Erschienen in:
12.04.2021 | COVID-19 | Original Contributions
Zur Zeit gratis
Restarting Elective Bariatric and Metabolic Surgery Under a Security Protocol During the COVID-19 Pandemic—a Prospective Observational Cohort Study
verfasst von:
Marcio P. M. Balieiro, Michel M. da Silva, Antônio C. J. Coelho, Fernando de Barros, Carlos Saboya, Leonardo R. Ferraz, Mauricio E. G. Vieira, Dyego Sá Benevenuto, Luiz G. de Oliveira e Silva, Marcio Lucas, Fernando Valente, Fabio Viegas, Fernando J. Kaddoum, Luciana J. El-Kadre, Fernanda Vaisman
Erschienen in:
Obesity Surgery
|
Ausgabe 7/2021
Einloggen, um Zugang zu erhalten
Abstract
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.
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.