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Functional outcome after liver transplantation: a preliminary report
L R Robinson1, J Switala, R E Tarter
1Division of Rehabilitation Medicine, University of Pittsburgh School of Medicine.
Archives of Physical Medicine and Rehabilitation
|May 1, 1990
Summary
Liver transplant recipients show significant improvements in endurance and mobility three years post-surgery. While some experience limb dysfunction, most maintain independence and can return to work.
Area of Science:
- Hepatology
- Transplantation Medicine
- Rehabilitation Science
Background:
- Liver transplantation success rates have risen, yet functional outcomes remain under-researched.
- Understanding long-term functional and vocational status is crucial for patient care.
Purpose of the Study:
- To assess the functional and vocational outcomes of patients three years after orthotopic liver transplantation.
Main Methods:
- A survey was administered to 45 patients who received liver transplants in 1985.
- 31 patients (69% response rate) completed questionnaires detailing functional status and work history.
Main Results:
- 47% reported limb dysfunction; 13% developed gout. However, all patients were independent in activities of daily living (ADLs) and mobility.
- Pre-transplant endurance limitations (61% severe) improved significantly, with 94% able to walk at least three blocks post-transplant.
- 39% worked full-time and 26% were homemakers three years post-transplant, with fractures and concentration issues being common work limitations.
Conclusions:
- Liver transplant recipients largely regain independence in ADLs and mobility.
- Endurance significantly improves post-transplant, facilitating a return to work despite persistent physical limitations.