Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic

dc.contributor.authorQuinino, Reynaldo Martins e
dc.contributor.authorSinghal, Rishi
dc.contributor.authorOmar, Islam
dc.contributor.authorEt al
dc.contributor.authorIDhttps://orcid.org/0000-0002-4284-2543pt_BR
dc.date.accessioned2023-07-10T19:11:47Z
dc.date.available2023-07-10T19:11:47Z
dc.date.issued2022-05-05
dc.description.resumoBackground Age ≥ 65 years is regarded as a relative contraindication for bariatric surgery. Advanced age is also a recognised risk factor for adverse outcomes with Coronavirus Disease-2019 (COVID-19) which continues to wreak havoc on global populations. This study aimed to assess the safety of bariatric surgery (BS) in this particular age group during the COVID19 pandemic in comparison with the younger cohort. Methods We conducted a prospective international study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into two groups — patients ≥ 65-years-old (Group I) and patients < 65-years-old (Group II). The two groups were compared for 30-day morbidity and mortality. Results There were 149 patients in Group 1 and 6923 patients in Group II. The mean age, preoperative weight, and BMI were 67.6 ± 2.5 years, 119.5 ± 24.5 kg, and 43 ± 7 in Group I and 39.8 ± 11.3 years, 117.7±20.4 kg, and 43.7 ± 7 in Group II, respectively. Approximately, 95% of patients in Group 1 had at least one co-morbidity compared to 68% of patients in Group 2 (p = < 0.001). The 30-day morbidity was signifcantly higher in Group I (11.4%) compared to Group II (6.6%) (p = 0.022). However, the 30-day mortality and COVID-19 infection rates were not signifcantly diferent between the two groups. Conclusions Bariatric surgery during the COVID-19 pandemic is associated with a higher complication rate in those ≥ 65 years of age compared to those < 65 years old. However, the mortality and postoperative COVID-19 infection rates are not signifcantly diferent between the two groups.pt_BR
dc.identifier.citationQUININO, Reynaldo Martins e;SINGHAL, Rishi; OMAR, Islam; MADHOK, Brijesh; RAJEEV, Yashasvi; et al. Safety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemic. Obesity Surgery, [S.L.], v. 32, n. 7, p. 1-13, 5 maio 2022. Springer Science and Business Media LLC. http://dx.doi.org/10.1007/s11695-022-06067-z. Disponível em: https://link.springer.com/article/10.1007/s11695-022-06067-z. Acesso em: 10 jul. 2023.pt_BR
dc.identifier.doihttp://dx.doi.org/10.1007/s11695-022-06067-z
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/53196
dc.languageenpt_BR
dc.publisherSpringerpt_BR
dc.rightsAttribution 3.0 Brazil*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/br/*
dc.subjectobesitypt_BR
dc.subjectolder patientspt_BR
dc.subjectsars-cov-2pt_BR
dc.subjectresuming elective surgerypt_BR
dc.subjectmetabolic surgerypt_BR
dc.titleSafety of bariatric surgery in ≥ 65‑year‑old patients during the COVID‑19 pandemicpt_BR
dc.typearticlept_BR

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