Background: There are data on the safety of cancer surgery and the efficacy of preventive strategies on the prevention of postoperative symptomatic COVID-19 in these patients. But there is little such data for any elective surgery. The main objectives of this study were to examine the safety of bariatric surgery (BS) during the coronavirus disease 2019 (COVID-19) pandemic and to determine the efficacy of perioperative COVID-19 protective strategies on postoperative symptomatic COVID-19 rates. Methods: We conducted an international cohort study to determine all-cause and COVID-19-specific 30-day morbidity and mortality of BS performed between 01/05/2020 and 31/10/2020. Results: Four hundred ninety-nine surgeons from 185 centres in 42 countries provided data on 7704 patients. Elective primary BS (n = 7084) was associated with a 30-day morbidity of 6.76% (n = 479) and a 30-day mortality of 0.14% (n = 10). Emergency BS, revisional BS, insulin-treated type 2 diabetes, and untreated obstructive sleep apnoea were associated with increased complications on multivariable analysis. Forty-three patients developed symptomatic COVID-19 postoperatively, with a higher risk in non-whites. Preoperative self-isolation, preoperative testing for SARS-CoV-2, and surgery in institutions not concurrently treating COVID-19 patients did not reduce the incidence of postoperative COVID-19. Postoperative symptomatic COVID-19 was more likely if the surgery was performed during a COVID-19 peak in that country. Conclusions: BS can be performed safely during the COVID-19 pandemic with appropriate perioperative protocols. There was no relationship between preoperative testing for COVID-19 and self-isolation with symptomatic postoperative COVID-19. The risk of postoperative COVID-19 risk was greater in non-whites or if BS was performed during a local peak.

