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effect of gut microbiota on metabolic and inflammatory biomarkers in cardiovascular surgery: a systematic review and meta-analysis
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نویسنده
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valaei morteza ,sadeghi hossein ,ghasemi reza ,hajipour fatemeh ,yaghubi mohsen
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منبع
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razavi international journal of medicine - 2024 - دوره : 12 - شماره : 1 - صفحه:10 -16
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چکیده
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Background: the gastrointestinal microbiota is pivotal in cardiovascular surgery outcomes. objectives: this systematic review and meta-analysis aimed to synthesize current evidence regarding the impact of gut microbiota on postoperative metabolomic markers and patient recovery. methods: following prisma guidelines, a comprehensive query was conducted on medline, web of science, embase, scopus, and cochrane’s central databases. studies involving patients undergoing cardiovascular surgery and reporting on gut microbiota were included. data extraction focused on study characteristics and metabolomic outcomes. the newcastle-ottawa scale (nos) assessed the risk of bias. results: six studies met the inclusion criteria, involving 530 patients. meta-analysis revealed that a beneficial gut microbiota profile is associated with less increase in ldl cholesterol (mean difference: 14.4 mg/dl, se: 0.816), a smaller decrease in hdl cholesterol (mean difference: -4.9 mg/dl, se: 0.437), a lower rise in triglycerides (mean difference: 11.2 mg/dl, se: 0.552), and a reduced elevation in c-reactive protein (crp) levels (mean difference: 2.4 mg/l, se: 0.291) post-surgery. the overall risk of bias ranged from moderate to low across studies. conclusion: as evidenced by the obtained results, gut microbiota composition significantly affected lipid metabolism and inflammatory responses post-cardiovascular surgery. a favorable microbiota profile may provide a protective effect against postoperative complications. these insights underline the potential for microbiota-modulating interventions in enhancing cardiovascular surgery outcomes.
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کلیدواژه
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acute kidney injury ,cardiopulmonary bypass ,cardiovascular surgery ,dysbiosis ,gut microbiota
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آدرس
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mashhad university of medical sciences, imam reza hospital, department of gastroenterology and hepatology, iran, razavi hospital, department of anesthesiology, iran, torbat heydariyeh university of medical sciences, 9 dey educational hospital, department of cardiology, iran, iran university of medical sciences, rajaie cardiovascular medical and research center, department of extra-corporeal circulation (ecc), iran, razavi hospital, department of extra-corporeal circulation (ecc), iran
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پست الکترونیکی
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n.m.yaghubi@gmail.com
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Authors
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