PEDIATRICS Vol. 82 No. 2 August 1988, pp. 173-180
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Changes in Life-Style After Liver Transplantation

Basil J. Zitelli MD1, Joanne W. Miller PhD1, J. Carlton Gartner Jr MD1, J. Jeffrey Malatack MD1, Andrew H. Urbach MD1, Steven H. Belle PhD1, Laurel Williams RN, MSN1, Beverly Kirkpatrick MSW1, and Thomas E. Starzl MD, PhD1

1 From the Departments of Pediatrics, Psychiatry, Nursing, and Social Services, Children's Hospital of Pittsburgh, Departments of Epidemiology and Surgery, University of Pittsburgh Health Science Center, Pittsburgh

Sixty-five pediatric patients who received liver transplants between May 1981 and May 1984 were observed for as many as 5 years and examined for changes in life-style. Children were less frequently hospitalized, spent less time hospitalized, required fewer medications, and generally had excellent liver and renal function after hepatic transplantation as compared with their pretransplantation status. Most children were in age-appropriate and standard school classes or were only 1 year behind. Cognitive abilities remained unchanged. Children improved in gross motor function and patients' behavior significantly improved according to parents' perceptions. Enuresis was more prevalent, however, than in the population of children who had not received liver transplants. Parental divorce rates were no greater than those reported for other families with chronically ill children. Overall, objective changes in life-style as well as parents' perceptions of behavior of children appear to be improved after liver transplantation.

Key Words: liver transplantation • life-style • quality of life

Submitted on April 8, 1987
Accepted on June 16, 1987




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