30-Day morbidity and mortality of bariatric surgery during the COVID-19 pandemic: a multinational cohort study of 7704 patients from 42 countries / Singhal, R.; Ludwig, C.; Rudge, G.; Gkoutos, G. V.; Tahrani, A.; Mahawar, K.; Pedziwiatr, M.; Major, P.; Zarzycki, P.; Pantelis, A.; Lapatsanis, D. P.; Stravodimos, G.; Matthys, C.; Focquet, M.; Vleeschouwers, W.; Spaventa, A. G.; Zerrweck, C.; Vitiello, A.; Berardi, G.; Musella, M.; Sanchez-Meza, A.; Cantu, F. J.; Mora, F.; Cantu, M. A.; Katakwar, A.; Reddy, D. N.; Elmaleh, H.; Hassan, M.; Elghandour, A.; Elbanna, M.; Osman, A.; Khan, A.; Layani, L.; Kiran, N.; Velikorechin, A.; Solovyeva, M.; Melali, H.; Shahabi, S.; Agrawal, A.; Shrivastava, A.; Sharma, A.; Narwaria, B.; Narwaria, M.; Raziel, A.; Sakran, N.; Susmallian, S.; Karagoz, L.; Akbaba, M.; Piskin, S. Z.; Balta, A. Z.; Senol, Z.; Manno, E.; Iovino, M. G.; Osman, A.; Qassem, M.; Arana-Garza, S.; Povoas, H. P.; Vilas-Boas, M. L.; Naumann, D.; Super, J.; Li, A.; Ammori, B. J.; Balamoun, H.; Salman, M.; Nasta, A. M.; Goel, R.; Sanchez-Aguilar, H.; Herrera, M. F.; Abou-Mrad, A.; Cloix, L.; Mazzini, G. S.; Kristem, L.; Lazaro, A.; Campos, J.; Bernardo, J.; Gonzalez, J.; Trindade, C.; Viveiros, O.; Ribeiro, R.; Goitein, D.; Hazzan, D.; Segev, L.; Beck, T.; Reyes, H.; Monterrubio, J.; Garcia, P.; Benois, M.; Kassir, R.; Contine, A.; Elshafei, M.; Aktas, S.; Weiner, S.; Heidsieck, T.; Level, L.; Pinango, S.; Ortega, P. M.; Moncada, R.; Valenti, V.; Vlahovic, I.; Boras, Z.; Liagre, A.; Martini, F.; Juglard, G.; Motwani, M.; Saggu, S. S.; Al Moman, H.; Lopez, L. A. A.; Cortez, M. A. C.; Zavala, R. A.; D'Haese, C.; Kempeneers, I.; Himpens, J.; Lazzati, A.; Paolino, L.; Bathaei, S.; Bedirli, A.; Yavuz, A.; Buyukkasap, C.; Ozaydin, S.; Kwiatkowski, A.; Bartosiak, K.; Waledziak, M.; Santonicola, A.; Angrisani, L.; Iovino, P.; Palma, R.; Iossa, Angelo; Boru, EUGENIU CRISTIAN; DE ANGELIS, Francesco; Silecchia, Gianfranco; Hussain, A.; Balchandra, S.; Coltell, I. B.; Perez, J. L.; Bohra, A.; Awan, A. K.; Madhok, B.; Leeder, P. C.; Awad, S.; Al-Khyatt, W.; Shoma, A.; Elghadban, H.; Ghareeb, S.; Mathews, B.; Kurian, M.; Larentzakis, A.; Vrakopoulou, G. Z.; Albanopoulos, K.; Bozdag, A.; Lale, A.; Kirkil, C.; Dincer, M.; Bashir, A.; Haddad, A.; Hijleh, L. A.; Zilberstein, B.; de Marchi, D. D.; Souza, W. P.; Broden, C. M.; Gislason, H.; Shah, K.; Ambrosi, A.; Pavone, G.; Tartaglia, N.; Kona, S. L. K.; Kalyan, K.; Perez, C. E. G.; Botero, M. A. F.; Covic, A.; Timofte, D.; Maxim, M.; Faraj, D.; Tseng, L.; Liem, R.; Oren, G.; Dilektasli, E.; Yalcin, I.; Almukhtar, H.; Al Hadad, M.; Mohan, R.; Arora, N.; Bedi, D.; Rives-Lange, C.; Chevallier, J. -M.; Poghosyan, T.; Sebbag, H.; Zinai, L.; Khaldi, S.; Mauchien, C.; Mazza, D.; Dinescu, G.; Rea, B.; Perez-Galaz, F.; Zavala, L.; Besa, A.; Curell, A.; Balibrea, J. M.; Vaz, C.; Galindo, L.; Silva, N.; Caballero, J. L. E.; Sebastian, S. O.; Marchesini, J. C. D.; da Fonseca Pereira, R. A.; Sobottka, W. H.; Fiolo, F. E.; Turchi, M.; Coelho, A. C. J.; Zacaron, A. L.; Barbosa, A.; Quinino, R.; Menaldi, G.; Paleari, N.; Martinez-Duartez, P.; de Aragon Ramirez de Esparza, G. M.; Esteban, V. S.; Torres, A.; Garcia-Galocha, J. L.; Josa, M.; Pacheco-Garcia, J. M.; Mayo-Ossorio, M. A.; Chowbey, P.; Soni, V.; de Vasconcelos Cunha, H. A.; Castilho, M. V.; Ferreira, R. M. A.; Barreiro, T. A.; Charalabopoulos, A.; Sdralis, E.; Davakis, S.; Bomans, B.; Dapri, G.; Van Belle, K.; Takieddine, M.; Vaneukem, P.; Karaca, E. S. A.; Karaca, F. C.; Sumer, A.; Peksen, C.; Savas, O. A.; Chousleb, E.; Elmokayed, F.; Fakhereldin, I.; Aboshanab, H. M.; Swelium, T.; Gudal, A.; Gamloo, L.; Ugale, A.; Ugale, S.; Boeker, C.; Reetz, C.; Hakami, I. A.; Mall, J.; Alexandrou, A.; Baili, E.; Bodnar, Z.; Maleckas, A.; Gudaityte, R.; Guldogan, C. E.; Gundogdu, E.; Ozmen, M. M.; Thakkar, D.; Dukkipati, N.; Shah, P. S.; Shah, S. S.; Shah, S. S.; Adil, M. T.; Jambulingam, P.; Mamidanna, R.; Whitelaw, D.; Adil, M. T.; Jain, V.; Veetil, D. K.; Wadhawan, R.; Torres, A.; Torres, M.; Tinoco, T.; Leclercq, W.; Romeijn, M.; van de Pas, K.; Alkhazraji, A. K.; Taha, S. A.; Ustun, M.; Yigit, T.; Inam, A.; Burhanulhaq, M.; Pazouki, A.; Eghbali, F.; Kermansaravi, M.; Jazi, A. H. D.; Mahmoudieh, M.; Mogharehabed, N.; Tsiotos, G.; Stamou, K.; Barrera Rodriguez, F. J.; Rojas Navarro, M. A.; Torres, O. M. O.; Martinez, S. L.; Tamez, E. R. M.; Millan Cornejo, G. A.; Flores, J. E. G.; Mohammed, D. A.; Elfawal, M. H.; Shabbir, A.; Guowei, K.; So, J. B.; Kaplan, E. T.; Kaplan, M.; Kaplan, T.; Pham, D. T.; Rana, G.; Kappus, M.; Gadani, R.; Kahitan, M.; Pokharel, K.; Osborne, A.; Pournaras, D.; Hewes, J.; Napolitano, E.; Chiappetta, S.; Bottino, V.; Dorado, E.; Schoettler, A.; Gaertner, D.; Fedtke, K.; Aguilar-Espinosa, F.; Aceves-Lozano, S.; Balani, A.; Nagliati, C.; Pennisi, D.; Rizzi, A.; Frattini, F.; Foschi, D.; Benuzzi, L.; Parikh, C.; Shah, H.; Pinotti, E.; Montuori, M.; Borrelli, V.; Dargent, J.; Copaescu, C. A.; Hutopila, I.; Smeu, B.; Witteman, B.; Hazebroek, E.; Deden, L.; Heusschen, L.; Okkema, S.; Aufenacker, T.; den Hengst, W.; Vening, W.; van der Burgh, Y.; Ghazal, A.; Ibrahim, H.; Niazi, M.; Alkhaffaf, B.; Altarawni, M.; Cesana, G. C.; Anselmino, M.; Uccelli, M.; Olmi, S.; Stier, C.; Akmanlar, T.; Sonnenberg, T.; Schieferbein, U.; Marcolini, A.; Awruch, D.; Vicentin, M.; de Souza Bastos, E. L.; Gregorio, S. A.; Ahuja, A.; Mittal, T.; Bolckmans, R.; Wiggins, T.; Baratte, C.; Wisnewsky, J. A.; Genser, L.; Chong, L.; Taylor, L.; Ward, S.; Chong, L.; Taylor, L.; Hi, M. W.; Heneghan, H.; Fearon, N.; Plamper, A.; Rheinwalt, K.; Heneghan, H.; Geoghegan, J.; Ng, K. C.; Fearon, N.; Kaseja, K.; Kotowski, M.; Samarkandy, T. A.; Leyva-Alvizo, A.; Corzo-Culebro, L.; Wang, C.; Yang, W.; Dong, Z.; Riera, M.; Jain, R.; Hamed, H.; Said, M.; Zarzar, K.; Garcia, M.; Turkcapar, A. G.; Sen, O.; Baldini, E.; Conti, L.; Wietzycoski, C.; Lopes, E.; Pintar, T.; Salobir, J.; Aydin, C.; Atici, S. D.; Ergin, A.; Ciyiltepe, H.; Bozkurt, M. A.; Kizilkaya, M. C.; Onalan, N. B. D.; Zuber, M. N. B. A.; Wong, W. J.; Garcia, A.; Vidal, L.; Beisani, M.; Pasquier, J.; Vilallonga, R.; Sharma, S.; Parmar, C.; Lee, L.; Sufi, P.; Sinan, H.; Saydam, M.. - In: OBESITY SURGERY. - ISSN 0960-8923. - (2021), pp. 1-17. [10.1007/s11695-021-05493-9]

