Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/handle/123456789/53196 http://dx.doi.org/10.1007/s11695-022-06067-z |
Resumo: | Background Age ≥ 65 years is regarded as a relative contraindication for bariatric surgery. Advanced age is also a recognised risk factor for adverse outcomes with Coronavirus Disease-2019 (COVID-19) which continues to wreak havoc on global populations. This study aimed to assess the safety of bariatric surgery (BS) in this particular age group during the COVID19 pandemic in comparison with the younger cohort. Methods We conducted a prospective international study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into two groups — patients ≥ 65-years-old (Group I) and patients < 65-years-old (Group II). The two groups were compared for 30-day morbidity and mortality. Results There were 149 patients in Group 1 and 6923 patients in Group II. The mean age, preoperative weight, and BMI were 67.6 ± 2.5 years, 119.5 ± 24.5 kg, and 43 ± 7 in Group I and 39.8 ± 11.3 years, 117.7±20.4 kg, and 43.7 ± 7 in Group II, respectively. Approximately, 95% of patients in Group 1 had at least one co-morbidity compared to 68% of patients in Group 2 (p = < 0.001). The 30-day morbidity was signifcantly higher in Group I (11.4%) compared to Group II (6.6%) (p = 0.022). However, the 30-day mortality and COVID-19 infection rates were not signifcantly diferent between the two groups. Conclusions Bariatric surgery during the COVID-19 pandemic is associated with a higher complication rate in those ≥ 65 years of age compared to those < 65 years old. However, the mortality and postoperative COVID-19 infection rates are not signifcantly diferent between the two groups. |
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Quinino, Reynaldo Martins eSinghal, RishiOmar, IslamEt alhttps://orcid.org/0000-0002-4284-25432023-07-10T19:11:47Z2023-07-10T19:11:47Z2022-05-05QUININO, Reynaldo Martins e;SINGHAL, Rishi; OMAR, Islam; MADHOK, Brijesh; RAJEEV, Yashasvi; et al. Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic. Obesity Surgery, [S.L.], v. 32, n. 7, p. 1-13, 5 maio 2022. Springer Science and Business Media LLC. http://dx.doi.org/10.1007/s11695-022-06067-z. Disponível em: https://link.springer.com/article/10.1007/s11695-022-06067-z. Acesso em: 10 jul. 2023.https://repositorio.ufrn.br/handle/123456789/53196http://dx.doi.org/10.1007/s11695-022-06067-zSpringerAttribution 3.0 Brazilhttp://creativecommons.org/licenses/by/3.0/br/info:eu-repo/semantics/openAccessobesityolder patientssars-cov-2resuming elective surgerymetabolic surgerySafety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemicinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBackground Age ≥ 65 years is regarded as a relative contraindication for bariatric surgery. Advanced age is also a recognised risk factor for adverse outcomes with Coronavirus Disease-2019 (COVID-19) which continues to wreak havoc on global populations. This study aimed to assess the safety of bariatric surgery (BS) in this particular age group during the COVID19 pandemic in comparison with the younger cohort. Methods We conducted a prospective international study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into two groups — patients ≥ 65-years-old (Group I) and patients < 65-years-old (Group II). The two groups were compared for 30-day morbidity and mortality. Results There were 149 patients in Group 1 and 6923 patients in Group II. The mean age, preoperative weight, and BMI were 67.6 ± 2.5 years, 119.5 ± 24.5 kg, and 43 ± 7 in Group I and 39.8 ± 11.3 years, 117.7±20.4 kg, and 43.7 ± 7 in Group II, respectively. Approximately, 95% of patients in Group 1 had at least one co-morbidity compared to 68% of patients in Group 2 (p = < 0.001). The 