Evidence map›Paper›PMID 40465720›Full record

ArticleScience advances2025

Fecal metabolite profiling identifies critically ill patients with increased 30-day mortality.

Alexander P de Porto, Nicholas P Dylla, Matthew Stutz, Huaiying Lin, Maryam Khalid, Michael W Mullowney, Jessica Little, Amber Rose, David Moran, Mary McMillin and 17 more

Abstract read
In one paragraph

Article in Science advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Formulation-dependent kinetics ofMicrobiology spectrum · 2026
    Article
  3. The intestinal microbiota impacts nutritional immunity and resistance toProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Observational
  6. 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

27 authors.

Alexander P de PortoDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0002-1201-0754
Nicholas P DyllaDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Matthew StutzDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Huaiying LinDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0003-2339-9491
Maryam KhalidDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Michael W MullowneyDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0002-2884-4307
Jessica LittleDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0002-8032-1378
Amber RoseDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0002-1388-0305
David MoranDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.ORCID 0009-0001-8537-8269
Mary McMillinDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Victoria BurgoDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0003-1016-3199
Rita SmithDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0002-7546-5019
Che WoodsonDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Carolyn MetcalfeDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0002-9304-8681
Ramanujam RamaswamyDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0001-7448-6574
Christopher LehmannDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0002-1111-2169
Matthew OdenwaldDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Nadeem BandealyDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, Chicago, IL 60637, USA.
Jack ZhaoDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, Chicago, IL 60637, USA.ORCID 0000-0003-1124-6455
Marie KimDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, Chicago, IL 60637, USA.ORCID 0009-0005-8077-8633
Emerald AdlerDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Anitha SundararajanDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0001-9550-3644
Ashley SidebottomDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.
John P KressDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, Chicago, IL 60637, USA.ORCID 0009-0001-4688-2948
Krysta S WolfeDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, Chicago, IL 60637, USA.
Eric G PamerDuchossois Family Institute, University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0002-6755-9904
Bhakti K PatelDepartment of Medicine, Section of Pulmonary and Critical Care Medicine, University of Chicago Medicine, Chicago, IL 60637, USA.ORCID 0000-0002-6517-2175

Funding

Early Mobilization: Operationalizing Big Data & Implementation Science to Lead Expansion to ICUs (E-MOBILE-ICU)K23HL148387 · NHLBI · UNIVERSITY OF CHICAGO · PI PATEL, BHAKTI KIRAN · 2020 to 2024
$812k
NHLBI NIH HHS K23 HL148387
6 · The paper itself

Abstract

Critically ill patients admitted to the medical intensive care unit (MICU) have reduced intestinal microbiota diversity and altered microbiome-associated metabolite concentrations. Metabolites produced by the gut microbiota have been associated with survival of patients receiving complex medical treatments and thus might represent a treatable trait to improve clinical outcomes. We prospectively collected fecal specimens, defined microbiome compositions by shotgun metagenomic sequencing, and quantified microbiota-derived fecal metabolites by mass spectrometry from 196 critically ill patients admitted to the MICU for non-COVID-19 respiratory failure or shock to correlate microbiota features and metabolites with 30-day mortality. Microbiota compositions of the first fecal sample after MICU admission did not independently associate with 30-day mortality. We developed a metabolic dysbiosis score (MDS) that uses fecal concentrations of 13 microbiota-derived metabolites, which predicted 30-day mortality independent of known confounders. The MDS complements existing tools to identify patients at high risk of mortality by incorporating potentially modifiable, microbiome-related, independent contributors to host resilience.

Indexed as

Critical IllnessFecesGastrointestinal MicrobiomeMetabolomeAgedDysbiosisFemaleHumansIntensive Care UnitsMaleMetabolomicsMiddle AgedProspective Studies

Identifiers

PMID40465720
PMCPMC12136028

What OpenQuestion holds

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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.