COVID-19大流行期间恢复减肥手术程序:中东三级转诊中心的早期手术结果

IF 0.4 4区医学 Q4 NURSING

Bariatric Surgical Practice and Patient Care Pub Date : 2022-06-01 Epub Date: 2022-06-08 DOI:10.1089/bari.2021.0039

Alia Alhareb, Juan S Barajas-Gamboa, Christine Tat, Terrence Lee-St John, Gabriel Diaz Del Gobbo, Carlos Abril, Ricard Corcelles, Matthew Kroh, Javed Raza

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引用次数: 1

摘要

背景:为应对COVID-19大流行，选择性外科手术已被推迟。即使实施了外科学会的建议，患者的安全仍然是一个问题。本研究评估了COVID-19大流行期间重新开放(RO)选择性手术后接受减肥手术患者的术后结果。方法:纳入2015年9月至2020年7月接受减肥手术的所有患者。患者分为两个队列:covid -19前(PC)队列和RO队列。采用倾向评分加权法评价术后结果。结果:本研究纳入1076例患者，其中PC 1015例，RO 61例。64%为女性，平均年龄为37岁，中位体重指数为41 kg/m2。围手术期30天的预后差异无统计学意义，急诊科就诊率为24.8%，RO为19.7% (p = 0.492)，再入院率为4.2%，RO为8.2% (p = 0.361)，再手术率为2.6%，RO为0% (p = 0.996)，主要并发症率为4.0%，RO为4.9% (p = 0.812)。RO内无患者感染新冠肺炎。结论:通过适当的政策和预防措施，在COVID-19大流行之前和期间，术后30天的预后似乎没有差异。

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Resuming Bariatric Surgery Procedures During COVID-19 Pandemic: Early Surgical Outcomes at a Tertiary Referral Center in the Middle East.

Background: In response to the COVID-19 pandemic, elective surgical procedures have been delayed. Even with the implementation of surgical societies' recommendations, patient safety remains a concern. This study evaluates the postoperative outcomes in patients undergoing bariatric surgery after reopening (RO) elective surgery during the COVID-19 pandemic.

Methods: All patients who underwent bariatric surgery from September 2015 to July 2020 were included. Patients were divided into two cohorts: the pre-COVID-19 (PC) cohort and the RO cohort. Propensity score weighting was used to evaluate postoperative outcomes.

Results: Our study included 1076 patients, 1015 patients were in the PC and 61 patients in the RO. Sixty-four percent were female with a mean age of 37 years and median body mass index of 41 kg/m². There were no statistically significant differences in 30 days perioperative outcomes, including emergency department visits 24.8% PC versus 19.7% RO (p = 0.492), readmission 4.2% PC versus 8.2% RO (p = 0.361), reoperation 2.6% PC versus 0% RO (p = 0.996), and major complications 4.0% PC versus 4.9% RO (p = 0.812). No patients in the RO contracted COVID-19.

Conclusions: With the appropriate policies and precautionary measures, there appear to be no differences in the 30-day postoperative outcomes before and during the COVID-19 pandemic.

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来源期刊

Bariatric Surgical Practice and Patient Care NURSING-

CiteScore

0.80

自引率

0.00%

发文量

期刊介绍： Bariatric Surgical Practice and Patient Care is the essential peer-reviewed journal delivering clinical best practices and quality updates for achieving optimal bariatric surgical outcomes. Bariatric Surgical Practice and Patient Care coverage includes: Quality outcomes measurement and reporting Process innovations and care delivery Short- and long-term surgical complications Pre-surgical diagnosis and consultation Pre-op, peri-op, and post-op standards of practice Patient access Patient safety issues Nutritional and dietary support Bariatric surgical emergencies Best practices and current standards for bariatric surgery Culture and ethics Body contouring and reconstructive surgery Bariatric teamwork and communication.