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table 3

Subclinical Hepatic Encephalopathy Impairs Daily Functioning

table  3.   SIP Scores of Cirrhotic Patients With and Without SHE

SIP Scales (No. of Items Per Scale) Reference Population (n = 594)Dagger Cirrhosis With SHE (n = 48) Cirrhosis Without SHE (n = 131) P* Internal Consistencydagger

Psychosocial scales
  Social interactions (20) 4 14.7 (11.1-18.2) 7 (5.3-8.6) <0.001 0.75
  Alertness (10) 4.7 21.3 (14.3-28.2) 8.1 (5.4-10.7) <0.001 0.81
  Emotional behavior (9) 3.9 10.9 (6.5-15.4) 5.0 (3.3-6.7) 0.01 0.67
  Communication (9) 1.0 5.9 (2.8-9) 1.5 (0.4-2.5) 0.001 0.57
  Total psychosocial subscore 13.3 (9.7-16.9) 5.7 (4.3-7.1) <0.001 0.89
Physical scales
  Ambulation (12) 3.0 7 (4.6-9.3) 3.1 (2.1-4.0) 0.002 0.53
  Mobility (10) 2.3 9.4 (5.6-13.1) 2.2 (1.2-3.2) <0.001 0.67
  Bodycare and movement (23) 1.9 5 (2.9-7.2) 1.2 (0.7-1.6) <0.001 0.68
  Total physical subscore 6.3 (4.1-8.5) 1.8 (1.2-2.4) <0.001 0.84
Independent scales
  Sleep/rest (7) 4.7 18.4 (13.5-23.4) 8.4 (6.6-10.2) <0.001 0.38
  Work (9) 7.3 24.7 (18.3-31.2) 8.7 (5.9-11.5) <0.001 0.52
  Home management (10) 4.8 14.6 (9.1-20) 5.9 (4.5-7.3) 0.001 0.54
  Recreations and pastimes (8) 5.8 23.9 (17-30.8) 9.8 (7.5-12.1) <0.001 0.60
  Eating (9) 1.0 5.1 (3.3-7) 2 (1.4-2.6) 0.007 0.20
Total SIP score 3.4 12 (9.5-14.5) 4.6 (3.7-5.5) <0.001 0.92

NOTE. Scores are minimally 0 (good performance) and maximally 100 (bad performance). Mean scores are given; 95% confidence interval of mean scores between brackets.
* Wilcoxon rank sum test.
Cronbachs  (pooled data).
Dagger Reference population: Dutch citizens.

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