Evidence map›Paper›PMID 40264088›Full record

Trial reportBMC medicine2025

Probiotic mitigates gut hypoperfusion-associated acute gastrointestinal injury in patients undergoing cardiopulmonary bypass: a randomized controlled trial.

Xiaofang Yang, Ruisheng Liu, Zhijing An, Boxia Li, Yanyan Lin, Yuanmin Li, Bing Song, Jinqiu Yuan, Wenbo Meng, Christian Waydhas

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05498948 (Probiotic Mixture Supplementation), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT05498948 nacompletednot on this map

Probiotic Mixture Supplementation (PMS) Promotes the Recovery of Patients After Heart Valve Replacement by Preventing Acute Gastrointestinal Injury (AGI)

TypeinterventionalSponsorHepatopancreatobiliary Surgery Institute of Gansu ProvinceRan2022 to 2024Enrolled52ConditionsHeart Valve DiseasesArmsProbiotic mixture
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. 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

10 authors.

Xiaofang Yang *The First School of Clinical Medicine, Lanzhou University, Lanzhou, 730030, Gansu, China.
Ruisheng Liu *The First School of Clinical Medicine, Lanzhou University, Lanzhou, 730030, Gansu, China.
Zhijing AnDepartment of Cardiovascular Surgery, The First Hospital of Lanzhou University, Lanzhou, , Gansu, China.
Boxia LiDepartment of Pharmacy, The First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Yanyan LinDepartment of General Surgery, The First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Yuanmin LiDepartment of Cardiovascular Surgery, The First Hospital of Lanzhou University, Lanzhou, , Gansu, China.
Bing SongDepartment of Cardiovascular Surgery, The First Hospital of Lanzhou University, Lanzhou, , Gansu, China.
Jinqiu YuanClinical Research Center, Big Data Center, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, Guangdong, China. yuanjq5@mail.sysu.edu.cn.
Wenbo MengThe First School of Clinical Medicine, Lanzhou University, Lanzhou, 730030, Gansu, China. mengwb@lzu.edu.cn.
Christian WaydhasTrauma Intensive Care, Department of Trauma Surgery, University Hospital Essen, University Duisburg-Essen, Essen, Germany.

Funding

Foundation of the First Hospital of Lanzhou University ldyyyn-2022-27National Natural Science Foundation of China 82260729Natural Science Foundation of Gansu Province 23JRRA1600
6 · The paper itself

Abstract

backgroundAcute gastrointestinal injury (AGI) after cardiopulmonary bypass (CPB) is associated with poor prognosis. This study aimed to evaluate the effect of preoperative probiotic supplementation on the incidence of AGI in patients undergoing CPB procedure.

methodsThis was a double-blind, randomized controlled trial conducted in a single center. The patients undergoing HVR with CPB between September 2022 and February 2023 were randomly assigned to receive either probiotic (Lac group) or placebo (Placebo group). The probiotic was administered daily for seven days prior to surgery.Univariate and multivariate logistic regression analysis was performed to identify independent risk factors for AGI. A P-value < 0.05 was considered statistically significant. Gut microbiota composition was assessed using 16 s rRNA analysis.

resultsA total of 52 patients were randomly assigned to two groups (26 in the Lac group, 26 in the Placebo group). Patients were followed for at least 30 days after surgery. During the follow-up period, 15 of the 52 patients (28.85%) developed AGI. The incidence of AGI was significantly lower in the Lac group (15.38%) compared to the Placebo group (42.31%), with a difference of 26.93% (P = 0.032). Moreover, patients in the Lac group had a significantly shorter ICU stay (6 [5, 36] vs. 5 [4, 5.5] days, P = 0.041) and a lower incidence of nosocomial infections (11.54% vs. 34.62%, P = 0.048). Multivariate analysis identified a higher Cardiac Surgery Score (CASUS) and CPB duration ≥ 132 min as independent risk factors for AGI, whereas probiotic supplementation was the only protective factor. Furthermore, 16S rRNA sequencing revealed significant differences in gut microbiota composition between the Lac and Placebo groups.

conclusionsPreoperative probiotic supplementation may be an effective strategy to reduce the incidence of AGI and AGI-related complications in CPB patients. These findings suggest that probiotics could be considered a preventive intervention for AGI in this patient population.

trial registrationClinicalTrials.gov: NCT05498948.

Indexed as

Cardiopulmonary BypassGastrointestinal DiseasesPostoperative ComplicationsProbioticsAgedDouble-Blind MethodFemaleGastrointestinal MicrobiomeHumansIncidenceMaleMiddle AgedAcute gastrointestinal injuryCardiopulmonary bypassGut microbiotaHeart valve diseaseProbiotic

Identifiers

PMID40264088
PMCPMC12016265

What OpenQuestion holds

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Registered trials

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.