Evidence map›Paper›PMID 35463130›Full record

ArticleFrontiers in neurology2022

Non-invasive Vagus Nerve Stimulation for COVID-19: Results From a Randomized Controlled Trial (SAVIOR I).

Carlos Tornero, Ernesto Pastor, María Del Mar Garzando, Jorge Orduña, Maria J Forner, Irene Bocigas, David L Cedeño, Ricardo Vallejo, Candace K McClure, Christopher J Czura and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04368156 (A Prospective, Randomized, Controlled Study Assessing Vagus Nerve Stimulation in CoViD-19 Respiratory Symptoms), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 6% 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.

NCT04368156 nacompletednot on this map

A Prospective, Randomized, Controlled Study Assessing Vagus Nerve Stimulation in CoViD-19 Respiratory Symptoms (SAVIOR)

TypeinterventionalSponsorCarlos TorneroRan2020 to 2021Enrolled110ConditionsCovid-19ArmsgammaCore® (Vagus nerve stimulation)
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Trial
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  7. Review
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  9. RetrospectiveFrontiers in neuroscience · 2026
    Article
  10. Neuroimmune Control of Inflammation in Acute Kidney Injury and Multiorgan Dysfunction.Journal of the American Society of Nephrology : JASN · 2025
    Review
  11. Review
  12. Article
  13. Article
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  16. Musculoskeletal and Neuropathic Pain in COVID-19.Diagnostics (Basel, Switzerland) · 2024
    Review
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  18. Article
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  20. Review
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

12 authors at 4 institutions in 2 countries.

Carlos TorneroHospital Clínico Universitario de Valencia, Anesthesia, Critical Care and Pain Management Unit, Valencia, Spain.
Ernesto PastorHospital Clínico Universitario de Valencia, Anesthesia, Critical Care and Pain Management Unit, Valencia, Spain.
María Del Mar GarzandoHospital Clínico Universitario de Valencia, Anesthesia, Critical Care and Pain Management Unit, Valencia, Spain.
Jorge OrduñaHospital Clínico Universitario de Valencia, Anesthesia, Critical Care and Pain Management Unit, Valencia, Spain.
Maria J FornerHospital Clínico Universitario de Valencia, Internal Medicine Department, Valencia, Spain.
Irene BocigasHospital Clínico Universitario de Valencia, Pulmonary Department, Valencia, Spain.
David L CedeñoDepartment of Basic Science, Millennium Pain Center, Bloomington, IL, United States.
Ricardo VallejoDepartment of Basic Science, Millennium Pain Center, Bloomington, IL, United States.
Candace K McClureNAMSA, Minneapolis, MN, United States.
Christopher J CzuraConvergent Medical Technologies, Inc., Oyster Bay, NY, United States.
Eric J LieblerelectroCore, Inc., Rockaway, NJ, United States.
Peter StaatselectroCore, Inc., Rockaway, NJ, United States.
Hospital Clínico Universitario de Valencia · ESIllinois Wesleyan University · USMillennium Pain Center · USNational Alliance on Mental Illness · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Severe coronavirus disease 2019 (COVID-19) is characterized, in part, by an excessive inflammatory response. Evidence from animal and human studies suggests that vagus nerve stimulation can lead to reduced levels of various biomarkers of inflammation. We conducted a prospective randomized controlled study (SAVIOR-I) to assess the feasibility, efficacy, and safety of non-invasive vagus nerve stimulation (nVNS) for the treatment of respiratory symptoms and inflammatory markers among patients who were hospitalized for COVID-19 (ClinicalTrials.gov identifier: NCT04368156). Methods: Participants were randomly assigned in a 1:1 allocation to receive either the standard of care (SoC) alone or nVNS therapy plus the SoC. The nVNS group received 2 consecutive 2-min doses of nVNS 3 times daily as prophylaxis. Efficacy and safety were evaluated Results: Of the 110 participants who were enrolled and randomly assigned, 97 (nVNS, Conclusions: nVNS therapy led to significant reductions in levels of inflammatory markers, specifically CRP and procalcitonin. Because nVNS has multiple mechanisms of action that may be relevant to COVID-19, additional research into its potential use earlier in the course of COVID-19 and its potential to mitigate some of the symptoms associated with post-acute sequelae of COVID-19 is warranted.

Indexed as

biomarkerscoronavirusCOVID-19inflammationneuromodulationnon-invasive vagus nerve stimulationrandomized control trialrespiratory symptoms

Identifiers

PMID35463130
PMCPMC9028764
OpenAlexW4226204593

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.