30-Day morbidity and mortality of bariatric surgery during the COVID-19 pandemic: a multinational cohort study of 7704 patients from 42 countries

Li A.;Salman M.;Goel R.;Aktas S.;Santonicola A.;Angrisani L.;Iovino P.;Iossa Angelo;Boru Cristian Eugeniu;De Angelis Francesco;Silecchia Gianfranco;Tartaglia N.;Torres A.;Torres A.;Kaplan M.;Montuori M.;Ibrahim H.;Uccelli M.;Marcolini A.;
2021

Abstract

Background: There are data on the safety of cancer surgery and the efficacy of preventive strategies on the prevention of postoperative symptomatic COVID-19 in these patients. But there is little such data for any elective surgery. The main objectives of this study were to examine the safety of bariatric surgery (BS) during the coronavirus disease 2019 (COVID-19) pandemic and to determine the efficacy of perioperative COVID-19 protective strategies on postoperative symptomatic COVID-19 rates. Methods: We conducted an international cohort study to determine all-cause and COVID-19-specific 30-day morbidity and mortality of BS performed between 01/05/2020 and 31/10/2020. Results: Four hundred ninety-nine surgeons from 185 centres in 42 countries provided data on 7704 patients. Elective primary BS (n = 7084) was associated with a 30-day morbidity of 6.76% (n = 479) and a 30-day mortality of 0.14% (n = 10). Emergency BS, revisional BS, insulin-treated type 2 diabetes, and untreated obstructive sleep apnoea were associated with increased complications on multivariable analysis. Forty-three patients developed symptomatic COVID-19 postoperatively, with a higher risk in non-whites. Preoperative self-isolation, preoperative testing for SARS-CoV-2, and surgery in institutions not concurrently treating COVID-19 patients did not reduce the incidence of postoperative COVID-19. Postoperative symptomatic COVID-19 was more likely if the surgery was performed during a COVID-19 peak in that country. Conclusions: BS can be performed safely during the COVID-19 pandemic with appropriate perioperative protocols. There was no relationship between preoperative testing for COVID-19 and self-isolation with symptomatic postoperative COVID-19. The risk of postoperative COVID-19 risk was greater in non-whites or if BS was performed during a local peak.
File allegati a questo prodotto
File Dimensione Formato  
Singhal_30-Day_2021.pdf

accesso aperto

Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Creative commons
Dimensione 579.99 kB
Formato Adobe PDF
579.99 kB Adobe PDF Visualizza/Apri PDF

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1567437
Citazioni
  • ???jsp.display-item.citation.pmc??? 14
  • Scopus 11
  • ???jsp.display-item.citation.isi??? 12
social impact