Restarting Elective Bariatric and Metabolic Surgery Under a Security Protocol During the COVID-19 Pandemic—a Prospective Observational Cohort Study
| Autor: | Fernando Valente, Leonardo R Ferraz, Michel M da Silva, Marcio Lucas, Mauricio E G Vieira, Dyego Sá Benevenuto, Fabio Viegas, Fernanda Vaisman, Marcio P M Balieiro, Fernando J Kaddoum, Fernando de Barros, Luiz G de Oliveira E Silva, António Jamel Coelho, Carlos Saboya, Luciana J. El-Kadre |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Original Contributions Endocrinology Diabetes and Metabolism Population 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Pandemic Humans Medicine Obesity Prospective Studies education Prospective cohort study Pandemics Bariatric surgery education.field_of_study Nutrition and Dietetics SARS-CoV-2 business.industry Incidence (epidemiology) COVID-19 medicine.disease Obesity Morbid Observational Studies as Topic Private practice Emergency medicine 030211 gastroenterology & hepatology Surgery business Cohort study |
| Zdroj: | Obesity Surgery |
| ISSN: | 1708-0428 0960-8923 |
| DOI: | 10.1007/s11695-021-05368-z |
| Popis: | Background During the SARS-CoV-2 pandemic, in order to protect the patient and to save hospital beds, cancelation of elective surgeries has become a great challenge. Considering that obesity is a chronic disease and the possible effect imposed by quarantine on weight gain with worsening rates of obesity and metabolic comorbidities, the creation of a protocol for a safe return to bariatric surgery became essential. Objective The aim of this study was to identify the incidence of new-onset severe acute respiratory syndrome coronavirus (SARS-CoV-2) symptoms in patients who underwent bariatric procedures during the declining curve period. Setting Private practice Methods A prospective observational cohort study was conducted and included patients with indications for bariatric surgery during the decreasing curve period of the SARS-CoV-2 pandemic who underwent surgery under a hospital security protocol. Patients were asked to answer a questionnaire and had a swab PCR test for SARS-CoV-2 detection. The primary outcome measure was the presence of 14-day and 30-day postoperative symptoms associated with COVID-19. Mortality was also analyzed. Results Three hundred patients with negative RT-PCR were operated on from May to June 2020. Seventeen patients had their surgery postponed because of a positive RT-PCR test or close contact. None of the patients developed new-onset SARS-CoV-2 symptomatic infection after 30 days of observation. No deaths were reported. Eleven had complications not related to SARS-CoV-2. Conclusions Even though this population may have a poorer outcome when infected with SARS-CoV-2, this security protocol has shown that the procedure can be safely performed during the outbreak. |
| Databáze: | OpenAIRE |
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