Evidence map›Paper›PMID 36448965›Full record

SynthesisThe Journal of international medical research2022

Efficacy of median nerve electrical stimulation on the recovery of patients with consciousness disorders: a systematic review and meta-analysis.

Peng Wang, Wei Cao, Hong Zhou, Huan Xin Zhang, Lunzhong Zhang, Li Liu, Yunlong Sui, Zhen Zhang, Xiaoyu Yin, Fan Yang and 1 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Journal of international medical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Review
  7. 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

11 authors.

Peng WangThe First Clinical College, Shandong University of Traditional Chinese Medicine, Jinan, China.ORCID 0000-0002-0932-9561
Wei CaoDepartment of Nephrology, The First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Hong ZhouDepartment of Neurorehabilitation, Weifang Traditional Chinese Hospital, Weifang, China.
Huan Xin ZhangDepartment of Neurorehabilitation, Weifang Traditional Chinese Hospital, Weifang, China.
Lunzhong ZhangDepartment of Neurorehabilitation, Weifang Traditional Chinese Hospital, Weifang, China.
Li LiuDepartment of Neurorehabilitation, Weifang Traditional Chinese Hospital, Weifang, China.
Yunlong SuiDepartment of Neurorehabilitation, Weifang Traditional Chinese Hospital, Weifang, China.
Zhen ZhangDepartment of Neurorehabilitation, Weifang Traditional Chinese Hospital, Weifang, China.
Xiaoyu YinShandong Provincial Hospital Affiliated to Shandong First Medical University, Medical College, Jinan, China.
Fan YangDepartment of Rehabilitation Medicine, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Li KongDepartment of Emergency Center, Shandong University of Traditional Chinese Medicine Affiliated Hospital, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify whether median nerve stimulation (MNS) may be a potential candidate for the treatment of consciousness disorders via a systematic review and meta-analysis.

methodsPubMed, Cochrane Library, China National Knowledge Infrastructure, Chinese VIP Information, Wanfang, and SinoMed databases were searched. Risk of bias was assessed using the Cochrane Collaboration's tool. The Glasgow Coma Scale (GCS), Disability Rating Scale (DRS), electroencephalogram (EEG), days in the Intensive Care Unit (ICU), and cerebral blood flow measures were compared between the median nerve stimulation and control groups. The meta-analysis was conducted using Review Manager software.

resultsWe identified 2244 studies, of which 23 (with data from 1856 patients) qualified for the analysis. MNS improved GCS scores (mean difference [MD] = 2.15), EEG scores (MD = 1.61), cerebral mean blood flow velocity (MD = 4.23), and cerebral systolic blood flow velocity (MD = 10.51). Furthermore, it decreased DRS scores (MD = -1.77) and days in the ICU (MD = -2.02). The effects of MNS on GCS scores increased with longer treatments (1 week, MD = 1.03; 1 month, MD = 2.35) and were better with right MNS (right, MD = 2.36; bilateral, MD = 1.72).

conclusionsMNS may promote recovery from consciousness disorders.

Indexed as

Consciousness DisordersMedian NerveAsian PeopleElectric StimulationElectroencephalographyHumansconsciousness disorderintensive careMedian nerve stimulationmeta-analysissystematic reviewtreatmentvegetative state

Identifiers

PMID36448965
PMCPMC9720824

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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.