Literature DB >> 28769153

IS EARLY AMBULATION SAFE IN VIRAL HEPATITIS?

A C Anand1, S K Thakur2, Wary Am Singh3, S K Dham4.   

Abstract

To derermine if early ambulation was safe in acute viral hepatitis (AVH), 202 patients of uncomplicated AVH were prospectively randomised into two group. Group A (n=100) received conventional treatment with bed rest while group B (n=102) patients were ambulated as soon as their clinical symptoms abated and progressive clinical and biochemical recovery was noted. While mean recovery time in two groups was not significantlly different (28.8 vs 29.7 days), bed rest period in group B was significantly less (28.8 vs 8.6 days). Natural history of the AVH, clinical and biochemical findings and relapse rate over a follow up period of 14 to 16 months, were no different in the two groups. None of the patients developed chronic hepatitis. Early ambulation is there fore safe in uncomplicated AVH and can lead to enormous saving of manhours and hospital resources.

Entities:  

Keywords:  Acute viral hepatitis; Ambulation

Year:  2017        PMID: 28769153      PMCID: PMC5529615          DOI: 10.1016/S0377-1237(17)31030-4

Source DB:  PubMed          Journal:  Med J Armed Forces India        ISSN: 0377-1237


  14 in total

1.  INDOCYANINE GREEN CLEARANCE AND ESTIMATED HEPATIC BLOOD FLOW DURING MILD TO MAXIMAL EXERCISE IN UPRIGHT MAN.

Authors:  L B ROWELL; J R BLACKMON; R A BRUCE
Journal:  J Clin Invest       Date:  1964-08       Impact factor: 14.808

2.  The treatment of acute infectious hepatitis. Controlled studies of the effects of diet, rest, and physical reconditioning on the acute course of the disease and on the incidence of relapses and residual abnormalities.

Authors:  T C CHALMERS; R D ECKHARDT; W E REYNOLDS; J G CIGARROA; N DEANE; R W REIFENSTEIN; C W SMITH; C S DAVIDSON
Journal:  J Clin Invest       Date:  1955-07       Impact factor: 14.808

3.  The effect of exercise on the splanchnic blood flow and splanchnic blood volume in normal man.

Authors:  S E BRADLEY; A W CHILDS; B COMBES; A COURNAND; O L WADE; H O WHEELER
Journal:  Clin Sci       Date:  1956-08       Impact factor: 6.124

4.  Effect of physical activity on recovery from hepatitis; a follow-up study two to three years after onset of disease.

Authors:  R S NELSON; H SPRINZ; J W COLBERT; F P CANTRELL; W P HAVENS; M KNOWLTON
Journal:  Am J Med       Date:  1954-06       Impact factor: 4.965

5.  Infectious hepatitis.

Authors:  W P HAVENS
Journal:  Medicine (Baltimore)       Date:  1948-09       Impact factor: 1.889

6.  The effect of the upright posture upon hepatic blood flow in normotensive and hypertensive subjects.

Authors:  J W CULBERTSON; R W WILKINS; F J INGELFINGER; S E BRADLEY
Journal:  J Clin Invest       Date:  1951-03       Impact factor: 14.808

7.  The management of infectious hepatitis.

Authors:  R B CAPPS; M H BARKER
Journal:  Ann Intern Med       Date:  1947-03       Impact factor: 25.391

8.  The A to F of viral hepatitis.

Authors: 
Journal:  Lancet       Date:  1990-11-10       Impact factor: 79.321

9.  Mechanisms of virally induced liver damage.

Authors:  A M Lever
Journal:  J Hepatol       Date:  1987-06       Impact factor: 25.083

Review 10.  Evolving concepts of the clinical and serologic consequences of hepatitis B virus infection.

Authors:  L B Seeff; R S Koff
Journal:  Semin Liver Dis       Date:  1986-02       Impact factor: 6.115

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