Evidence map›Paper›PMID 37329979›Full record

ArticleThe Journal of pediatrics2023

Higher Dose Noninvasive Transcutaneous Auricular Vagus Nerve Stimulation Increases Feeding Volumes and White Matter Microstructural Complexity in Open-Label Study of Infants Slated for Gastrostomy Tube.

Dorothea D Jenkins, Hunter G Moss, Lauren E Adams, Sally Hunt, Morgan Dancy, Sarah M Huffman, Daniel Cook, Jens H Jensen, Philipp Summers, Sean Thompson and 2 more

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 23% 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.

NCT04643808 early_phase1completednot on this map

Noninvasive Brain Stimulation to Improve Oromotor Function In Neonates With Advanced Neuroimaging to Determine Safety and Target Engagement of taVNS for Neurorehabilitation

TypeinterventionalSponsorMedical University of South CarolinaRan2017 to 2022Enrolled35ConditionsPoor Feeding, Infant Development, Vagus Nerve StimulationArmstranscutaneous auricular vagus nerve stimulation
NCT07049952 phase2 / phase3recruitingnot on this mapstarted 2025, after this paper: background citation

BabyStrong II (Stimulating the Tragus for Neural Growth): A Randomized Controlled Trial of taVNS-Paired Bottle Feeding to Improve Oral Feeding

TypeinterventionalSponsorMedical University of South CarolinaRan2025 to 2027Enrolled88ConditionsFeeding Delays, Neonates and Term InfantsArmstaVNS, NAC and taVNS, inactive taVNS, sterile water and inactive taVNS
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 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

12 authors at 2 institutions in 1 country.

Dorothea D JenkinsDepartment of Pediatrics at the Medical University of South Carolina, Charleston, SC; Department of Neuroscience, Medical University of South Carolina, Charleston, SC. Electronic address: jenkd@musc.edu.
Hunter G MossDepartment of Neuroscience, Medical University of South Carolina, Charleston, SC; Center for Biomedical Imaging, Medical University of South Carolina, Charleston, SC.
Lauren E AdamsCollege of Medicine, Medical University of South Carolina, Charleston, SC.
Sally HuntCollege of Medicine, Medical University of South Carolina, Charleston, SC.
Morgan DancyBrain Stimulation Division, Department of Psychiatry, Medical University of South Carolina, Charleston, SC.
Sarah M HuffmanBrain Stimulation Division, Department of Psychiatry, Medical University of South Carolina, Charleston, SC.
Daniel CookCollege of Medicine, Medical University of South Carolina, Charleston, SC.
Jens H JensenDepartment of Neuroscience, Medical University of South Carolina, Charleston, SC; Center for Biomedical Imaging, Medical University of South Carolina, Charleston, SC; Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC.
Philipp SummersBrain Stimulation Division, Department of Psychiatry, Medical University of South Carolina, Charleston, SC.
Sean ThompsonDepartment of Neurology, Emory University School of Medicine, Atlanta, GA.
Mark S GeorgeBrain Stimulation Division, Department of Psychiatry, Medical University of South Carolina, Charleston, SC; Ralph H. Johnson VA Medical Center, Charleston, SC.
Bashar W BadranCenter for Biomedical Imaging, Medical University of South Carolina, Charleston, SC; Neuro-X Lab, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC.
Medical University of South Carolina · USEmory University · US

Funding

Treating Depression and Enhancing Locomotor Recovery Post-strokeP20GM109040 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAUTZ, STEVEN A. · 2014 to 2024
$23.5M
Techniques DevelopmentP2CHD086844 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GEORGE, MARK S · 2015 to 2024
$12.7M
Advanced Diffusion MRI Applied in Hypoxic-ischemic NeonatesF31NS108623 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MOSS, HUNTER · 2019 to 2021
$123k
NICHD NIH HHS P2C HD086844NIGMS NIH HHS P20 GM109040NINDS NIH HHS F31 NS108623
6 · The paper itself

Abstract

objectiveTo determine whether transcutaneous auricular vagus nerve stimulation (taVNS) paired with twice daily bottle feeding increases the volume of oral feeds and white matter neuroplasticity in term-age-equivalent infants failing oral feeds and determined to need a gastrostomy tube. STUDY

designIn this prospective, open-label study, 21 infants received taVNS paired with 2 bottle feeds for 2 - 3 weeks (2x). We compared 1) increase oral feeding volumes with 2x taVNS and previously reported once daily taVNS (1x) to determine a dose response, 2) number of infants who attained full oral feeding volumes, and 3) diffusional kurtosis imaging and magnetic resonance spectroscopy before and after treatment by paired t tests.

resultsAll 2x taVNS treated infants significantly increased their feeding volumes compared with 10 days before treatment. Over 50% of 2x taVNS infants achieved full oral feeds but in a shorter time than 1x cohort (median 7 days [2x], 12.5 days [1x], P < .05). Infants attaining full oral feeds showed greater increase in radial kurtosis in the right corticospinal tract at the cerebellar peduncle and external capsule. Notably, 75% of infants of diabetic mothers failed full oral feeds, and their glutathione concentrations in the basal ganglia, a measure of central nervous system oxidative stress, were significantly associated with feeding outcome.

conclusionsIn infants with feeding difficulty, increasing the number of daily taVNS-paired feeding sessions to twice-daily significantly accelerates response time but not the overall response rate of treatment. taVNS was associated with white matter motor tract plasticity in infants able to attain full oral feeds.

trial registrationClinicaltrials.gov (NCT04643808).

Indexed as

Transcutaneous Electric Nerve StimulationVagus Nerve StimulationWhite MatterFemaleGastrostomyHumansInfantProspective StudiesVagus Nervediffusional kurtosis imaginginfants of diabetic mothersmagnetic resonance spectroscopyneuroplasticitypoor feeding in infantstranscutaneous auricular vagus nerve stimulationwhite matter

Identifiers

PMID37329979
PMCPMC11000235
OpenAlexW4380893800

What OpenQuestion holds

Textmetadata
LicenceTDM
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.