Cirugía bariátrica y evolución de COVID-19 / Bariatric surgery and evolution of COVID-19
Cambios rev. méd
;
22(1): 852, 30 Junio 2023. ilus, tabs
Article
in Spanish
| LILACS
| ID: biblio-1451425
RESUMEN
INTRODUCTION. Obesity is recognized as a risk factor for developing severe new coronavirus disease. Bariatric surgery prior to infection could behave as a protective factor against serious infections and death. OBJECTIVE. To describe the impact of bariatric surgery on the severity and mortality of patients with obesity and new coronavirus disease; through a systematic review and meta-analysis of the specialized literature from 2020-2022. METHODOLOGY. Publications indexed in databases such as Pubmed, Tripdatabase, and Google scholar, on the impact of previous bariatric surgery on the evolution and prognosis of patients with new coronavirus disease were taken. The Newcastle-Ottawa scale was used to assess quality and risk of bias. RevMan 5.0 software was used for statistical analysis. RESULTS. Eight cohort studies were included, with a population of 137 620 adult subjects with obesity and new coronavirus disease; of these, 5638 (4.09%) had a history of bariatric surgery. In the meta-analysis, it was determined that, in subjects with obesity and new coronavirus disease, the history of bariatric surgery had a protective effect against the use of mechanical ventilation [OR 0.68; 95% CI 0.62-0.75] (p<0.001) and mortality [OR 0.57; 95% CI 0.50-0.65] (p<0.01). CONCLUSIONS. The history of bariatric surgery in subjects with obesity seems to have a protective effect against the severity defined by the use of mechanical ventilation in patients with obesity and mortality due to the new coronvirus disease; therefore, the resumption of bariatric surgical activity, at pre-pandemic levels, could represent an additional benefit for candidate subjects.
ABSTRACT
INTRODUCTION. Obesity is recognized as a risk factor for developing severe new coronavirus disease. Bariatric surgery prior to infection could behave as a protective factor against serious infections and death. OBJECTIVE. To describe the impact of bariatric surgery on the severity and mortality of patients with obesity and new coronavirus disease; through a systematic review and meta-analysis of the specialized literature from 2020-2022. METHODOLOGY. Publications indexed in databases such as Pubmed, Tripdatabase, and Google scholar, on the impact of previous bariatric surgery on the evolution and prognosis of patients with new coronavirus disease were taken. The Newcastle-Ottawa scale was used to assess quality and risk of bias. RevMan 5.0 software was used for statistical analysis. RESULTS. Eight cohort studies were included, with a population of 137 620 adult subjects with obesity and new coronavirus disease; of these, 5638 (4.09%) had a history of bariatric surgery. In the meta-analysis, it was determined that, in subjects with obesity and new coronavirus disease, the history of bariatric surgery had a protective effect against the use of mechanical ventilation [OR 0.68; 95% CI 0.62-0.75] (p<0.001) and mortality [OR 0.57; 95% CI 0.50-0.65] (p<0.01). CONCLUSIONS. The history of bariatric surgery in subjects with obesity seems to have a protective effect against the severity defined by the use of mechanical ventilation in patients with obesity and mortality due to the new coronvirus disease; therefore, the resumption of bariatric surgical activity, at pre-pandemic levels, could represent an additional benefit for candidate subjects.
Subject(s)
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Mortality
/
Bariatric Surgery
/
Patient Acuity
/
Protective Factors
/
COVID-19
/
Obesity
Type of study:
Observational study
/
Prognostic study
/
Risk factors
/
Systematic reviews
Country/Region as subject:
South America
/
Ecuador
Language:
Spanish
Journal:
Cambios rev. méd
Journal subject:
Medicine
/
Public Health
Year:
2023
Type:
Article
Affiliation country:
Ecuador
Institution/Affiliation country:
Gastrocenter, CEO/EC
/
Hospital de Atención Integral al Adulto Mayor, Dirección General/EC
/
Hospital de Especialidades Carlos Andrade Marín, Unidad Técnica de Otorrinolaringología/EC
/
Novaclínica Santa Cecilia, Área de Cirugía General/EC
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