Review Article

The End-Organ Impairment in Liver Cirrhosis: Appointments for Critical Care

Table 7

The West Haven criteria for hepatic encephalopathy.

Grade 0Minimal hepatic encephalopathy, no asterixis, and trivial changes in personality or behavior
Grade 1Trivial lacks of awareness, attention, sleep disturbances, altered mood, and asterixis
Grade 2Lethargy, apathy, time disorientation, amnesia to recent events, inappropriate behavior, slurred speech, asterixis.
Grade 3Somnolence, confusion, time and place disorientation, bizarre behaviour, clonus, nystagmus, positive Babinski sign, and absent asterixis
Grade 4Coma