Health Condition 1: K721- Chronic hepatic failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Voluntary adult patient ( >18 years), decompensated chronic liver disease patients planned for LDLT, and Who pass the screening tests done in the OPD 1. Able to follow the introductory level exercises as per the protocol in the OPD without any adverse event. 2. No drop in the spO2 less than 93% on a 6 minute walk test.
Exclusion criteria
Exclusion criteria: 1. Patients with a physical disability (upper or lower limb deformity/ abnormality) 2. Exercise intolerance or inability to follow exercise regime. 3. Patients who fail the screening tests. 4. Patients on the following drugs- o Higher corticosteroid dose ( >0.1mg/kg/day), o BCAA (Branched chain amino acids) o Growth hormone, testosterone, SARMs, o Ghrelin agonists, myostatin antibodies, o Activin IIR antagonists, angiotensin converting enzyme inhibitors, o Espindolol (mixed beta agonist and antagonists), and o Fast skeletal muscle troponin activators.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Liver frailty index (Grip strength, Balance, Chair Stand test) Pulmonary function tests After 4 weeks of exercise- PFT Post operative time- PEF & FEV1. (Hand held machine) Physical performance- SPPB (Balance, Chair stands, Gait speed)Timepoint: After 4 weeks of intervention, on POD 14 & 30 | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to extubation, need for re-intubation Duration of NIV support, Timepoint: During the course of hospital stay.;MortalityTimepoint: 90 Day;Myostatin levels in blood Skeletal muscle mass- L3SMITimepoint: Post intervention at 4 weeks & on POD14;Time to mobilization out of bed, Length of ICU stay, hospital stay Incidence of all septic complicationsTimepoint: During the course of hospital stay; Major surgical complications (CDC â?¥ grade 3) Pulmonary complications- Clinical evaluationTimepoint: During the course of hospital stay. | — |
Countries
India
Contacts
Institute of Liver and Biliary Sciences