Reduced use of emergency care and hospitalization in patients with traumatic brain injury receiving acupuncture treatment

Chun Chuan Shih, Hsun Hua Lee, Ta-Liang Chen, Chin Chuan Tsai, Hsin Long Lane, Wen Ta Chiu, Chien Chang Liao

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background. Little research exists on acupuncture treatment's effect on patients with traumatic brain injury (TBI). Methods. Using Taiwan's National Health Insurance Research Database, we conducted a cohort study to compare the use of emergency care and hospitalization in TBI patients with and without acupuncture treatment in the first year after TBI. The adjusted relative risks (RRs) and 95% confidence intervals (CIs) of high use of emergency care and hospitalization associated with acupuncture treatment were calculated in multivariate Poisson regression models with generalized estimating equation. Results. The means of medical visits of emergency care and hospitalization were lower in TBI patients with acupuncture treatment than in those without acupuncture treatment. After adjustment, acupuncture treatment was associated with decreased risk of high emergency care visits (beta = -0.0611, P = 0.0452) and hospitalization (beta = -0.0989, P <0.0001). The RRs of high medical visits and expenditure for hospitalization associated with acupuncture treatment were 0.62 (95% CI = 0.50-0.76) and 0.66 (95% CI = 0.53-0.83), respectively. Conclusion. Patients with TBI who receive acupuncture treatment have reduced the use of emergency care and hospitalization in the first year after injury. The mechanisms of effects of acupuncture on TBI warrant further investigations.

Original languageEnglish
Article number262039
JournalEvidence-based Complementary and Alternative Medicine
Volume2013
DOIs
Publication statusPublished - 2013

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Acupuncture Therapy
Emergency Medical Services
Hospitalization
Confidence Intervals
Traumatic Brain Injury
National Health Programs
Acupuncture
Health Expenditures
Taiwan
Research
Cohort Studies
Databases

ASJC Scopus subject areas

  • Complementary and alternative medicine

Cite this

Reduced use of emergency care and hospitalization in patients with traumatic brain injury receiving acupuncture treatment. / Shih, Chun Chuan; Lee, Hsun Hua; Chen, Ta-Liang; Tsai, Chin Chuan; Lane, Hsin Long; Chiu, Wen Ta; Liao, Chien Chang.

In: Evidence-based Complementary and Alternative Medicine, Vol. 2013, 262039, 2013.

Research output: Contribution to journalArticle

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abstract = "Background. Little research exists on acupuncture treatment's effect on patients with traumatic brain injury (TBI). Methods. Using Taiwan's National Health Insurance Research Database, we conducted a cohort study to compare the use of emergency care and hospitalization in TBI patients with and without acupuncture treatment in the first year after TBI. The adjusted relative risks (RRs) and 95{\%} confidence intervals (CIs) of high use of emergency care and hospitalization associated with acupuncture treatment were calculated in multivariate Poisson regression models with generalized estimating equation. Results. The means of medical visits of emergency care and hospitalization were lower in TBI patients with acupuncture treatment than in those without acupuncture treatment. After adjustment, acupuncture treatment was associated with decreased risk of high emergency care visits (beta = -0.0611, P = 0.0452) and hospitalization (beta = -0.0989, P <0.0001). The RRs of high medical visits and expenditure for hospitalization associated with acupuncture treatment were 0.62 (95{\%} CI = 0.50-0.76) and 0.66 (95{\%} CI = 0.53-0.83), respectively. Conclusion. Patients with TBI who receive acupuncture treatment have reduced the use of emergency care and hospitalization in the first year after injury. The mechanisms of effects of acupuncture on TBI warrant further investigations.",
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AU - Chiu, Wen Ta

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