Evidence map›Paper›PMID 31612528›Full record

ArticleAlimentary pharmacology & therapeutics2019

Faecal microbiota transplant decreases mortality in severe and fulminant Clostridioides difficile infection in critically ill patients.

Emily N Tixier, Elijah Verheyen, Ryan C Ungaro, Ari M Grinspan

Open access · greenAbstract read
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Antimicrobial Resistance: The Answers.British journal of biomedical science · 2026
    Review
  4. Review
  5. Outcomes of Fecal Microbiota Transplantation forOpen forum infectious diseases · 2025
    Article
  6. Review
  7. Review
  8. Review
  9. Fecal Microbiota Transplantation.Clinics in colon and rectal surgery · 2023
    Review
  10. Article
  11. Review
  12. Fecal Microbiota Transplantation for Severe or FulminantJournal of the Canadian Association of Gastroenterology · 2022
    Article
  13. Successful use of early, repeat fecal microbiota transplantation for initial treatment of severe, refractory Clostridioides difficile colitis.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2021
    Article
  14. Review
  15. Hospitalized Older Patients withAdvances in geriatric medicine and research · 2021
    Article
  16. Article
  17. Physician and patient perceptions of fecal microbiota transplant for recurrent or refractoryJGH open : an open access journal of gastroenterology and hepatology · 2020
    Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Emily N TixierDivision of Gastroenterology, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York, NY, USA.ORCID 0000-0003-3308-8638
Elijah VerheyenDivision of Gastroenterology, Icahn School of Medicine at Mount Sinai, Mount Sinai West-St. Luke's-Beth Israel Hospital, New York, NY, USA.ORCID 0000-0002-7506-7301
Ryan C UngaroDivision of Gastroenterology, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York, NY, USA.ORCID 0000-0001-8687-3758
Ari M GrinspanDivision of Gastroenterology, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York, NY, USA.ORCID 0000-0002-0719-1538
Mount Sinai Hospital · USMount Sinai Beth Israel · US

Funding

Assessing Predictors of Response to Anti-Tumor Necrosis Alpha Therapy in Early Crohns DiseaseK23DK111995 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI UNGARO, RYAN · 2019 to 2023
$948k
NIDDK NIH HHS K23 DK111995
6 · The paper itself

Abstract

backgroundSevere and fulminant Clostridioides difficile infection is associated with high mortality rates. While faecal microbiota transplant has been shown to be effective for recurrent C difficile infection, there is little data on the utility of faecal microbiota transplant in severe or fulminant C difficile infection.

aimTo compare the outcomes of antibiotics and faecal microbiota transplantation vs antibiotics alone (standard of care) in critically ill patients with severe or fulminant C difficile infection.

methodsThis was a retrospective, matched cohort study in one urban tertiary academic care centre including 48 patients hospitalised with severe or fulminant C difficile infection who required care in intensive care unit.

resultsPatients who received faecal microbiota transplantation (n = 16) had a 77% decrease in odds for mortality (OR 0.23, 95% CI 0.06-0.97) with a number needed to treat of 3 to prevent one death.

conclusionsFaecal microbiota transplantation provides mortality benefit over standard of care for severe and fulminant C difficile infection and should be considered in critically ill patients.

Indexed as

Clostridioides difficileFecal Microbiota TransplantationAdultAgedAged, 80 and overAnti-Bacterial AgentsClostridium InfectionsCohort StudiesCritical IllnessFemaleHumansIntensive Care UnitsMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexAnti-Bacterial Agents

Identifiers

PMID31612528
PMCPMC6817391
OpenAlexW2980391703

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.