio para analizar la elegibilidad del estudio y la posible participación.

Inclusion Criteria:

  • 18 years or older.
  • Presence of hepatic encephalopathy.
  • Controls healthy and those with cirrhosis but no evidence of HE.

Exclusion Criteria: 

  • Patients unable to provide consent or without a care giver able to provide consent.
  • Patients younger than 18 years.
  • Patients with a diagnosis of other neurologic diseases such as Parkinson’s disease, dementia or Wernicke-Korsakoff syndrome, concern for intracerebral hemorrhage or CNS sepsis.

Sedes participantes de Mayo Clinic

Los estatus de los estudios cambian con frecuencia. Comunícate con el equipo del estudio para obtener la información más actualizada acerca de la posibilidad de participar.

Sede de Mayo Clinic Estatus Contacto

Jacksonville, Fla.

Investigador principal de Mayo Clinic

Denise Harnois, D.O.

Abierto para la inscripción

Contact information:

Denise Harnois D.O.

(904) 956-3200

harnois.denise@mayo.edu

More information

Publicaciones

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CLS-20526991

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