Evidence map›Paper›PMID 39493183›Full record

ReviewCureus2024

Effects of Non-invasive Vagus Nerve Stimulation on Inflammatory Markers in COVID-19 Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Amira Mohamed Taha, Amr Elrosasy, Ahmed S Mohamed, Ahmed Elmorsy Mohamed, Abdallah Bani-Salameh, Abdelmonem Siddiq, Shirin Cadri, Ahmed Elshahat, Atef A Abdelmonteser, Moaz E Abouelmagd

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

10 authors.

Amira Mohamed TahaNeurology, Faculty of Medicine, Fayoum University, Fayoum, EGY.
Amr ElrosasyOphthalmology, Faculty of Medicine, Cairo University, Cairo, EGY.
Ahmed S MohamedInternal Medicine, Faculty of Medicine, Merit University, Mansoura, EGY.
Ahmed Elmorsy MohamedNeurology, Faculty of Medicine, Tanta University, Tanta, EGY.
Abdallah Bani-SalamehMedicine, Jordan University of Science and Technology, Irbid, JOR.
Abdelmonem SiddiqTherapeutics, Faculty of Pharmacy, Mansoura University, Mansoura, EGY.
Shirin CadriInternal Medicine, Universitatea de Medicină și Farmacie "Grigore T. Popa" Iași, Iași, ROU.
Ahmed ElshahatInternal Medicine, Al-Azhar University, Cairo, EGY.
Atef A AbdelmonteserMedicine and Surgery, Al-Azhar University, Cairo, EGY.
Moaz E AbouelmagdNeurology, Medical Research Group of Egypt (MRGE), Arlington, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The international healthcare community has encountered several difficulties because of the COVID-19 pandemic brought on by SARS-CoV-2. COVID-19 can lead to an abnormal immune response that features excessive inflammation, so targeting the vagus nerve through non-invasive vagus nerve stimulation (nVNS) may hold promise as an intervention. This meta-analysis aimed to examine the outcomes of using nVNS on different inflammatory biomarkers in COVID-19 patients. Up until May 2023, we performed a review of online databases. We included randomized controlled trials (RCTs) that discussed how nVNS affected patients with COVID-19's clinical outcomes. Using the Revman 5.4 software (Cochrane, London, United Kingdom), a meta-analysis was carried out to find the pooled mean difference (MD), with 95% confidence intervals (CIs), of nVNS effects on different inflammatory biomarkers, including interleukin-10 (IL-10), C-reactive protein (CRP), IL-6, and cortisol levels. The review included four RCTs involving 180 COVID-19 patients. Following nVNS treatment, there was a significant increase in IL-10 levels (MD = 1.53, 95% CI: 0.77, 2.29; p < 0.001). CRP levels (MD = -2.24, 95% CI: -4.52, 0.05; p = 0.06), IL-6 levels (MD = 4.07, 95% CI: -3.16, 11.32; p = 0.27), cortisol levels (MD = 1.45, 95% CI: -11.67, 14.57; p = 0.83), and D-dimer levels (MD = -0.47, 95% CI: -1.31, 0.38; p = 0.28) did not differ significantly. These findings suggest that nVNS may positively impact certain inflammatory markers in COVID-19 patients, suggesting that nVNS could be a beneficial adjunctive treatment.

Indexed as

covid-19inflammationnvnssystemic inflammatory markersvagus nerve stimulator

Identifiers

PMID39493183
PMCPMC11528624

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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.