Telematics pre-operative psychological and nutritional assessment in candidates for bariatric surgery during COVID-19 phase 2: a pilot prospective observational study.


Journal

Minerva surgery
ISSN: 2724-5438
Titre abrégé: Minerva Surg
Pays: Italy
ID NLM: 101777295

Informations de publication

Date de publication:
Feb 2021
Historique:
entrez: 23 3 2021
pubmed: 24 3 2021
medline: 2 4 2021
Statut: ppublish

Résumé

Obesity represents a risk factor for COVID-19 infection. Therefore, in order to reduce COVID-19 related comorbidities in obese population a continuation of obesity treatment is needed. However, bariatric procedures were postponed because of COVID-19 restrictions, delaying treatment for obese patients seeking for surgery. This study aimed to test the feasibility of a telematics pre-operative psychological and nutritional assessment as an alternative tool during COVID-19 outbreak. Twenty-six patients were contacted. The pre-operative assessment consisted in 3-weekly one-to-one online sessions and a final in-person multidisciplinary session. The protocol feasibility has been evaluated on the following outcome: rejection rate (%), dropout rate (%), compliance and satisfaction's degree. Eighteen participants completed the whole protocol and 10% dropped-out. Seventy-two percent of participants obtained an excess weight loss ≥5%. All participants were satisfied of the telematics assessment. COVID-19 emergency has changed standard hospital procedures and this study could represent a landmark for an online pre-operative assessment method to adopt in case of new restrictions.

Sections du résumé

BACKGROUND BACKGROUND
Obesity represents a risk factor for COVID-19 infection. Therefore, in order to reduce COVID-19 related comorbidities in obese population a continuation of obesity treatment is needed. However, bariatric procedures were postponed because of COVID-19 restrictions, delaying treatment for obese patients seeking for surgery. This study aimed to test the feasibility of a telematics pre-operative psychological and nutritional assessment as an alternative tool during COVID-19 outbreak.
METHODS METHODS
Twenty-six patients were contacted. The pre-operative assessment consisted in 3-weekly one-to-one online sessions and a final in-person multidisciplinary session. The protocol feasibility has been evaluated on the following outcome: rejection rate (%), dropout rate (%), compliance and satisfaction's degree.
RESULTS RESULTS
Eighteen participants completed the whole protocol and 10% dropped-out. Seventy-two percent of participants obtained an excess weight loss ≥5%. All participants were satisfied of the telematics assessment.
CONCLUSIONS CONCLUSIONS
COVID-19 emergency has changed standard hospital procedures and this study could represent a landmark for an online pre-operative assessment method to adopt in case of new restrictions.

Identifiants

pubmed: 33754590
pii: S2724-5691.20.08706-4
doi: 10.23736/S2724-5691.20.08706-4
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

57-61

Auteurs

Laura Pierro (L)

Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy - laura.pierro@uniroma1.it.

Ilenia Coluzzi (I)

Division of General Surgery and Bariatric Center of Excellence IFSO EC, Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.

Alberto DI Biasio (A)

Division of General Surgery and Bariatric Center of Excellence IFSO EC, Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.

Emanuela Paone (E)

Division of General Surgery and Bariatric Center of Excellence IFSO EC, Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.

Laura Scappaticci (L)

Rome Obesity Center, Rome, Italy.

Danila Capoccia (D)

Diabetes Unit, Department of Medico-Surgical Sciences and Biotechnologies, Santa Maria Goretti Hospital, Sapienza University of Rome, Latina, Italy.

Francesco DE Angelis (F)

Division of General Surgery and Bariatric Center of Excellence IFSO EC, Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.

Angelo Iossa (A)

Division of General Surgery and Bariatric Center of Excellence IFSO EC, Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.

Cristian E Boru (CE)

Division of General Surgery and Bariatric Center of Excellence IFSO EC, Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.

Carlo Lai (C)

Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy.

Gianfranco Silecchia (G)

Division of General Surgery and Bariatric Center of Excellence IFSO EC, Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.

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Classifications MeSH