Índice prognóstico nutricional como marcador em pacientes cirúrgicos cardíacos: uma revisão sistemática

Autores

DOI:

https://doi.org/10.33448/rsd-v11i9.32106

Palavras-chave:

Complicações Intraoperatórias; Cirurgia Torácica; Doenças Cardíacas; Estado Nutricional; Índice prognóstico nutricional.

Resumo

Introdução: Os avanços tecnológicos e os novos métodos cirúrgicos têm sido insuficientes para diminuir o alto risco de mortalidade e morbidade em pacientes submetidos à cirurgia cardíaca. Sabe-se que a desnutrição pré-operatória está correlacionada com morbidade, mortalidade, internação hospitalar e qualidade de vida após a cirurgia. O índice prognóstico nutricional (IPN) é calculado a partir dos níveis séricos de albumina e contagem de linfócitos periféricos. Estudos demonstraram que um IPN baixo é um fator prognóstico adverso independente de curto e longo prazo. Objetivo: Avaliar se o índice prognóstico nutricional é um bom marcador prognóstico para prever complicações e óbito em pacientes cirúrgicos cardíacos. Metodologia: Foi feito uma revisão sistemática nas bases de dado PubMed, Lilacs e SciELO, com os seguintes descritores: prognostic nutritional index and cardiac and surgery. Foram escolhido os artigos que avaliassem o IPN e complicações, incluindo óbito, em pacientes cirúrgicos cardíacos. Resultado: Foram analisadas e incluídos na revisão sistemática 19 publicações, destes 13 estudos observacionais prospectivos e 6 estudos observacionais retrospectivas. Deste estudos 9 foram comparações com outros índices, 4 sobre IPN e complicações pós-operatórias e 6 sobre IPN e mortalidade, em grande parte os estudos demonstram que o IPN é uma boa ferramenta para apontar mortalidade e complicações pós-operatórias. Conclusão: Os resultados  sugerem que é possível o IPN é  uma boa ferramenta para apontar risco de morte e complicações no pós-operatório de cirurgias cardíacas, porém um ponto de corte comum para cirurgia ainda não foi estabelecido.

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16/07/2022

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QUEIROZ, B. G. S. S.; SANTOS, A. C. O. dos; SILVA, F. N. B. da .; ARRUDA, A. M. de; ALVES, J. F. N.; CAVALCANTE, . T. C. F.; SILVA, A. A. M. da. Índice prognóstico nutricional como marcador em pacientes cirúrgicos cardíacos: uma revisão sistemática. Research, Society and Development, [S. l.], v. 11, n. 9, p. e50611932106, 2022. DOI: 10.33448/rsd-v11i9.32106. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32106. Acesso em: 22 dez. 2024.

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