1. Prior metabolic surgery reduced COVID-19 severity: Systematic analysis from year one of the COVID-19 pandemic
- Author
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G. Craig Wood, Peter N. Benotti, Rodrigo M. Fano, James T. Dove, David DK. Rolston, Anthony T. Petrick, and Christopher D. Still
- Subjects
Metabolic surgery ,COVID-19 ,Outcomes ,Pooled analysis ,Science (General) ,Q1-390 ,Social sciences (General) ,H1-99 - Abstract
Background: Obesity is a risk factor for COVID-19 severity. Recent studies suggest that prior metabolic surgery (MS) modifies the risk of COVID-19 severity. Methods: COVID-19 outcomes were compared between patients with MS (n = 287) and a matched cohort of unoperated patients (n = 861). Multiple logistic regression was used to identify predictors of hospitalization. A systematic literature review and pooled analysis was conducted to provide overall evidence of the influence of prior metabolic surgery on COVID-19 outcomes. Results: COVID-19 patients with MS had less hospitalization (9.8% versus 14.3%, p = 0.049). Age 70+, higher BMI, and low weight regain after MS were associated with more hospitalization after COVID-19. A systematic review of 7 studies confirmed that MS reduced the risk of post-COVID-19 hospitalization (OR = 0.71, 95%CI = [0.61–0.83], p
- Published
- 2023
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