September 21, 2026 · Gut · DOI: 10.1136/gutjnl-2026-339378

Hospitalisation in cirrhosis is linked to distinct gut microbiome structural and functional profiles: a multinational metagenomic study

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The authors aimed to determine whether gut microbiome profiles could predict 90-day hospitalisation risk in outpatients with cirrhosis, beyond traditional clinical variables. They found that specific bacterial species and functional alterations in the microbiome were associated with increased hospitalisation risk, and a combined clinical-microbiome model significantly improved prediction accuracy. This study highlights the potential of gut microbiome analysis as a valuable prognostic tool in managing cirrhosis.

Darja Nikitina, Ki Tae Suk, Aldo Torre, Ramazan Idilman, Mario R Alvares-da-Silva, Mette Munk Lauridsen, Andrew C Fagan, Edita Kreivenaite, Satya Priya Sharma, Elise Jonasson Nielsen, Dilara Turan, Vinay Jahagirdar, Matheus Truccolo Michalczuk, Alexander Khoruts, Sai Hruthik Bojja, Hye Won Lee, Jurgita Skieceviciene, Masoumeh Sikaroodi, Juozas Kupcinkas, Patrick M Gillevet, Jasmohan S Bajaj

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