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

研究成果: 雜誌貢獻文章

12 引文 (Scopus)

摘要

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.

原文英語
文章編號262039
期刊Evidence-based Complementary and Alternative Medicine
2013
DOIs
出版狀態已發佈 - 2013

指紋

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

引用此文

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

AU - Lee, Hsun Hua

AU - Chen, Ta-Liang

AU - Tsai, Chin Chuan

AU - Lane, Hsin Long

AU - Chiu, Wen Ta

AU - Liao, Chien Chang

PY - 2013

Y1 - 2013

N2 - 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.

AB - 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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