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Is COVID-19 Severity Impacted by Bariatric Surgery in the Early Postoperative Period?

PURPOSE: The aim of this study was to determine the real influence of bariatric surgery on the clinical evolution of patients infected with SARS-Cov-2 in the postoperative period. METHODS: We conducted a retrospective analysis including two groups of patients: those who presented COVID-19 before bar...

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Autores principales: Santa-Cruz, Fernando, Siqueira, Luciana T., Coutinho, Lucas R., Leão, Luís Henrique A., Almeida, Amanda C. A., Kreimer, Flávio, Ferraz, Álvaro A. B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8789547/
https://www.ncbi.nlm.nih.gov/pubmed/35080700
http://dx.doi.org/10.1007/s11695-022-05915-2
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author Santa-Cruz, Fernando
Siqueira, Luciana T.
Coutinho, Lucas R.
Leão, Luís Henrique A.
Almeida, Amanda C. A.
Kreimer, Flávio
Ferraz, Álvaro A. B.
author_facet Santa-Cruz, Fernando
Siqueira, Luciana T.
Coutinho, Lucas R.
Leão, Luís Henrique A.
Almeida, Amanda C. A.
Kreimer, Flávio
Ferraz, Álvaro A. B.
author_sort Santa-Cruz, Fernando
collection PubMed
description PURPOSE: The aim of this study was to determine the real influence of bariatric surgery on the clinical evolution of patients infected with SARS-Cov-2 in the postoperative period. METHODS: We conducted a retrospective analysis including two groups of patients: those who presented COVID-19 before bariatric surgery and those who presented it within 3 months of postoperative. Primary outcome was related to the severity of COVID-19, measured by the following variables: presence of symptoms, need for hospitalization, ICU admission, and invasive ventilation. Laboratory markers for inflammatory response, glycemic status, and micronutrients were analyzed as secondary outcomes. RESULTS: From the 222 individuals operated on within the study period, only 66 (29.7%) presented COVID-19, 42 (18.9%) in the preoperative period and 24 (10.8%) after the procedure. Mean age was 36.3 ± 9.5 years and mean preoperative BMI was 39.9 ± 4.2 kg/m(2). There were no statistically significant differences between the groups regarding symptoms presentation (92.9% × 87.5%, p = 0.66), need for hospitalization (11.9% × 16.7%, p = 0.713), ICU admission (4.8% × 4.2%, p = 1.000), and invasive ventilation (2.4% × 0.0%, p = 1.000). Regarding the quantitative variables, absolute lymphocyte count was significantly lower in the group who presented COVID-19 after surgery (1822.9 ± 482.2 × 2158.6 ± 552.9, p = 0.035). CONCLUSION: Patients who had COVID-19 before and after sleeve gastrectomy did not differ with statistical significance for the presence of symptoms, need for hospitalization, ICU admission, and invasive ventilation. GRAPHICAL ABSTRACT: [Image: see text]
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spelling pubmed-87895472022-01-26 Is COVID-19 Severity Impacted by Bariatric Surgery in the Early Postoperative Period? Santa-Cruz, Fernando Siqueira, Luciana T. Coutinho, Lucas R. Leão, Luís Henrique A. Almeida, Amanda C. A. Kreimer, Flávio Ferraz, Álvaro A. B. Obes Surg Original Contributions PURPOSE: The aim of this study was to determine the real influence of bariatric surgery on the clinical evolution of patients infected with SARS-Cov-2 in the postoperative period. METHODS: We conducted a retrospective analysis including two groups of patients: those who presented COVID-19 before bariatric surgery and those who presented it within 3 months of postoperative. Primary outcome was related to the severity of COVID-19, measured by the following variables: presence of symptoms, need for hospitalization, ICU admission, and invasive ventilation. Laboratory markers for inflammatory response, glycemic status, and micronutrients were analyzed as secondary outcomes. RESULTS: From the 222 individuals operated on within the study period, only 66 (29.7%) presented COVID-19, 42 (18.9%) in the preoperative period and 24 (10.8%) after the procedure. Mean age was 36.3 ± 9.5 years and mean preoperative BMI was 39.9 ± 4.2 kg/m(2). There were no statistically significant differences between the groups regarding symptoms presentation (92.9% × 87.5%, p = 0.66), need for hospitalization (11.9% × 16.7%, p = 0.713), ICU admission (4.8% × 4.2%, p = 1.000), and invasive ventilation (2.4% × 0.0%, p = 1.000). Regarding the quantitative variables, absolute lymphocyte count was significantly lower in the group who presented COVID-19 after surgery (1822.9 ± 482.2 × 2158.6 ± 552.9, p = 0.035). CONCLUSION: Patients who had COVID-19 before and after sleeve gastrectomy did not differ with statistical significance for the presence of symptoms, need for hospitalization, ICU admission, and invasive ventilation. GRAPHICAL ABSTRACT: [Image: see text] Springer US 2022-01-26 2022 /pmc/articles/PMC8789547/ /pubmed/35080700 http://dx.doi.org/10.1007/s11695-022-05915-2 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Contributions
Santa-Cruz, Fernando
Siqueira, Luciana T.
Coutinho, Lucas R.
Leão, Luís Henrique A.
Almeida, Amanda C. A.
Kreimer, Flávio
Ferraz, Álvaro A. B.
Is COVID-19 Severity Impacted by Bariatric Surgery in the Early Postoperative Period?
title Is COVID-19 Severity Impacted by Bariatric Surgery in the Early Postoperative Period?
title_full Is COVID-19 Severity Impacted by Bariatric Surgery in the Early Postoperative Period?
title_fullStr Is COVID-19 Severity Impacted by Bariatric Surgery in the Early Postoperative Period?
title_full_unstemmed Is COVID-19 Severity Impacted by Bariatric Surgery in the Early Postoperative Period?
title_short Is COVID-19 Severity Impacted by Bariatric Surgery in the Early Postoperative Period?
title_sort is covid-19 severity impacted by bariatric surgery in the early postoperative period?
topic Original Contributions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8789547/
https://www.ncbi.nlm.nih.gov/pubmed/35080700
http://dx.doi.org/10.1007/s11695-022-05915-2
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