🫀 West Haven Criteria (Hepatic Encephalopathy)
Grade hepatic encephalopathy severity with the West Haven criteria.
West Haven Criteria (Hepatic Encephalopathy)
Clinical grade
When to use
Assess and trend hepatic encephalopathy.
How it works
Grades 0 (minimal/covert) to 4 (coma); overt HE from grade 2.
Key points
- Identify and treat precipitants (infection, GI bleed, constipation).
- Grade 3–4 may need airway protection/ICU.
- Treatment: lactulose ± rifaximin.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.