Postoperative pneumonia after bariatric surgery during the COVID-19 pandemic: a National Surgical Quality Improvement Program study.
Surg Obes Relat Dis
; 18(10): 1239-1245, 2022 10.
Статья
в английский
| MEDLINE | ID: covidwho-1972312
ABSTRACT
BACKGROUND:
During the COVID-19 pandemic, surgical centers had to weigh the benefits and risks of conducting bariatric surgery. Obesity increases the risk of developing severe COVID-19 infections, and therefore, bariatric surgery is beneficial. In contrast, surgical patients who test positive for COVID-19 have higher mortality rates.OBJECTIVE:
This study investigates the national prevalence of postoperative pneumonia during the COVID-19 pandemic in the bariatric surgery population.SETTING:
The American College of Surgeons National Surgical Quality Improvement Project (ACS-NSQIP) database.METHODS:
This is a cross-sectional study using the ACS-NSQIP database. The population of concern included patients who underwent sleeve gastrectomy and Roux-en-Y gastric bypass procedures. Information was extracted on rate of postoperative pneumonia and other 30-day complications between 2018 and 2020.RESULTS:
All baseline characteristics were similar among patients who underwent bariatric surgery between 2018 and 2020. However, there was a 156% increase in postoperative pneumonia in 2020 compared with the previous year. Furthermore, despite the similar postoperative complication rates across the years, there was a statistically significant increase in all-cause mortality in 2020. The multivariate analysis showed that having surgery in 2020 was a statistically significant risk factor for pneumonia development postoperatively.CONCLUSIONS:
This study showed a statistically significant increase in the prevalence of postoperative pneumonia during the COVID-19 pandemic among bariatric surgery patients. Surgical centers must continuously evaluate the risks associated with healthcare-associated exposure to COVID-19 and weigh the benefits of bariatric surgery.ключевые слова
Полный текст:
Имеется в наличии
Коллекция:
Международные базы данных
база данных:
MEDLINE
Основная тема:
Pneumonia
/
Obesity, Morbid
/
Gastric Bypass
/
Laparoscopy
/
Bariatric Surgery
/
COVID-19
Тип исследования:
Экспериментальные исследования
/
Наблюдательное исследование
/
Прогностическое исследование
/
Качественное исследование
/
Рандомизированные контролируемые испытания
Темы:
Длинный Ковид
Пределы темы:
Люди
Язык:
английский
Журнал:
Surg Obes Relat Dis
Тематика журнала:
Метаболизм
Год:
2022
Тип:
Статья
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