Evidence map›Paper›PMID 32471373›Full record

Trial reportBMC neurology2020

Percutaneous mastoid electrical stimulator improves Poststroke depression and cognitive function in patients with Ischaemic stroke: a prospective, randomized, double-blind, and sham-controlled study.

Taoli Lu, Lanying He, Bei Zhang, Jian Wang, Lili Zhang, Wei Wei Dong, Hao Yang

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 31% 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.

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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. 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

7 authors at 3 institutions in 1 country.

Taoli LuDepartment of Neurology, The Second People's Hospital of Chengdu, Chengdu, 610021, PR China.
Lanying HeDepartment of Neurology, The Second People's Hospital of Chengdu, Chengdu, 610021, PR China. 531324679@qq.com.ORCID http://orcid.org/0000-0002-7127-6333
Bei ZhangDepartment of Neurology, The Second People's Hospital of Chengdu, Chengdu, 610021, PR China.
Jian WangDepartment of Neurology, The Second People's Hospital of Chengdu, Chengdu, 610021, PR China.
Lili ZhangDepartment of Neurology, The Second People's Hospital of Chengdu, Chengdu, 610021, PR China.
Wei Wei DongDepartment of Neurology, First Affiliated Hospital, Chongqing Medical University, Chongqing, 400030, PR China.
Hao YangCollege of Electrical Engineering, Institute of Electrical Technology, Chongqing University, Chongqing, 400030, PR China.
Chengdu Second People's Hospital · CNChongqing Medical University · CNChongqing University of Technology · CN

Funding

This work was funded by the Health and Family Planning Commission of Chengdu (2015009) 2015009
6 · The paper itself

Abstract

backgroundPoststroke depression can lead to functional dependence, cognitive impairment and reduced quality of life. The aim of this study was to evaluate the effects of a percutaneous mastoid electrical stimulator (PMES) plus antidepressants on poststroke depression and cognitive function.

methodsThis study was a prospective, randomized, double-blind, and sham-controlled study. A total of 258 clinically depressed ischaemic stroke patients within 14 days of index stroke were randomly assigned to the PMES plus antidepressant (PMES group, N = 125) and sham plus antidepressant (sham group, N = 133) groups. All patients underwent the Montreal Cognitive Assessment (MoCA) and Hamilton Rating Scale for Depression (HRSD) test at 2 weeks (baseline), and 6 months(M6) after ischaemic stroke. Primary outcomes were the percentage of patients showing a treatment response (≥50% reduction in HRSD score) and depression remission (HRSD score ≤ 9) at 6 months. The secondary outcome was the percentage of patients with a MoCA score < 26.

resultsThe percentages of patients showing a treatment response and depression remission were significantly higher in the PMES group than in the sham group (57.60% vs 41.35%, P = 0.009; 44.00% vs 29.32%, P = 0.014 respectively). The mean value of the HRSD score change [M (month)6-baseline] was significantly higher in the PMES group than in the sham group at 6 months (- 11.93 ± 5.32 vs - 10.48 ± 6.10, P = 0.036, respectively). The percentage of patients with MoCA scores < 26 was lower in the PEMS group than in the sham group (12.0% vs 24.06%, P = 0.012,respectively), and the mean value of the MoCA score change (M6-baseline) was higher in the PMES group than in the sham group (3.50 ± 2.55 vs 2.72 ± 2.52, P = 0.005, respectively).

conclusionThese findings demonstrate that PMES adjunctive to antidepressant therapy is effective in reducing depression, achieving remission in the short term, and improving cognition.

trial registrationThis trial was retrospectively registered (registration number: ChiCTR1800016463) on 03 June 2018.

Indexed as

AdultAgedAged, 80 and overAntidepressive AgentsBrain IschemiaCognitionCombined Modality TherapyDepressionDouble-Blind MethodElectric Stimulation TherapyFemaleHumansMaleMastoidMiddle AgedProspective StudiesAntidepressive AgentsAcute ischaemic strokeCognitionPercutaneous mastoid electrical stimulatorPoststroke depression

Identifiers

PMID32471373
PMCPMC7257192
OpenAlexW3032553070

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.