30-day morbidity was signifcantly higher in Group I (11.4%) compared to Group II (6.6%) (p = 0.022). However, the 30-day mortality and COVID-19 infection rates were not signifcantly diferent between the two groups. Conclusions Bariatric surgery during the COVID-19 pandemic is associated with a higher complication rate in those ≥ 65 years of age compared to those < 65 years old. However, the mortality and postoperative COVID-19 infection rates are not signifcantly diferent between the two groups.engreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNORIGINALSafetyBariatricSurgery_Quinino_2023.pdfSafetyBariatricSurgery_Quinino_2023.pdfapplication/pdf788188https://repositorio.ufrn.br/bitstream/123456789/53196/1/SafetyBariatricSurgery_Quinino_2023.pdf77a98333a8596c69b49a310eca6de5a9MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81484https://repositorio.ufrn.br/bitstream/123456789/53196/4/license.txte9597aa2854d128fd968be5edc8a28d9MD54CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8914https://repositorio.ufrn.br/bitstream/123456789/53196/3/license_rdf4d2950bda3d176f570a9f8b328dfbbefMD53123456789/531962023-07-10 16:34:33.447oai:https://repositorio.ufrn.br:123456789/53196Tk9OLUVYQ0xVU0lWRSBESVNUUklCVVRJT04gTElDRU5TRQoKCkJ5IHNpZ25pbmcgYW5kIGRlbGl2ZXJpbmcgdGhpcyBsaWNlbnNlLCBNci4gKGF1dGhvciBvciBjb3B5cmlnaHQgaG9sZGVyKToKCgphKSBHcmFudHMgdGhlIFVuaXZlcnNpZGFkZSBGZWRlcmFsIFJpbyBHcmFuZGUgZG8gTm9ydGUgdGhlIG5vbi1leGNsdXNpdmUgcmlnaHQgb2YKcmVwcm9kdWNlLCBjb252ZXJ0IChhcyBkZWZpbmVkIGJlbG93KSwgY29tbXVuaWNhdGUgYW5kIC8gb3IKZGlzdHJpYnV0ZSB0aGUgZGVsaXZlcmVkIGRvY3VtZW50IChpbmNsdWRpbmcgYWJzdHJhY3QgLyBhYnN0cmFjdCkgaW4KZGlnaXRhbCBvciBwcmludGVkIGZvcm1hdCBhbmQgaW4gYW55IG1lZGl1bS4KCmIpIERlY2xhcmVzIHRoYXQgdGhlIGRvY3VtZW50IHN1Ym1pdHRlZCBpcyBpdHMgb3JpZ2luYWwgd29yaywgYW5kIHRoYXQKeW91IGhhdmUgdGhlIHJpZ2h0IHRvIGdyYW50IHRoZSByaWdodHMgY29udGFpbmVkIGluIHRoaXMgbGljZW5zZS4gRGVjbGFyZXMKdGhhdCB0aGUgZGVsaXZlcnkgb2YgdGhlIGRvY3VtZW50IGRvZXMgbm90IGluZnJpbmdlLCBhcyBmYXIgYXMgaXQgaXMKdGhlIHJpZ2h0cyBvZiBhbnkgb3RoZXIgcGVyc29uIG9yIGVudGl0eS4KCmMpIElmIHRoZSBkb2N1bWVudCBkZWxpdmVyZWQgY29udGFpbnMgbWF0ZXJpYWwgd2hpY2ggZG9lcyBub3QKcmlnaHRzLCBkZWNsYXJlcyB0aGF0IGl0IGhhcyBvYnRhaW5lZCBhdXRob3JpemF0aW9uIGZyb20gdGhlIGhvbGRlciBvZiB0aGUKY29weXJpZ2h0IHRvIGdyYW50IHRoZSBVbml2ZXJzaWRhZGUgRmVkZXJhbCBkbyBSaW8gR3JhbmRlIGRvIE5vcnRlIHRoZSByaWdodHMgcmVxdWlyZWQgYnkgdGhpcyBsaWNlbnNlLCBhbmQgdGhhdCB0aGlzIG1hdGVyaWFsIHdob3NlIHJpZ2h0cyBhcmUgb2YKdGhpcmQgcGFydGllcyBpcyBjbGVhcmx5IGlkZW50aWZpZWQgYW5kIHJlY29nbml6ZWQgaW4gdGhlIHRleHQgb3IKY29udGVudCBvZiB0aGUgZG9jdW1lbnQgZGVsaXZlcmVkLgoKSWYgdGhlIGRvY3VtZW50IHN1Ym1pdHRlZCBpcyBiYXNlZCBvbiBmdW5kZWQgb3Igc3VwcG9ydGVkIHdvcmsKYnkgYW5vdGhlciBpbnN0aXR1dGlvbiBvdGhlciB0aGFuIHRoZSBVbml2ZXJzaWRhZGUgRmVkZXJhbCBkbyBSaW8gR3JhbmRlIGRvIE5vcnRlLCBkZWNsYXJlcyB0aGF0IGl0IGhhcyBmdWxmaWxsZWQgYW55IG9ibGlnYXRpb25zIHJlcXVpcmVkIGJ5IHRoZSByZXNwZWN0aXZlIGFncmVlbWVudCBvciBhZ3JlZW1lbnQuCgpUaGUgVW5pdmVyc2lkYWRlIEZlZGVyYWwgZG8gUmlvIEdyYW5kZSBkbyBOb3J0ZSB3aWxsIGNsZWFybHkgaWRlbnRpZnkgaXRzIG5hbWUgKHMpIGFzIHRoZSBhdXRob3IgKHMpIG9yIGhvbGRlciAocykgb2YgdGhlIGRvY3VtZW50J3MgcmlnaHRzCmRlbGl2ZXJlZCwgYW5kIHdpbGwgbm90IG1ha2UgYW55IGNoYW5nZXMsIG90aGVyIHRoYW4gdGhvc2UgcGVybWl0dGVkIGJ5CnRoaXMgbGljZW5zZQo=Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2023-07-10T19:34:33Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.pt_BR.fl_str_mv |
Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic |
title |
Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic |
spellingShingle |
Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic Quinino, Reynaldo Martins e obesity older patients sars-cov-2 resuming elective surgery metabolic surgery |
title_short |
Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic |
title_full |
Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic |
