The change in the frequency of community acquired acute respiratory tract infections in weight loss period after bariatric surgery: An observational case-crossover study. Are those who have had bariatric surgery at risk?

Abstract

Aim: It is unknown whether there is an increase in the frequency of acquired respiratory tract infections (ARTIs) while the weight loss process continues after bariatric surgery (BS). Methods: An observational case-crossover study of 366 patients underwent BS between September 2018 and September 2019 was performed. Prospectively recorded data of ARTI events in the first pre- and post-operative ARTI seasons were compared. Results: Mean age was 36.4 ± 10.9 years and mean body mass index (BMI) was 44.1 ± 6.2 kg/m2. Mean change in BMI in an ARTI season was 13.2 ± 6.1 kg/m2. Among 366 patients, 180 (49.2%) were diagnosed with ARTI and the average numbers of ARTIs was 0.69 ± 0.85 in preoperative season. During the postoperative season, 134 (36.6%) patients were diagnosed with ARTI and the average numbers of ARTIs was 0.49 ± 0.76. Both period prevalence and average number of ARTIs in preoperative ARTI season was significantly higher than postoperative season (P = 0.001 for both). The change in BMI in an ARTI season was correlated with the postoperative period prevalence of ARTIs (r = 0.119, P = 0.022). Conclusion: These findings showed that the period prevalence and incidence of ARTIs reduced after BS. However, the frequency of ARTIs was higher in patients with greater weight loss.

Keywords

• Bariatric surgery
• weight loss
• acute respiratory tract infection

Bariatrik cerrahi sonrası kilo kaybı döneminde toplum kökenli akut solunum yolu enfeksiyonlarının sıklığındaki değişim: Bir gözlemsel vaka-çapraz çalışma. Bariatrik cerrahi geçirenler risk altında mı?

Öz

Amaç: Bariatrik cerrahi (BC) sonrası kilo verme süreci devam ederken, edinilmiş solunum yolu enfeksiyonlarının (ASYE) sıklığında bir artış olup olmadığı bilinmemektedir. Yöntem: Eylül 2018-Eylül 2019 tarihleri arasında BC uygulanan 366 hastanın gözlemsel vaka-çapraz çalışması yapıldı. Ameliyat öncesi ve sonrası ilk ASYE mevsimlerinde ASYE olaylarının prospektif olarak kaydedilen verileri karşılaştırıldı. Bulgular: Ortalama yaş 36.4 ± 10.9 yıl, ortalama vücut kitle indeksi (VKİ) 44.1 ± 6.2 kg/m2 idi. Bir ASYE mevsiminde VKİ’ndeki ortalama değişim 13.2 ± 6.1 kg / m2 idi. 366 hasta arasında 180 (%49.2) ASYE tanısı kondu ve preoperatif sezonda ortalama ASYE sayısı 0.69 ± 0.85 idi. Postoperatif dönemde 134 (%36.6) hastaya ASYE tanısı kondu ve ortalama ASYE sayısı 0.49 ± 0.76 idi. Preoperatif ASYE sezonunda hem dönem prevalansı hem de ortalama ASYE sayısı postoperatif sezona göre anlamlı derecede yüksekti (her ikisi için de p = 0.001). Bir ASYE mevsiminde VKİ’deki değişim, ASYE’nun postoperatif dönem prevalansı ile korele idi (r = 0.119, p = 0.022). Sonuç: Bu bulgular, BC sonrası ASYE prevalansının ve insidansının azaldığını göstermiştir. Bununla birlikte, daha fazla kilo kaybı olan hastalarda ASYE sıklığı daha yüksekti.

Anahtar Kelimeler

• Bariatrik cerrahi
• kilo kaybı
• akut solunum yolu enfeksiyonu

Kaynakça

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