Influence of the Primary Disease on Rehabilitation Results in the Early Postoperative Period in Patients After Orthotopic Liver Transplantation

Rongies, Witold; Stepniewska, Sylwia; Golińska, Barbara; Kenczew-Kolanowska, T; Dolecki, Włodzimierz; Brudkowska, Anna; Jakimowicz, Tomasz; Federowicz, Magdalena; Krawczyk, Marek

doi:10.1016/j.transproceed.2009.09.040

Cited by 3 publications

(4 citation statements)

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“…Significant improvements in FIM scores ( P < .001) during acute inpatient rehabilitation were noted in patients who were discharged to home. Introducing early rehabilitation demonstrated a strong correlation between the time of introduction and the ability to achieve a fully upright position 35 General health improved and was perceived as excellent or good in all patients one year post LT 32 . All patients in this cohort study were independent in activities of daily living (ADLs), and the level of physical activity increased after LT. No further improvement in either physical performance parameters or self‐assessed parameters was reported after 6 months post LT.…”

Section: Resultsmentioning

confidence: 82%

“…This review included two RCTs, 27,28 five prospective cohort studies, 26,29–32 and five retrospective analyses 33–36 . Three studies were completed in Poland, two in Turkey and the USA, and one each in France, Egypt, Denmark, Germany, and Brazil.…”

Section: Resultsmentioning

confidence: 99%

Section: Functional Outcomesmentioning

confidence: 88%

“…This review included two RCTs, 27,28 five prospective cohort studies, 26,[29][30][31][32] and five retrospective analyses. [33][34][35][36] Three studies were completed in Poland, two in Turkey and the USA, and one each in France, Egypt, Denmark, Germany, and Brazil. Six out of the 12 studies reported the types of LT, and most of the LT were from deceased donors (only one study reported living donors for eight out of 13 recipients, 61.5%).…”

Section: Study Characteristicsmentioning

confidence: 99%

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The role of acute in‐patient rehabilitation on short‐term outcomes after liver transplantation: A systematic review of the literature and expert panel recommendations

Mina

Tandon

Kow

et al. 2022

Clinical Transplantation

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Background:The indication and surgical complexity of orthotopic liver transplantation underscore the need for strategies to optimize the recovery for transplant recipients.We conducted a systematic review aimed at identifying, evaluating, and synthesizing the evidence examining the effect of in-patient rehabilitation for liver transplant recipients and provide related practice recommendations.Methods: Health research databases were systematically reviewed for studies that included adults who received liver transplantation and participated in acute, posttransplant rehabilitation. Postoperative morbidity, mortality, length of hospital stay, length of intensive care unit stay, and other markers of surgical recovery were extracted. Practice recommendations are provided by an international panel using GRADE.Results: Twelve studies were included in the review (including 3901 participants).Rehabilitation interventions varied widely in design and composition; however, details regarding intervention delivery were poorly described in general. The quality of

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Section: Resultsmentioning

confidence: 82%

Section: Resultsmentioning

confidence: 99%

Section: Functional Outcomesmentioning

confidence: 88%

Section: Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

The role of acute in‐patient rehabilitation on short‐term outcomes after liver transplantation: A systematic review of the literature and expert panel recommendations

Mina

Tandon

Kow

et al. 2022

Clinical Transplantation

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Intensive Early Rehabilitation in the Intensive Care Unit for Liver Transplant Recipients: A Randomized Controlled Trial

Maffei

Wiramus

Bensoussan

et al. 2017

Archives of Physical Medicine and Rehabilitation

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Occupational Therapy Services to Enable Liver Patients to Thrive Following Transplantation

Scott

2011

Occupational Therapy In Health Care

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Transplantation is the only viable treatment for end-stage liver failure. With advances in biomedicine and surgical technique, survival rates have improved and current research is beginning to focus on patient-related outcomes such as of quality of life (QOL) and life satisfaction. However, attention to the rehabilitation needs of those patients whose lives are saved, is lagging. Pretransplantation, there are serious strains to role function and limitations to mental and physical capacity. Following transplantation, the ability to perform once easy familiar tasks is difficult for a prolonged recovery period. Within a year many people do well, others do not. Little has been done for this latter group. The purpose of this article is to systematically describe the contributions occupational therapy can make to the people struggling with the challenges faced during the transplantation process. The first part presents a framework for understanding the impact of end-stage liver disease, then the transplant, and the subsequent recovery through the combination of two frameworks: the International Classification of Functioning Disability and Health (ICF) and the Model of Human Occupation. The second part of this article will present the implications for occupational therapists throughout seven stages: (1) decline in health, (2) organ failure, (3) referral for transplantation, (4) the waiting period, (5) the transplant surgery, (6) recovery, and (7) return of health. Attention to the needs of transplant recipients who lack the adaptive skills to resume productive lifestyles has the capacity to improve participation outcomes for this population.

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Influence of the Primary Disease on Rehabilitation Results in the Early Postoperative Period in Patients After Orthotopic Liver Transplantation

Cited by 3 publications

References 3 publications

The role of acute in‐patient rehabilitation on short‐term outcomes after liver transplantation: A systematic review of the literature and expert panel recommendations

The role of acute in‐patient rehabilitation on short‐term outcomes after liver transplantation: A systematic review of the literature and expert panel recommendations

Intensive Early Rehabilitation in the Intensive Care Unit for Liver Transplant Recipients: A Randomized Controlled Trial

Occupational Therapy Services to Enable Liver Patients to Thrive Following Transplantation

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