Health-related quality of life (HRQOL) has become an important outcome for patients with liver cirrhosis as the number of transplantation candidates increases by the progression of treatment strategies. Falls and fall-related injuries are common in patients with liver cirrhosis and negatively affect HRQOL. Many factors increase the risk for falls such as minimal hepatic encephalopathy, psychoactive drugs, muscle strength, autonomic dysfunction, hyponatremia, and sleep problems. It is important to understand the underlying mechanisms for falls in cirrhotic patients to prevent severe injuries such as fractures, decrease healthcare costs, and improve HRQOL. Healthcare professionals, including physiotherapists and nurses, should be aware of the higher risk for falls in this population and therapeutic interventions must be designed for patients, especially those waiting on the transplant list.
Meric Yildirim, PhD, PT, is Assistant Professor, School of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey.
Correspondence to: Meric Yildirim, PhD, PT, School of Physical Therapy and Rehabilitation, Dokuz Eylul University, 35340 Izmir, Turkey (email@example.com).
The author declares no conflicts of interest.
Received December 22, 2014
Accepted May 21, 2015