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Exercise Training for Liver Transplant Candidates.

Abstract：

BACKGROUND AND AIMS:Frailty is associated with increased morbidity and mortality, and this is tightly linked to liver decompensation and increased complication rates among liver transplant (LT) candidates. The aim of the study was to evaluate the efficacy of a structured in- and outpatient exercise training program for cirrhotic patients who were referred for liver transplant evaluation. METHODS:We retrospectively reviewed 458 consecutive LT patients. There were 200 patients who underwent LT prior to the implementation of an exercise training program (non-ETP) and 258 LT patients who underwent a comprehensive exercise training program (ETP). Baseline characteristics, readmission rate, and length of hospital stay (LOS) were analyzed and compared between the 2 groups. RESULTS:The ETP group were more likely to have diabetes mellitus and coronary artery disease. However, there was no significant difference in the postoperative complication rates between the 2 groups except for more infections in the ETP group compared to the non-ETP group. There was a trend toward lower 90-day readmission rate in the ETP group (17.9% vs 20%) and shorter LOS (14 vs 17 days). CONCLUSION:There was a trend toward reduced 90-day readmission and shorter length of stay after implementation of an exercise training program.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Al-Judaibi B,Alqalami I,Sey M,Qumosani K,Howes N,Sinclair L,Chandok N,Eddin AH,Hernandez-Alejandro R,Marotta P,Teriaky A

doi

10.1016/j.transproceed.2019.08.045

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

3330-3337

issue

10

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(19)31026-7

journal_volume

51

pub_type

杂志文章

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