title_fullStr |
Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic |
title_full_unstemmed |
Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic |
title_sort |
Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic |
author |
Quinino, Reynaldo Martins e |
author_facet |
Quinino, Reynaldo Martins e Singhal, Rishi Omar, Islam Et al |
author_role |
author |
author2 |
Singhal, Rishi Omar, Islam Et al |
author2_role |
author author author |
dc.contributor.authorID.pt_BR.fl_str_mv |
https://orcid.org/0000-0002-4284-2543 |
dc.contributor.author.fl_str_mv |
Quinino, Reynaldo Martins e Singhal, Rishi Omar, Islam Et al |
dc.subject.por.fl_str_mv |
obesity older patients sars-cov-2 resuming elective surgery metabolic surgery |
topic |
obesity older patients sars-cov-2 resuming elective surgery metabolic surgery |
description |
Background Age ≥ 65 years is regarded as a relative contraindication for bariatric surgery. Advanced age is also a recognised risk factor for adverse outcomes with Coronavirus Disease-2019 (COVID-19) which continues to wreak havoc on global populations. This study aimed to assess the safety of bariatric surgery (BS) in this particular age group during the COVID19 pandemic in comparison with the younger cohort. Methods We conducted a prospective international study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into two groups — patients ≥ 65-years-old (Group I) and patients < 65-years-old (Group II). The two groups were compared for 30-day morbidity and mortality. Results There were 149 patients in Group 1 and 6923 patients in Group II. The mean age, preoperative weight, and BMI were 67.6 ± 2.5 years, 119.5 ± 24.5 kg, and 43 ± 7 in Group I and 39.8 ± 11.3 years, 117.7±20.4 kg, and 43.7 ± 7 in Group II, respectively. Approximately, 95% of patients in Group 1 had at least one co-morbidity compared to 68% of patients in Group 2 (p = < 0.001). The 30-day morbidity was signifcantly higher in Group I (11.4%) compared to Group II (6.6%) (p = 0.022). However, the 30-day mortality and COVID-19 infection rates were not signifcantly diferent between the two groups. Conclusions Bariatric surgery during the COVID-19 pandemic is associated with a higher complication rate in those ≥ 65 years of age compared to those < 65 years old. However, the mortality and postoperative COVID-19 infection rates are not signifcantly diferent between the two groups. |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022-05-05 |
dc.date.accessioned.fl_str_mv |
2023-07-10T19:11:47Z |
dc.date.available.fl_str_mv |
2023-07-10T19:11:47Z |
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info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
QUININO, Reynaldo Martins e;SINGHAL, Rishi; OMAR, Islam; MADHOK, Brijesh; RAJEEV, Yashasvi; et al. Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic. Obesity Surgery, [S.L.], v. 32, n. 7, p. 1-13, 5 maio 2022. Springer Science and Business Media LLC. http://dx.doi.org/10.1007/s11695-022-06067-z. Disponível em: https://link.springer.com/article/10.1007/s11695-022-06067-z. Acesso em: 10 jul. 2023. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/handle/123456789/53196 |
dc.identifier.doi.none.fl_str_mv |
http://dx.doi.org/10.1007/s11695-022-06067-z |
identifier_str_mv |
QUININO, Reynaldo Martins e;SINGHAL, Rishi; OMAR, Islam; MADHOK, Brijesh; RAJEEV, Yashasvi; et al. Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic. Obesity Surgery, [S.L.], v. 32, n. 7, p. 1-13, 5 maio 2022. Springer Science and Business Media LLC. http://dx.doi.org/10.1007/s11695-022-06067-z. Disponível em: https://link.springer.com/article/10.1007/s11695-022-06067-z. Acesso em: 10 jul. 2023. |
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