Validade e confiabilidade dos critérios de desnutricão GLIM em cirurgia cardíaca
DOI:
https://doi.org/10.15649/cuidarte.5046Palavras-chave:
Desnutrição Proteico-Calórica, Procedimentos Cirúrgicos Cardíacos, Estudo de Validação, Recuperação Pós-Cirúrgica Melhorada, Reprodutibilidade dos TestesResumo
Introdução: A desnutrição é frequente em pacientes submetidos à cirurgia cardíaca e está associada a desfechos clínicos adversos. No entanto, não existem critérios validados para o diagnóstico nutricional nessa população. Objetivo: Determinar a validade de critério e a confiabilidade entre avaliadores dos critérios GLIM para o diagnóstico de desnutrição e a predição de desfechos em cirurgia cardíaca. Materiais e Métodos: Estudo de validação realizado em adultos candidatos à cirurgia cardíaca. A validade concorrente foi estabelecida com a Avaliação Global Subjetiva e a validade preditiva com a readmissão hospitalar em 30 dias. A confiabilidade foi avaliada por dois profissionais. As análises e pontos de corte seguiram o guia de validação dos critérios GLIM. O processamento estatístico foi realizado nos programas R e Jamovi. Resultados: Demonstrou-se a confiabilidade entre avaliadores dos critérios GLIM, com concordância quase perfeita (Kappa 0,94, IC 95% 0,88–0,99, p<0,001), e sua validade preditiva para readmissão hospitalar (RRa 2,59, IC 95% 1,09–7,02, p 0,04). Não foram alcançados os limiares de validade concorrente (sensibilidade 88,0%, IC 95% 68,8–97,5%; especificidade 76,9%, IC 95% 56,4–91,0%). Discussão: A ausência de validade concorrente pode ser explicada por diferenças na estimativa da massa muscular entre métodos diagnósticos. Os resultados são consistentes com a literatura prévia que respalda a confiabilidade e a capacidade preditiva dos critérios GLIM. Conclusão: Os critérios GLIM são confiáveis e predizem desfechos relevantes em cirurgia cardíaca, apoiando sua utilidade para o diagnóstico nutricional e seu potencial na identificação precoce de pacientes candidatos a intervenções de otimização pré-operatória.
Como citar este artigo: Londoño-Pereira Mateo, Agudelo-Cifuentes Maite Catalina, Múnera Nora, Paredes Sara, Londoño Maritza, Yepes Mónica. Validez y confiabilidad de los criterios de desnutrición GLIM en cirugía cardíaca. Revista Cuidarte. 2026;17(2):e5046. https://doi.org/10.15649/cuidarte.5046
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