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[新冠疫情对德国肥胖症患者治疗的影响——基于全国StuDoQ/MBE登记册的分析]

[Impact of the COVID pandemic on treatment of bariatric patients in Germany-An analysis of the national StuDoQ/MBE register].

作者信息

Vladimirov M, Wellner U F, Klinger C, Buhr H J, Seyfried F

机构信息

Metabolische und bariatrische Chirurgie, Klinik für Allgemein, Viszeral- und Thoraxchirurgie, PMU Nürnberg, Prof.-Ernst-Nathan-Str. 1, 90419, Nürnberg, Deutschland.

Klinik für Chirurgie, UKSH Campus Lübeck, Lübeck, Deutschland.

出版信息

Chirurgie (Heidelb). 2023 Jun;94(6):487-496. doi: 10.1007/s00104-023-01838-5. Epub 2023 Mar 9.

Abstract

BACKGROUND

During the coronavirus disease 2019 (COVID-19) pandemic the standard inpatient care of patients was restricted to increase overall and intensive care capacity reserves for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infected persons.

OBJECTIVE

This article presents the impact of the COVID-19 pandemic on the surgical and postoperative care of bariatric patients in Germany.

MATERIAL AND METHODS

A statistical analysis of the national StuDoQ/MBE register data for the period from 1 May 2018 until 31 May 2022 was performed.

RESULTS

Throughout the entire study period there was a continuous increase in documented operations, which continued even during the COVID-19 pandemic. A significant intermittent decline in surgery performed was observed only during the imposition of first lockdown in the months of March to May 2020, with a minimum number of 194 cases performed monthly in April 2020. The pandemic had no measurable effect on the surgically treated patient population, the type of surgical procedure, the perioperative and postoperative outcomes and follow-up care.

CONCLUSION

Based on the results of the StuDoQ data and the current literature, it can be deduced that bariatric surgery can be carried out with no increased risk during the COVID-19 pandemic and the quality of postoperative care is not impaired.

摘要

背景

在2019年冠状病毒病(COVID-19)大流行期间,患者的标准住院护理受到限制,以增加针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染者的整体和重症监护能力储备。

目的

本文介绍了COVID-19大流行对德国肥胖症患者手术及术后护理的影响。

材料与方法

对2018年5月1日至2022年5月31日期间的国家StuDoQ/MBE登记数据进行了统计分析。

结果

在整个研究期间,记录的手术量持续增加,即使在COVID-19大流行期间也是如此。仅在2020年3月至5月实施首次封锁期间,观察到手术量出现显著的间歇性下降,2020年4月每月进行的手术量最少,为194例。大流行对接受手术治疗的患者群体、手术类型、围手术期和术后结果以及后续护理没有可测量的影响。

结论

根据StuDoQ数据的结果和当前文献,可以推断出在COVID-19大流行期间可以进行肥胖症手术,且风险不会增加,术后护理质量也不会受到损害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3458/9998013/ccfd714136f0/104_2023_1838_Fig1_HTML.jpg

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