Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy -
Division of General Surgery and Bariatric Center of Excellence IFSO EC, Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.
Minerva Surg. 2021 Feb;76(1):57-61. doi: 10.23736/S2724-5691.20.08706-4.
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.
肥胖是 COVID-19 感染的一个危险因素。因此，为了降低肥胖人群中与 COVID-19 相关的合并症，需要继续对肥胖症进行治疗。然而，由于 COVID-19 的限制，减重手术被推迟，这延误了寻求手术的肥胖患者的治疗。本研究旨在测试远程术前心理和营养评估作为 COVID-19 大流行期间替代工具的可行性。
联系了 26 名患者。术前评估包括每周一次的一对一在线会议和一次最终的多学科现场会议。该方案的可行性通过以下结果进行评估：拒绝率（%）、退出率（%）、依从性和满意度。
18 名参与者完成了整个方案，10%的参与者退出。72%的参与者体重减轻超过 5%。所有参与者对远程评估都很满意。
COVID-19 紧急情况改变了标准的医院程序，本研究可能为在新限制下采用在线术前评估方法奠定基础。
