PDF(Pubmed)
Abstract：
UNASSIGNED: This study aimed to describe the incidence and clinical presentation of fully vaccinated and unvaccinated patients who tested positive for COVID-19 in the first year after Madina Women\'s Hospital in Alexandria, Egypt, resumed bariatric surgery procedures. (The clinic was closed between March 2020 and reopened in mid-October 2020).
UNASSIGNED: This prospective cohort study was conducted between November 2020 till the end of December 2021. We identified patients undergoing bariatric surgery infected with COVID-19 with and without vaccination. COVID-19 severity was assessed based on the Egypt Ministry of Health guidelines. Some patients were isolated at home, whereas others were hospitalised.
UNASSIGNED: During the one year after the restart of bariatric surgery procedures, 606 patients underwent bariatric procedures (n = 280 fully vaccinated, n = 320 unvaccinated). During follow-up, that period, the incidence of COVID-19 in the vaccinated group was 1.07% (n = 3) versus 14.1% (n = 46) in the unvaccinated group.Three patients had mild symptoms in the vaccinated group, and no hospital admission was necessary. In the unvaccinated group, 27 patients (60%) were classified as mild, eight (17.8%) as moderate, eight (17.8%) as moderate with risk, and two (4.4%) as severe; the mortality rate was 0%. Of these, 16 (88.9%) were hospitalised, of which six (33.3%) were admitted to the intensive care unit in the moderate to severe groups.
UNASSIGNED: Patients with obesity are at increased risk for COVID-19 infection and adverse consequences. Our findings showed a higher incidence of COVID-19 among those unvaccinated versus vaccinated. Therefore, at least during times and locations of a COVID-19 pandemic, vaccinations may be beneficial for patients against COVID-19 prior to bariatric surgery.
UNASSIGNED: This prospective cohort study was conducted between November 2020 till the end of December 2021. We identified patients undergoing bariatric surgery infected with COVID-19 with and without vaccination. COVID-19 severity was assessed based on the Egypt Ministry of Health guidelines. Some patients were isolated at home, whereas others were hospitalised.
UNASSIGNED: During the one year after the restart of bariatric surgery procedures, 606 patients underwent bariatric procedures (n = 280 fully vaccinated, n = 320 unvaccinated). During follow-up, that period, the incidence of COVID-19 in the vaccinated group was 1.07% (n = 3) versus 14.1% (n = 46) in the unvaccinated group.Three patients had mild symptoms in the vaccinated group, and no hospital admission was necessary. In the unvaccinated group, 27 patients (60%) were classified as mild, eight (17.8%) as moderate, eight (17.8%) as moderate with risk, and two (4.4%) as severe; the mortality rate was 0%. Of these, 16 (88.9%) were hospitalised, of which six (33.3%) were admitted to the intensive care unit in the moderate to severe groups.
UNASSIGNED: Patients with obesity are at increased risk for COVID-19 infection and adverse consequences. Our findings showed a higher incidence of COVID-19 among those unvaccinated versus vaccinated. Therefore, at least during times and locations of a COVID-19 pandemic, vaccinations may be beneficial for patients against COVID-19 prior to bariatric surgery.
摘要：
■这项研究旨在描述亚历山大市Madina妇女医院后第一年COVID-19检测呈阳性的完全接种和未接种疫苗的患者的发病率和临床表现，埃及,恢复减肥手术。（该诊所于2020年3月关闭，并于2020年10月中旬重新开放）。
■这项前瞻性队列研究于2020年11月至2021年12月底进行。我们确定了接受减肥手术的患者感染了COVID-19，有或没有接种疫苗。COVID-19的严重程度是根据埃及卫生部的指南进行评估的。一些病人被隔离在家里，而其他人则住院。
■在重新开始减肥手术后的一年内，606例患者接受了减肥手术（n=280例完全接种疫苗，n=320未接种疫苗)。随访期间,那个时期,接种组的COVID-19发生率为1.07%(n=3),未接种组的COVID-19发生率为14.1%(n=46).接种疫苗组有3名患者出现轻微症状,不需要住院。在未接种疫苗的组中，27例患者（60％）被归类为轻度，八个(17.8%)中等，八个（17.8%）为中度风险，2例（4.4％）为严重；死亡率为0％。其中,16人（88.9％）住院，其中6人(33.3%)在中重度组入住重症监护病房。
■肥胖患者感染COVID-19和不良后果的风险增加。我们的研究结果表明，未接种疫苗的人群与接种疫苗的人群相比，COVID-19的发病率更高。因此,至少在COVID-19大流行的时间和地点，在减肥手术前接种疫苗可能对COVID-19患者有益。
■这项前瞻性队列研究于2020年11月至2021年12月底进行。我们确定了接受减肥手术的患者感染了COVID-19，有或没有接种疫苗。COVID-19的严重程度是根据埃及卫生部的指南进行评估的。一些病人被隔离在家里，而其他人则住院。
■在重新开始减肥手术后的一年内，606例患者接受了减肥手术（n=280例完全接种疫苗，n=320未接种疫苗)。随访期间,那个时期,接种组的COVID-19发生率为1.07%(n=3),未接种组的COVID-19发生率为14.1%(n=46).接种疫苗组有3名患者出现轻微症状,不需要住院。在未接种疫苗的组中，27例患者（60％）被归类为轻度，八个(17.8%)中等，八个（17.8%）为中度风险，2例（4.4％）为严重；死亡率为0％。其中,16人（88.9％）住院，其中6人(33.3%)在中重度组入住重症监护病房。
■肥胖患者感染COVID-19和不良后果的风险增加。我们的研究结果表明，未接种疫苗的人群与接种疫苗的人群相比，COVID-19的发病率更高。因此,至少在COVID-19大流行的时间和地点，在减肥手术前接种疫苗可能对COVID-19患者有益。
