Evidence map›Paper›PMID 40804260›Full record

Trial reportNature communications2025

Effect of a single low-dose esketamine administration during surgical abortion on postoperative sleep disturbance: a randomized controlled trial.

Zhenhua Song, Miao Miao, Fei Huang, Lingyue Hu, Xinyu Yang, Wei Cui, Yonghao Yu, Guolin Wang, Chunyan Wang, Linlin Zhang

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06388824 (The Effect of a Single Low Dose of Esketamine During Surgical Abortion in Patients With Sleep Disturbance), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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.

NCT06388824 nacompletednot on this map

The Effect of a Single Low Dose of Esketamine During Surgical Abortion in Patients With Sleep Disturbance

TypeinterventionalSponsorTianjin Medical University General HospitalRan2024 to 2024Enrolled204ConditionsSleep DisturbanceArmsnormal saline, Esketamine
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

10 authors.

Zhenhua Song *Department of Anesthesiology, Tianjin Medical University General Hospital, Tianjin, China.ORCID http://orcid.org/0009-0009-6472-006X
Miao Miao *Department of Gynecology, Tianjin Medical University General Hospital, Tianjin, China.ORCID http://orcid.org/0009-0002-1784-1335
Fei Huang *Department of Anesthesiology, Tianjin Medical University General Hospital, Tianjin, China.ORCID http://orcid.org/0009-0008-7310-4886
Lingyue HuDepartment of Anesthesiology, Tianjin Medical University General Hospital, Tianjin, China.ORCID http://orcid.org/0009-0004-2182-6781
Xinyu YangDepartment of Anesthesiology, Tianjin Medical University General Hospital, Tianjin, China.ORCID http://orcid.org/0009-0009-7154-6485
Wei CuiDepartment of Anesthesiology, Tianjin Medical University General Hospital, Tianjin, China.ORCID http://orcid.org/0009-0004-1997-761X
Yonghao YuDepartment of Anesthesiology, Tianjin Medical University General Hospital, Tianjin, China.ORCID http://orcid.org/0000-0002-7289-7748
Guolin WangDepartment of Anesthesiology, Tianjin Medical University General Hospital, Tianjin, China.ORCID http://orcid.org/0000-0003-1834-6803
Chunyan WangDepartment of Anesthesiology, Tianjin Medical University General Hospital, Tianjin, China. 0208wcy@163.com.ORCID http://orcid.org/0000-0001-7451-7000
Linlin ZhangDepartment of Anesthesiology, Tianjin Medical University General Hospital, Tianjin, China. linlinzhang@tmu.edu.cn.ORCID http://orcid.org/0000-0002-2644-4289

Funding

National Natural Science Foundation of China (National Science Foundation of China) 81801107National Natural Science Foundation of China (National Science Foundation of China) 82171205
6 · The paper itself

Abstract

Women with pre-existing sleep disturbance frequently experience postoperative sleep disturbance after surgery. This randomized, double-blind, placebo-controlled, parallel-group trial was conducted to investigate the efficacy of intraoperative adjunctive esketamine administration in the reduction of postoperative sleep disturbance following surgical abortion for women with pre-existing sleep disturbance. 204 women who had sleep disturbance and were scheduled for elective surgical abortion were randomized in a one-to-one allocation ratio to receive either a single intravenous injection of 0.2 mg/kg of esketamine or placebo (saline) immediately after the beginning of surgery (102 women allocated to each group). This trial has now completed. The primary outcome, incidence of sleep disturbance on the first night after surgery, is significantly lower in the esketamine group than in the placebo group (47.1% [48 of 102] vs 71.6% [73 of 102]; odds ratio, 0.35; 95%CI, 0.20-0.64; P = 0.0004). No treatment-related serious adverse events were observed. Here we show that a single low dose of esketamine during surgical abortion improves postoperative sleep quality for women with pre-existing sleep disturbance. ClinicalTrials.gov identifier: NCT06388824.

Indexed as

Abortion, InducedKetaminePostoperative ComplicationsSleep Wake DisordersAdultDouble-Blind MethodFemaleHumansPregnancyYoung AdultEsketamineKetamine

Identifiers

PMID40804260
PMCPMC12350747

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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.