Evidence map›Paper›PMID 31817895›Full record

ReviewNutrients2019

The Importance of the Microbiome in Critically Ill Patients: Role of Nutrition.

Rocio Moron, Julio Galvez, Manuel Colmenero, Per Anderson, José Cabeza, Maria Elena Rodriguez-Cabezas

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
5.0field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Blautia luti reduces neratinib-induced diarrhea in a rat model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  10. Host-Microbiome Interaction in the Intensive Care Unit.Diseases (Basel, Switzerland) · 2025
    Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Role of artificial intelligence in critical care nutrition support and research.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2024
    Review
  19. Article
  20. Impact of hyperoxia on the gut during critical illnesses.Critical care (London, England) · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Rocio MoronServicio Farmacia Hospitalaria, Hospital Universitario Clínico San Cecilio, 18016-Granada, Spain.
Julio GalvezInstituto de Investigación Biosanitaria (ibs.GRANADA), 18012 Granada, Spain.ORCID 0000-0001-6876-3782
Manuel ColmeneroInstituto de Investigación Biosanitaria (ibs.GRANADA), 18012 Granada, Spain.ORCID 0000-0001-5005-1154
Per AndersonInstituto de Investigación Biosanitaria (ibs.GRANADA), 18012 Granada, Spain.
José CabezaServicio Farmacia Hospitalaria, Hospital Universitario Clínico San Cecilio, 18016-Granada, Spain.
Maria Elena Rodriguez-CabezasInstituto de Investigación Biosanitaria (ibs.GRANADA), 18012 Granada, Spain.
Instituto de Investigación Biosanitaria de Granada · ESUniversidad de Granada · ES

Funding

Junta de Andalucia PI-0206-2016
6 · The paper itself

Abstract

Critically ill patients have an alteration in the microbiome in which it becomes a disease-promoting pathobiome. It is characterized by lower bacterial diversity, loss of commensal phyla, like Firmicutes and Bacteroidetes, and a domination of pathogens belonging to the Proteobacteria phylum. Although these alterations are multicausal, many of the treatments administered to these patients, like antibiotics, play a significant role. Critically ill patients also have a hyperpermeable gut barrier and dysregulation of the inflammatory response that favor the development of the pathobiome, translocation of pathogens, and facilitate the emergence of sepsis. In order to restore the homeostasis of the microbiome, several nutritional strategies have been evaluated with the aim to improve the management of critically ill patients. Importantly, enteral nutrition has proven to be more efficient in promoting the homeostasis of the gut microbiome compared to parenteral nutrition. Several nutritional therapies, including prebiotics, probiotics, synbiotics, and fecal microbiota transplantation, are currently being used, showing variable results, possibly due to the unevenness of clinical trial conditions and the fact that the beneficial effects of probiotics are specific to particular species or even strains. Thus, it is of great importance to better understand the mechanisms by which nutrition and supplement therapies can heal the microbiome in critically ill patients in order to finally implement them in clinical practice with optimal safety and efficacy.

Indexed as

Gastrointestinal MicrobiomeNutritional SupportBacillotaBacteroidetesCritical CareCritical IllnessDysbiosisFecal Microbiota TransplantationHomeostasisHost Microbial InteractionsHumansPrebioticsProbioticsProteobacteriaSynbioticsPrebioticscritically ill patientfecal microbiota transplantationmicrobiomenutritionprebioticsprobioticssynbiotics

Identifiers

PMID31817895
PMCPMC6950228
OpenAlexW2992012701

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.