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30-Day Morbidity and Mortality of Bariatric Surgery During the COVID-19 Pandemic: a Multinational Cohort Study of 7704 Patients from 42 Countries.
Singhal, Rishi; Ludwig, Christian; Rudge, Gavin; Gkoutos, Georgios V; Tahrani, Abd; Mahawar, Kamal; Pedziwiatr, Michal; Major, Piotr; Zarzycki, Piotr; Pantelis, Athanasios; Lapatsanis, Dimitris P; Stravodimos, Georgios; Matthys, Chris; Focquet, Marc; Vleeschouwers, Wouter; Spaventa, Antonio G; Zerrweck, Carlos; Vitiello, Antonio; Berardi, Giovanna; Musella, Mario; Sanchez-Meza, Alberto; Cantu, Felipe J; Mora, Fernando; Cantu, Marco A; Katakwar, Abhishek; Reddy, D Nageshwar; Elmaleh, Haitham; Hassan, Mohammad; Elghandour, Abdelrahman; Elbanna, Mohey; Osman, Ahmed; Khan, Athar; Layani, Laurent; Kiran, Nalini; Velikorechin, Andrey; Solovyeva, Maria; Melali, Hamid; Shahabi, Shahab; Agrawal, Ashish; Shrivastava, Apoorv; Sharma, Ankur; Narwaria, Bhavya; Narwaria, Mahendra; Raziel, Asnat; Sakran, Nasser; Susmallian, Sergio; Karagöz, Levent; Akbaba, Murat; Piskin, Salih Zeki; Balta, Ahmet Ziya.
Afiliación
  • Singhal R; Upper GI unit, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK. singhal_rishi@hotmail.com.
  • Ludwig C; Institute of Metabolism and Systems Research (IMSR), College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
  • Rudge G; Institute of Applied Health Research, Murray Learning Centre, University of Birmingham, Birmingham, UK.
  • Gkoutos GV; Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
  • Tahrani A; NIHR Biomedical Research Centre, Birmingham, B15 2TT, UK.
  • Mahawar K; NIHR Surgical Reconstruction and Microbiology Research Centre, Birmingham, B15 2TT, UK.
  • Pedziwiatr M; Institute of Metabolism and Systems Research (IMSR), College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
  • Major P; Centre for Endocrinology, Diabetes and Metabolism (CEDAM), Birmingham Health Partners, Birmingham, UK.
  • Zarzycki P; Department of Diabetes and Endocrinology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
  • Pantelis A; Bariatric Unit, South Tyneside and Sunderland NHS Trust, Sunderland, UK.
Obes Surg ; 31(10): 4272-4288, 2021 10.
Article en En | MEDLINE | ID: mdl-34328624
BACKGROUND: There are data on the safety of cancer surgery and the efficacy of preventive strategies on the prevention of postoperative symptomatic COVID-19 in these patients. But there is little such data for any elective surgery. The main objectives of this study were to examine the safety of bariatric surgery (BS) during the coronavirus disease 2019 (COVID-19) pandemic and to determine the efficacy of perioperative COVID-19 protective strategies on postoperative symptomatic COVID-19 rates. METHODS: We conducted an international cohort study to determine all-cause and COVID-19-specific 30-day morbidity and mortality of BS performed between 01/05/2020 and 31/10/2020. RESULTS: Four hundred ninety-nine surgeons from 185 centres in 42 countries provided data on 7704 patients. Elective primary BS (n = 7084) was associated with a 30-day morbidity of 6.76% (n = 479) and a 30-day mortality of 0.14% (n = 10). Emergency BS, revisional BS, insulin-treated type 2 diabetes, and untreated obstructive sleep apnoea were associated with increased complications on multivariable analysis. Forty-three patients developed symptomatic COVID-19 postoperatively, with a higher risk in non-whites. Preoperative self-isolation, preoperative testing for SARS-CoV-2, and surgery in institutions not concurrently treating COVID-19 patients did not reduce the incidence of postoperative COVID-19. Postoperative symptomatic COVID-19 was more likely if the surgery was performed during a COVID-19 peak in that country. CONCLUSIONS: BS can be performed safely during the COVID-19 pandemic with appropriate perioperative protocols. There was no relationship between preoperative testing for COVID-19 and self-isolation with symptomatic postoperative COVID-19. The risk of postoperative COVID-19 risk was greater in non-whites or if BS was performed during a local peak.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Diabetes Mellitus Tipo 2 / Cirugía Bariátrica / COVID-19 Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Obes Surg Asunto de la revista: METABOLISMO Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Diabetes Mellitus Tipo 2 / Cirugía Bariátrica / COVID-19 Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Obes Surg Asunto de la revista: METABOLISMO Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos