Effects of Bariatric Surgery on COVID-19: a Multicentric Study from a High Incidence Area.
Obes Surg
; 31(6): 2477-2488, 2021 06.
Article
en En
| MEDLINE
| ID: mdl-33417099
ABSTRACT
INTRODUCTION:
The favorable effects of bariatric surgery (BS) on overall pulmonary function and obesity-related comorbidities could influence SARS-CoV-2 clinical expression. This has been investigated comparing COVID-19 incidence and clinical course between a cohort of patients submitted to BS and a cohort of candidates for BS during the spring outbreak in Italy. MATERIALS ANDMETHODS:
From April to August 2020, 594 patients from 6 major bariatric centers in Emilia-Romagna were administered an 87-item telephonic questionnaire. Demographics, COVID-19 incidence, suggestive symptoms, and clinical outcome parameters of operated patients and candidates to BS were compared. The incidence of symptomatic COVID-19 was assessed including the clinical definition of probable case, according to World Health Organization criteria.RESULTS:
Three hundred fifty-three operated patients (Op) and 169 candidates for BS (C) were finally included in the statistical analysis. While COVID-19 incidence confirmed by laboratory tests was similar in the two groups (5.7% vs 5.9%), lower incidence of most of COVID-19-related symptoms, such as anosmia (p 0.046), dysgeusia (p 0.049), fever with rapid onset (p 0.046) were recorded among Op patients, resulting in a lower rate of probable cases (14.4% vs 23.7%; p 0.009). Hospitalization was more frequent in C patients (2.4% vs 0.3%, p 0.02). One death in each group was reported (0.3% vs 0.6%). Previous pneumonia and malignancies resulted to be associated with symptomatic COVID-19 at univariate and multivariate analysis.CONCLUSION:
Patients submitted to BS seem to develop less severe SARS-CoV-2 infection than subjects suffering from obesity.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Obesidad Mórbida
/
Cirugía Bariátrica
/
COVID-19
Tipo de estudio:
Clinical_trials
/
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Obes Surg
Asunto de la revista:
METABOLISMO
Año:
2021
Tipo del documento:
Article
País de afiliación:
Italia