Influence of the primary disease on rehabilitation results in the early postoperative period in patients after orthotopic liver transplantation.
BACKGROUND
Rehabilitation after orthotropic liver transplantation (OLT) is a difficult clinical problem due to severe comorbidities and complications. We evaluated the rehabilitation progress in the early postoperative period of patients after OLT depending on the reason for liver transplantation.


METHODS
We retrospectively evaluated 309 OLT recipients transplanted between 2003 and 2006, including 161 women and 148 men. We analyzed the results of early postoperative rehabilitation measured by the time to full, active, erection upright after surgery. We divided the patients into 5 groups due to etiology of liver failure: group A (n = 89; mean age, 46.7 years) consisted of patients with liver cirrhosis due to hepatitis B, C, or both; group B (n = 70; mean age, 43.8 years) included patients with primary biliary cirrhosis and primary sclerosing cholangitis; group C (n = 44; mean age, 46 years) conprised patients with postalcoholic liver cirrhosis; group D (n = 23; mean age, 29.7 years) had experienced acute or subacute liver failure; and group E (n = 83; mean age, 37.4 years) had other reasons of liver failure. All patients were included in an identical rehabilitation program.


RESULTS
The mean time to full, active, erection upright was dependent on the reason for liver failure. The best result was observed in groups A and E (4.51 and 4.6 days, respectively), medium in groups B and C (5.3 and 5.02, respectively), and worst in group D (8.5 days). The differences between groups A, E, and D were significant.


CONCLUSIONS
The best results were obtained in groups A and E, where full, active, erection upright was achieved at 4.51 and 4.60 days respectively, and worst in group D, where it was achieved on day 8.50. These results need to be taken into account in planning the rehabilitation process for OLT patients. When analyzing the correlation between full, active, erection upright and primary diseases, one of the factors contributing to the delay needs to be assumed to be the inability to develop compensating mechanisms in the cases of acute and subacute hepatic failures, resulting from the sudden development of the disease.
Division of Rehabilitation, Department of Physiotherapy, Medical University of Warsaw, Warsaw, Poland. rongies@amwaw.edu.pl
W
W
Rongies
S
S
Stepniewska
B
B
Golińska
T
T
Kenczew-Kolanowska
W
W
Dolecki
A
A
Brudkowska
T
T
Jakimowicz
M
M
Federowicz
M
M
Krawczyk
D000328:Adult; D005260:Female; D006509:Hepatitis B / Q000150:complications / Q000601:surgery; D006526:Hepatitis C / Q000150:complications / Q000601:surgery; D006801:Humans; D008107:Liver Diseases / Q000534:rehabilitation* / Q000601:surgery*; D016031:Liver Transplantation / Q000502:physiology / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011187:Posture; D012189:Retrospective Studies