29 research outputs found
Global 30-Day Morbidity and Mortality of Primary Bariatric Surgery Combined With Another Procedure: the Blend Study
No full textBackground: No robust data are available on the safety of primary bariatric and metabolic surgery (BMS) alone compared to primary BMS combined with other procedures. Objectives: The objective of this study is to collect a 30-day mortality and morbidity of primary BMS combined with cholecystectomy, ventral hernia repair, or hiatal hernia repair. Setting: This is as an international, multicenter, prospective, and observational audit of patients undergoing primary BMS combined with one or more additional procedures. Methods: The audit took place from January 1 to June 30, 2022. A descriptive analysis was conducted. A propensity score matching analysis compared the BLEND study patients with those from the GENEVA cohort to obtain objective evaluation between combined procedures and primary BMS alone. Results: A total of 75 centers submitted data on 1036 patients. Sleeve gastrectomy was the most commonly primary BMS (N = 653, 63%), and hiatal hernia repair was the most commonly concomitant procedure (N = 447, 43.1%). RYGB accounted for the highest percentage (20.6%) of a 30-day morbidity, followed by SG (10.5%). More than one combined procedures had the highest morbidities among all combinations (17.1%). Out of overall 134 complications, 129 (96.2%) were Clavien-Dindo I–III, and 4 were CD V. Patients who underwent a primary bariatric surgery combined with another procedure had a pronounced increase in a 30-day complication rate compared with patients who underwent only BMS (12.7% vs. 7.1%). Conclusion: Combining BMS with another procedure increases the risk of complications, but most are minor and require no further treatment. Combined procedures with primary BMS is a viable option to consider in selected patients following multi-disciplinary discussion. Graphical Abstract: (Figure presented.) © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024.Hamoud Subhi Zahi Al-issawi Hamza Al-Naggar Hamzeh Ibrahim Al-Qazakzeh Manar Al-Shami Omer Al-Taan Nadeem Bilal Alabdallah Nigar Allahverdiyeva Aiman Nuri Allawgalli Marwa Aloulou Bourhan Mohammad Hassan Alrayes Entisar Ahmed Alshareea Ahmad Malek Alsheikh Patrícia F.N. Amaral Ahmed Y Ammar Luciano Antozzi Ahmad Yamen Arnaout Jabra Arraf Aiman Assaf Ali Awad Sajeda Awadi; Leon Ballesteros Jonathan Abraham Demma Angel Diaz Agron Dogjani Anne Sophie Dulac Agustin Duro Mohamad Hayssam ElFawal; Mahafdah Ahmed Salah Mahdi Ravikrishna Mamidanna Gad Amram Marom Ruqaya Masri Jean Claude Mbonicura Adnan Mohammed Vasilios Mousafeiris Norberto Muñoz Montes Celso Nabais Mohannad Nasani Pueya Abdulrashid Nashidengo Ionut Negoi Negoi Aleksandr Neimark Mourad Niazi Abdallah Omari Mouaqit Ouadii Mehmet Faik Özçelik Mahir Ozmen Mykola Paranyak Chetan Parmar Giovanna Pavone Plamen Petkov Tadeja Pintar Yashasvi Rajeev Gopi Ramu Fahd S Saleh Prashant H Salvi Cláudia S.F. Santos Varun Sarodaya Mohammad Ahmad Sawaftah Marah Ahmad Sawaftah Mohamad Nabhan Sawas Asim Shabbir Azhar Shabbir Aamir Shahzad; Kimutai Ronoh Sylvester Safwan Taha Samuel Tay Pinky M Thapar Anisse Tidjane Carlos T. Toro-Huamanchumo Elena Ruiz Úcar Muhammad Burhan Ulhaq Server Sezgin Uludağ Octavio Viveiros Kelvin Voon Maciej Walędziak Haowei Wang Cacio Ricardo Wietzycoski Bryan Yeoh Sercan Yüksel Hussein Zayat Kağan Zengin Mauricio Zuluaga Homayoon Federico Pint
Impact of lockdown due to the COVID-19 pandemic on mental health among the Libyan population.
No full textBackgroundThe coronavirus disease 2019 (COVID-19) pandemic may have a potentially serious effect on mental health and increase the risk of anxiety, depression, and post-traumatic stress disorders in people. In this study, we aimed to determine the prevalence of psychological illness and the impact of the COVID-19 pandemic on the Libyan population's mental health.MethodA cross-sectional survey, conducted in both online and paper modes and consisting of five sections, was completed in more than 30 cities and towns across Libya. The first section consisted of questions on basic demographic characteristics. The second section contained a survey related to the lockdown status, activities, related stress levels, and quarantine. The third section comprised the self-administered 9-item Patient Health Questionnaire (PHQ-9). The fourth section contained the 7-item Generalized Anxiety Disorder Scale (GAD-7), and the fifth section contained the Impact of Event Scale-Revised (IES-R).ResultOf the 31,557 respondents, 4,280 (13.6%) reported severe depressive symptoms, with a mean [standard deviation (SD)] PHQ-9 score of 8.32 (5.44); 1,767 (5.6%) reported severe anxiety symptoms, with a mean (SD) GAD-7 score of 6 (4.6); and 6,245 (19.8%) of the respondents reported post-traumatic stress disorder (PTSD), with a mean (SD) score of 15.3 (18.85). In multivariate analysis, young age, being female, unmarried, educated, or victims of domestic violence or abuse, work suspension during the pandemic, and having increased workload, financial issues, suicidal thoughts, or a family member with or hospitalized due to COVID-19 were significantly associated with a high likelihood of depressive and anxiety symptoms, as well as PTSD. Internal displacement due to civil war was also associated with PTSD.ConclusionTo our knowledge, this is the first study to analyze the psychological impacts of the COVID-19 pandemic and civil war in Libya. Further study on the development of strategies and interventions aimed at reducing the mental disease burden on the Libyan population is warranted
Bivariate and multivariate binomial logistic regression analysis of depressive symptoms (PHQ-9 ≥15).
No full textBivariate and multivariate binomial logistic regression analysis of depressive symptoms (PHQ-9 ≥15).</p
Fig 1 -
No full text(A) Distribution of anxiety among study participants (n = 31,557). (B) Distribution of post-traumatic stress disorder among study participants (n = 31,557). (C) Distribution of depression among study participants (n = 31,557).</p
Bivariate and multivariate binomial logistic regression analysis of severe anxiety symptoms (GAD-7 ≥15).
No full textBivariate and multivariate binomial logistic regression analysis of severe anxiety symptoms (GAD-7 ≥15).</p
Survey on impact of lockdown implemented owing to COVID-19.
No full textSurvey on impact of lockdown implemented owing to COVID-19.</p
Basic characteristics of study participants (n = 31557).
No full textBasic characteristics of study participants (n = 31557).</p
Bivariate and multivariate binomial logistic regression analysis of post-traumatic stress disorder (ISE-R ≥33).
No full textBivariate and multivariate binomial logistic regression analysis of post-traumatic stress disorder (ISE-R ≥33).</p
