Evidence map›Paper›PMID 37001916›Full record

ArticleBMJ open2023

Protocol for a prospective cohort study exploring the gut microbiota of infants with congenital heart disease undergoing cardiopulmonary bypass (the GuMiBear study).

Claire Magner, Dominic Jenkins, Fatma Koc, Mong Hoi Tan, Molly O'Toole, Jordan Boyle, Niamh Maguire, Sophie Duignan, Kiera Murphy, Paul Ross and 2 more

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
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

12 authors.

Claire MagnerSchool of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.ORCID 0000-0001-5807-588X
Dominic JenkinsLaboratory, Children's Health Ireland at Crumlin, Crumlin, Ireland.
Fatma KocSchool of Microbiology, University College Cork, Cork, Ireland.
Mong Hoi TanDepartment Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.
Molly O'TooleDepartment Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.
Jordan BoyleDepartment Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.
Niamh MaguireDepartment Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.
Sophie DuignanDepartment Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.
Kiera MurphyUniversity College Cork APC Microbiome Institute, Cork, Ireland.
Paul RossUniversity College Cork College of Science Engineering and Food Science, Cork, Ireland.
Catherine StantonUniversity College Cork APC Microbiome Institute, Cork, Ireland.
Colin J McMahonDepartment Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland cmcmahon992004@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe gut microbiota develops from birth and matures significantly during the first 24 months of life, playing a major role in infant health and development. The composition of the gut microbiota is influenced by several factors including mode of delivery, gestational age, feed type and treatment with antibiotics. Alterations in the pattern of gut microbiota development and composition can be associated with illness and compromised health outcomes.Infants diagnosed with 'congenital heart disease' (CHD) often require surgery involving cardiopulmonary bypass (CPB) early in life. The impact of this type of surgery on the integrity of the gut microbiome is poorly understood. In addition, these infants are at significant risk of developing the potentially devastating intestinal condition necrotising enterocolitis. METHODS AND ANALYSIS: This study will employ a prospective cohort study methodology to investigate the gut microbiota and urine metabolome of infants with CHD undergoing surgery involving CPB. Stool and urine samples, demographic and clinical data will be collected from eligible infants based at the National Centre for Paediatric Cardiac Surgery in Ireland. Shotgun metagenome sequencing will be performed on stool samples and urine metabolomic analysis will identify metabolic biomarkers. The impact of the underlying diagnosis, surgery involving CPB, and the influence of environmental factors will be explored. Data from healthy age-matched infants from the INFANTMET study will serve as a control for this study. ETHICS AND DISSEMINATION: This study has received full ethical approval from the Clinical Research Ethics Committee of Children's Health Ireland, GEN/826/20.

Indexed as

Cardiac Surgical ProceduresGastrointestinal MicrobiomeHeart Defects, CongenitalCardiopulmonary BypassChildHumansInfantInfant, NewbornProspective StudiesBiochemistryCardiac surgeryCongenital heart diseasePaediatric cardiologyQuality in health care

Identifiers

PMID37001916
PMCPMC10069492

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Registered trials

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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.