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

AbstractBACKGROUND:
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:
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:
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:
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.
AuthorsLaura Pierro, Ilenia Coluzzi, Alberto DI Biasio, Emanuela Paone, Laura Scappaticci, Danila Capoccia, Francesco DE Angelis, Angelo Iossa, Cristian E Boru, Carlo Lai, Gianfranco Silecchia
JournalMinerva surgery (Minerva Surg) Vol. 76 Issue 1 Pg. 57-61 (Feb 2021) ISSN: 2724-5438 [Electronic] Italy
PMID33754590 (Publication Type: Journal Article, Observational Study)
Topics
  • Adult
  • Bariatric Surgery
  • COVID-19 (prevention & control)
  • Feasibility Studies
  • Female
  • Humans
  • Internet-Based Intervention
  • Male
  • Nutrition Assessment
  • Patient Compliance (statistics & numerical data)
  • Patient Dropouts (statistics & numerical data)
  • Patient Satisfaction (statistics & numerical data)
  • Pilot Projects
  • Preoperative Care (methods)
  • Prospective Studies
  • Psychological Tests
  • Social Media
  • Weight Loss

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