Evidence map›Paper›PMID 35273752›Full record

ArticleSleep science (Sao Paulo, Brazil)

Effect of the anodal transcranial direct current electrical stimulation on cognition of medical residents with acute sleep deprivation.

Daniel San-Juan, Raúl Nathanael May Mas, Cuauhtémoc Gutiérrez, Jorge Morales, Ana Díaz, Gerardo Quiñones, Axel Kevin Galindo, Luis Armando Baigts, Cecilia Ximenez-Camilli, David Anschel

Open access · diamondAbstract read
In one paragraph

Article in Sleep science (Sao Paulo, Brazil). 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
0.7field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
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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 2 countries.

Daniel San-JuanInstituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Epilepsy Clinic - Mexico City - Mexico City - Mexico.
Raúl Nathanael May MasInstituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Neurology Department - Mexico City - Mexico City - Mexico.
Cuauhtémoc GutiérrezFacultad de Estudios Superiores Iztacala, Psychology Posgraduate Department - Mexico City - Mexico City - Mexico.
Jorge MoralesInstituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Epilepsy Clinic - Mexico City - Mexico City - Mexico.
Ana DíazInstituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Unit of Cognition and Behavior - Mexico City - Mexico City - Mexico.
Gerardo QuiñonesInstituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Neurology Department - Mexico City - Mexico City - Mexico.
Axel Kevin GalindoInstituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Epilepsy Clinic - Mexico City - Mexico City - Mexico.
Luis Armando BaigtsInstituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Epilepsy Clinic - Mexico City - Mexico City - Mexico.
Cecilia Ximenez-CamilliInstituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Epilepsy Clinic - Mexico City - Mexico City - Mexico.
David AnschelNew York University Comprehensive Epilepsy Center, Epilepsy Center - New York - New York - United States.
Instituto Nacional de Neurología y Neurocirugía · MXEpilepsy Foundation · AUUniversidad Marista · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Medical residents must sustain acute sleep deprivation, which can lead to nonfatal and fatal consequences in hospitals due to cognitive decline. Anodal transcranial direct current stimulation (a-tDCS) is a safe noninvasive neuromodulation technique that can induce depolarization of neurons. Previous studies in pilots have shown benefits against fatigue increasing wakefulness and cognitive performance. However, the effects of a-tDCS on cognition in acute sleep deprived healthcare workers remains unknown. Purpose: To evaluate cognitive changes in sleep deprived medical residents after one session of a-tDCS. Methods: Open clinical test-re-test study including 13 medical residents with acute sleep deprivation. Subjects received 1 session of bifrontal a-tDCS (2mAx20min), anodal over the left dorsolateral prefrontal region. Pre-and-post treatment subjects were tested with Beck anxiety inventory, Beck depression and HVLT tests, Rey´s and Taylor´s figures, Trail Making A/B, Stroop, Aleatory Digit retention test (WAIS), Digits and symbols and MoCA tests. Post-intervention was added the Executive functions and Frontal Lobes Neuropsychological Battery (BANFE2) test and changing the Taylor figure for Reyfigure. Results: Twelve medical residents were analyzed; 8 men and 4 women, 29.5 (+/-2.2) years mean age. All had a mean of 21.6 (+/-1.3) hours of sleep deprivation. There were no serious adverse events. We found statistically significant difference in Rey´s/Taylor´s figures (p=0.002), Trail Making Test (p=0.005), WAIS IV symbols (p=0.003), Word Stroop (p=0.021). BANFE-2 showed that the main affected area was the orbito-medial prefrontal region. Conclusion: a-tDCS appears safe and improves working memory, attention, response time and distractors elimination in acute sleep deprived medical residents.

Indexed as

Cognitive RemediationSleep DeprivationTranscranial Direct Current Stimulation

Identifiers

PMID35273752
PMCPMC8889958
OpenAlexW4212979014

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.