Sa1454: LONGITUDINAL MONITORING OF SLEEP IN COVERT HEPATIC ENCEPHALOPATHY REVEALS SIGNIFICANT FRACTURING AND LOSS OF REM

Buckholz, Adam; Clarke, Lindsay M.; Paik, Paul K.; Rosenblatt, Russell; Jesudian, Arun; Brown, Robert S.

doi:10.1016/s0016-5085(22)63499-1

Cited by 1 publication

(1 citation statement)

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“…There were multiple reasons cited for failure to complete, including technical difficulties, forgetting to use it, and recurrent admission. One recently presented study found that passively collected sleep data using commercially available wearable technology had higher (71.4%) participant adherence over a 6-month period (Buckholz et al 2022 ), suggesting that perhaps passive data collection could improve some test performance. One solution posited by the Smuck et al position paper was to incorporate “Apple genius bar” style technical support whereby trained staff members incorporate physician recommendations to assist patients in setting up and delivering appropriate data back to the physician.…”

Section: Challenges For Implementation Of Remote Monitoring Of Cognitionmentioning

confidence: 99%

Remote monitoring of cognition in cirrhosis and encephalopathy: future opportunity and challenge

Buckholz

Rosenblatt

2022

Metab Brain Dis

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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.

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Section: Challenges For Implementation Of Remote Monitoring Of Cognitionmentioning

confidence: 99%

Remote monitoring of cognition in cirrhosis and encephalopathy: future opportunity and challenge

Buckholz

Rosenblatt

2022

Metab Brain Dis

View full text Add to dashboard Cite

show abstract

Sa1454: LONGITUDINAL MONITORING OF SLEEP IN COVERT HEPATIC ENCEPHALOPATHY REVEALS SIGNIFICANT FRACTURING AND LOSS OF REM

Cited by 1 publication

References 0 publications

Remote monitoring of cognition in cirrhosis and encephalopathy: future opportunity and challenge

Remote monitoring of cognition in cirrhosis and encephalopathy: future opportunity and challenge

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