Efficacy of bariatric surgery in COVID-19 patients: An updated systematic review and meta-analysis
Introduction: Obesity is linked with poor outcomes in patients with SARS-CoV-2 infection. In patients with BMI > 35 kg/m2, increased rates of hospital and subsequently ICU admissions have been noted. Bariatric surgery resulting in sustained weight loss is hypothesized to decrease the morbid outco...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Surgery in Practice and Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S266626202200081X |
| _version_ | 1798019227055030272 |
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| author | Nimra Hasnain Abdul Moeed Eisha Waqar Syed Ali Farhan Fnu Amreek |
| author_facet | Nimra Hasnain Abdul Moeed Eisha Waqar Syed Ali Farhan Fnu Amreek |
| author_sort | Nimra Hasnain |
| collection | DOAJ |
| description | Introduction: Obesity is linked with poor outcomes in patients with SARS-CoV-2 infection. In patients with BMI > 35 kg/m2, increased rates of hospital and subsequently ICU admissions have been noted. Bariatric surgery resulting in sustained weight loss is hypothesized to decrease the morbid outcomes associated with COVID. In this review, we update the evidence on the topic. Methods: An extensive literature search was conducted of electronic databases. Screening of the articles based on the eligibility criteria was followed by relevant data extraction. In addition to articles used in a previous meta-analysis, relevant databases were searched to filter for any new articles. Initially, two independent reviewers screened Pubmed and the Cochrane database followed by a thorough search of additional databases such as Google scholar and Medrxiv. Articles were first screened using title and abstract, followed by a full text read. Duplicates, meta-analysis, letter to the editors, and commentaries were excluded. No language restrictions were applied. Results: A total of nine articles with a population of 1,130,341 were entered into RevMan. Patients with bariatric surgery displayed significantly decreased hospitalization (OR: 0.52, 95% CI [0.45, 0.61]), were less likely to be admitted to the ICU (OR: 0.44, 95% CI [0.29, 0.67]), and had reduced overall mortality (OR: 0.42, 95% CI [0.25, 0.70]). Conclusion: Surgically induced weight loss is beneficial in reducing morbidity and mortality of COVID-19. |
| first_indexed | 2024-04-11T16:37:04Z |
| format | Article |
| id | doaj.art-916a777c611c482691e223ba515b9635 |
| institution | Directory Open Access Journal |
| issn | 2666-2620 |
| language | English |
| last_indexed | 2024-04-11T16:37:04Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery in Practice and Science |
| spelling | doaj.art-916a777c611c482691e223ba515b96352022-12-22T04:13:47ZengElsevierSurgery in Practice and Science2666-26202022-12-0111100140Efficacy of bariatric surgery in COVID-19 patients: An updated systematic review and meta-analysisNimra Hasnain0Abdul Moeed1Eisha Waqar2Syed Ali Farhan3Fnu Amreek4Department of Surgery, Ruth Pfau. Civil Hospital Karachi, PakistanDow Medical College, Dow University of Health Sciences, Karachi, PakistanDow Medical College, Dow University of Health Sciences, Karachi, PakistanDepartment of Surgery, VCU Health, Richmond, VA, USADepartment of Surgery, Yale New Haven Hospital, CT, USAIntroduction: Obesity is linked with poor outcomes in patients with SARS-CoV-2 infection. In patients with BMI > 35 kg/m2, increased rates of hospital and subsequently ICU admissions have been noted. Bariatric surgery resulting in sustained weight loss is hypothesized to decrease the morbid outcomes associated with COVID. In this review, we update the evidence on the topic. Methods: An extensive literature search was conducted of electronic databases. Screening of the articles based on the eligibility criteria was followed by relevant data extraction. In addition to articles used in a previous meta-analysis, relevant databases were searched to filter for any new articles. Initially, two independent reviewers screened Pubmed and the Cochrane database followed by a thorough search of additional databases such as Google scholar and Medrxiv. Articles were first screened using title and abstract, followed by a full text read. Duplicates, meta-analysis, letter to the editors, and commentaries were excluded. No language restrictions were applied. Results: A total of nine articles with a population of 1,130,341 were entered into RevMan. Patients with bariatric surgery displayed significantly decreased hospitalization (OR: 0.52, 95% CI [0.45, 0.61]), were less likely to be admitted to the ICU (OR: 0.44, 95% CI [0.29, 0.67]), and had reduced overall mortality (OR: 0.42, 95% CI [0.25, 0.70]). Conclusion: Surgically induced weight loss is beneficial in reducing morbidity and mortality of COVID-19.http://www.sciencedirect.com/science/article/pii/S266626202200081XBariatric surgeryCOVID-19Weight loss |
| spellingShingle | Nimra Hasnain Abdul Moeed Eisha Waqar Syed Ali Farhan Fnu Amreek Efficacy of bariatric surgery in COVID-19 patients: An updated systematic review and meta-analysis Surgery in Practice and Science Bariatric surgery COVID-19 Weight loss |
| title | Efficacy of bariatric surgery in COVID-19 patients: An updated systematic review and meta-analysis |
| title_full | Efficacy of bariatric surgery in COVID-19 patients: An updated systematic review and meta-analysis |
| title_fullStr | Efficacy of bariatric surgery in COVID-19 patients: An updated systematic review and meta-analysis |
| title_full_unstemmed | Efficacy of bariatric surgery in COVID-19 patients: An updated systematic review and meta-analysis |
| title_short | Efficacy of bariatric surgery in COVID-19 patients: An updated systematic review and meta-analysis |
| title_sort | efficacy of bariatric surgery in covid 19 patients an updated systematic review and meta analysis |
| topic | Bariatric surgery COVID-19 Weight loss |
| url | http://www.sciencedirect.com/science/article/pii/S266626202200081X |
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