Evidence map›Paper›PMID 36295080›Full record

ArticleLife (Basel, Switzerland)2022

Transcutaneous Auricular Vagus Nerve Stimulation Improves Inflammation but Does Not Interfere with Cardiac Modulation and Clinical Symptoms of Individuals with COVID-19: A Randomized Clinical Trial.

Fernanda Ishida Corrêa, Paulo Henrique Leite Souza, Laura Uehara, Raphael Mendes Ritti-Dias, Gustavo Oliveira da Silva, Wellington Segheto, Kevin Pacheco-Barrios, Felipe Fregni, João Carlos Ferrari Corrêa

Open access · goldAbstract read
In one paragraph

Article in Life (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 19% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 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

9 authors at 2 institutions in 3 countries.

Fernanda Ishida CorrêaDoctoral and Master's Programs in Rehabilitation Sciences, Nove de Julho University, São Paulo 01525-000, Brazil.
Paulo Henrique Leite SouzaDoctoral and Master's Programs in Rehabilitation Sciences, Nove de Julho University, São Paulo 01525-000, Brazil.ORCID 0000-0002-7997-2130
Laura UeharaDoctoral and Master's Programs in Rehabilitation Sciences, Nove de Julho University, São Paulo 01525-000, Brazil.ORCID 0000-0002-3941-859X
Raphael Mendes Ritti-DiasDoctoral and Master's Programs in Rehabilitation Sciences, Nove de Julho University, São Paulo 01525-000, Brazil.ORCID 0000-0001-7883-6746
Gustavo Oliveira da SilvaDoctoral and Master's Programs in Rehabilitation Sciences, Nove de Julho University, São Paulo 01525-000, Brazil.ORCID 0000-0001-6341-345X
Wellington SeghetoDoctoral and Master's Programs in Rehabilitation Sciences, Nove de Julho University, São Paulo 01525-000, Brazil.
Kevin Pacheco-BarriosNeuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Felipe FregniNeuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
João Carlos Ferrari CorrêaDoctoral and Master's Programs in Rehabilitation Sciences, Nove de Julho University, São Paulo 01525-000, Brazil.ORCID 0000-0002-8642-9814
Universidade Nove de Julho · BRHarvard University · US

Funding

Coordination for the Improvement of Higher Education Personnel, CAPES Grant numbers 88887.612408/2021-00 and 88887.613510/2021-00
6 · The paper itself

Abstract

Transcranial auricular vagus nerve stimulation (taVNS) has shown effectiveness in reducing inflammation and depression. Thus, this study evaluated its effect on inflammation, cardiac autonomic modulation, and clinical symptoms in individuals affected by COVID-19. Methods: There were 52 randomized participants hospitalized with COVID-19 diagnosis who were to receive active (a-taVNS) or sham taVNS (s-taVNS) for 90 min twice a day for seven consecutive days. Interleukin 6 (IL-6), 10 (IL-10), cortisol, C-reactive protein (CRP), heart rate variability (HRV), and clinical symptoms were assessed before and after seven days of treatment. There were also seven- and fourteen-day follow-ups for clinical symptoms, including anxiety and depression levels, as well as a six-month follow-up for memory and attention levels. Results: There was significant reduction in CRP −23.9%, (95% CI −46.3 to −1.4) and IL-6 −37.7%, (95% CI −57.6 to −17.7) for the a-taVNS group. There were no changes in IL-10, cortisol levels, or in HRV results (p > 0.05) in both groups. There were no changes regarding clinical symptoms, except for a significant decrease in depression level (−2.85, 95% CI −5.44 to −0.27) in the a-taVNS group. Conclusion: taVNS showed effects on CRP, IL-6, and depression levels; however, it did not affect other clinical symptoms.

Indexed as

autonomic modulationclinical symptomsCOVID-19inflammationvagus nerve stimulation

Identifiers

PMID36295080
PMCPMC9604701
OpenAlexW4306837428

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.