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
Artigo
em Espanhol
| LILACS
| ID: biblio-1451425
Biblioteca responsável:
EC162.1
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.
Assuntos
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
/
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
COVID-19
/
Pneumonía
/
Hipertensão Arterial
/
Doenças do Sistema Endócrino
/
Obesidade
/
Outras Doenças Respiratórias
Base de dados:
LILACS
Assunto principal:
Mortalidade
/
Cirurgia Bariátrica
/
Gravidade do Paciente
/
Fatores de Proteção
/
COVID-19
/
Obesidade
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
/
Revisão sistemática
Aspecto:
Preferência do paciente
País/Região como assunto:
América do Sul
/
Equador
Idioma:
Espanhol
Revista:
Cambios rev. méd
Assunto da revista:
Medicina
/
Saúde Pública
Ano de publicação:
2023
Tipo de documento:
Artigo
País de afiliação:
Equador
Instituição/País de afiliação:
Gastrocenter, CEO/EC
/
Hospital de Atención Integral al Adulto Mayor, Dirección General/EC
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Hospital de Especialidades Carlos Andrade Marín, Unidad Técnica de Otorrinolaringología/EC
/
Novaclínica Santa Cecilia, Área de Cirugía General/EC