Bariatric surgery before and after the SARS-CoV-2 pandemic: a comparative study of cases before the onset of the pandemic in a high volume academic center

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dc.catalogadorpva
dc.contributor.advisorMuñoz Claro, Rodrigo Edgardo
dc.contributor.authorLeón Acuña, Paula Blanca
dc.contributor.otherPontificia Universidad Católica de Chile. Facultad de Medicina
dc.date.accessioned2023-03-06T13:40:12Z
dc.date.available2023-03-06T13:40:12Z
dc.date.issued2023
dc.date.updated2023-03-05T21:58:44Z
dc.descriptionTesis (Magíster en Investigación en Ciencias de la Salud)--Pontificia Universidad Católica de Chile, 2023
dc.description.abstractIntroduction: At the beginning of the pandemic, studies showed a higher risk of severe surgical complications and mortality among patients with perioperative SARS-CoV-2 infection, which led to the suspension of elective surgery. Confinement and lockdown measures were shown to be associated with weight gain and less access to medical and surgical care in patients with obesity, with negative health consequences. To evaluate the safety of Bariatric Surgery during the pandemic, we compared 30-day complications between patients who underwent Bariatric Surgery immediately before with those who underwent bariatric surgery during the opening phase of the pandemic. Methods: Observational analytical study of a non-concurrent cohort of patients who underwent Bariatric Surgery in 2 periods: pre-pandemic March 1 to December 31, 2019, and pandemic March 1 to December 31, 2020. Surgical complications were defined using the Clavien-Dindo classification. Results: Pre-pandemic and pandemic groups included 256 and 202 patients who underwent primary Bariatric Surgery, respectively. The mean age were 37.6 + 10.3 years. The overall complication rate during the first 30 days of discharge was 7.42%. No differences between groups were observed in severe complications (pre-pandemic 1.56% vs. pandemic 1.98%, p: 0.58). No mortality was reported. Overall 30-day readmission was 3.28% with no differences between groups. Conclusion: The findings of this study suggest that bariatric surgery can be successfully conducted during the pandemic, enabling patients with obesity to obtain a treatment that was delayed at the beginning of the pandemic due to safety concerns.
dc.fechaingreso.objetodigital2023-03-05
dc.format.extent23 páginas sin numerar
dc.fuente.origenAutoarchivo
dc.identifier.doi10.7764/tesisUC/MED/66525
dc.identifier.urihttps://doi.org/10.7764/tesisUC/MED/66525
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/66525
dc.information.autorucFacultad de medicina ; Muñoz Claro, Rodrigo Edgardo ; 0000-0002-7229-0129 ; 85888
dc.information.autorucFacultad de medicina ; León Acuña, Paula Blanca ; S/I ; 1074292
dc.language.isoen
dc.nota.accesoContenido completo
dc.rightsacceso abierto
dc.subjectSARS-CoV-2 pandemices_ES
dc.subjectBariatric surgeryes_ES
dc.subjectRoux-en-Y gastric bypasses_ES
dc.subjectSleeve gastrectomyes_ES
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleBariatric surgery before and after the SARS-CoV-2 pandemic: a comparative study of cases before the onset of the pandemic in a high volume academic centeres_ES
dc.typetesis de maestría
sipa.codpersvinculados85888
sipa.codpersvinculados1074292
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3.02 Tesis magíster