Prior overt hepatic encephalopathy and hyponatremia are more strongly linked to recent driving accidents than measures of minimal hepatic encephalopathy.

Background: Cognitive impairment in cirrhosis is driven by multiple influencers. Those with cognitive impairment have greater traffic accidents and violations. While the presence of minimal hepatic encephalopathy has been associated with poor driving skills, studies show conflicting results and variable associations with regard to accidents.