Evidence map›Paper›PMID 28325926›Full record

ArticleScientific reports2017

Night and day variations of sleep in patients with disorders of consciousness.

Malgorzata Wislowska, Renata Del Giudice, Julia Lechinger, Tomasz Wielek, Dominik P J Heib, Alain Pitiot, Gerald Pichler, Gabriele Michitsch, Johann Donis, Manuel Schabus

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06323031 (Spontaneous Eye Blinking as a Diagnostic and Prognostic Marker in Patients With Disorders of Consciousness After Severe Acquired Brain Injury), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% of its field
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.

NCT06323031 recruitingnot on this mapstarted 2025, after this paper: background citation

Spontaneous Eye Blinking as a Diagnostic and Prognostic Marker in Patients With Disorders of Consciousness After Severe Acquired Brain Injury

TypeobservationalSponsorFondazione Don Carlo Gnocchi ETSRan2025 to 2026Enrolled70ConditionsDisorders of Consciousness
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Malgorzata WislowskaLaboratory for Sleep, Cognition and Consciousness, & Centre for Cognitive Neuroscience, University of Salzburg, Salzburg, Austria.ORCID http://orcid.org/0000-0001-9272-349X
Renata Del GiudiceLaboratory for Sleep, Cognition and Consciousness, & Centre for Cognitive Neuroscience, University of Salzburg, Salzburg, Austria.
Julia LechingerLaboratory for Sleep, Cognition and Consciousness, & Centre for Cognitive Neuroscience, University of Salzburg, Salzburg, Austria.
Tomasz WielekLaboratory for Sleep, Cognition and Consciousness, & Centre for Cognitive Neuroscience, University of Salzburg, Salzburg, Austria.
Dominik P J HeibLaboratory for Sleep, Cognition and Consciousness, & Centre for Cognitive Neuroscience, University of Salzburg, Salzburg, Austria.
Alain PitiotLaboratory of Image & Data Analysis, Ilixa Ltd., Nottingham, United Kingdom.ORCID http://orcid.org/0000-0003-0146-8572
Gerald PichlerApallic Care Unit, Neurological Division, Albert-Schweitzer-Klinik, Graz, Austria.
Gabriele MichitschApallic Care Unit, Neurological Division, Pflegewohnhaus Donaustadt, Vienna, Austria.
Johann DonisApallic Care Unit, Neurological Division, Pflegewohnhaus Donaustadt, Vienna, Austria.
Manuel SchabusLaboratory for Sleep, Cognition and Consciousness, & Centre for Cognitive Neuroscience, University of Salzburg, Salzburg, Austria. Manuel.Schabus@sbg.ac.at.ORCID http://orcid.org/0000-0001-5899-8772
University of Salzburg · ATDonauspital · ATAlbert Schweitzer Klinik · AT

Funding

Austrian Science Fund FWF W 1233Austrian Science Fund FWF Y 777
6 · The paper itself

Abstract

Brain injuries substantially change the entire landscape of oscillatory dynamics and render detection of typical sleep patterns difficult. Yet, sleep is characterized not only by specific EEG waveforms, but also by its circadian organization. In the present study we investigated whether brain dynamics of patients with disorders of consciousness systematically change between day and night. We recorded ~24 h EEG at the bedside of 18 patients diagnosed to be vigilant but unaware (Unresponsive Wakefulness Syndrome) and 17 patients revealing signs of fluctuating consciousness (Minimally Conscious State). The day-to-night changes in (i) spectral power, (ii) sleep-specific oscillatory patterns and (iii) signal complexity were analyzed and compared to 26 healthy control subjects. Surprisingly, the prevalence of sleep spindles and slow waves did not systematically vary between day and night in patients, whereas day-night changes in EEG power spectra and signal complexity were revealed in minimally conscious but not unaware patients.

Indexed as

Circadian RhythmSleepWakefulnessConsciousness DisordersElectroencephalographyHumans

Identifiers

PMID28325926
PMCPMC5428269
OpenAlexW2615060514

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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.