Risk of epilepsy in stroke patients receiving acupuncture treatment: a nationwide retrospective matched-cohort study

Shu Wen Weng, Chien Chang Liao, Chun Chieh Yeh, Ta Liang Chen, Hsin Long Lane, Jaung Geng Lin, Chun Chuan Shih

研究成果: 雜誌貢獻文章同行評審

14 引文 斯高帕斯(Scopus)

摘要

OBJECTIVE: To investigate the risk of epilepsy in stroke patients receiving and not receiving acupuncture treatment.

DESIGN: Retrospective cohort study.

SETTING: This study was based on Taiwan's National Health Insurance Research Database that included information on stroke patients hospitalised between 1 January 2000 and 31 December 2004.

PARTICIPANTS: We identified 42 040 patients hospitalised with newly diagnosed stroke who were aged 20 years and above.

PRIMARY AND SECONDARY OUTCOME MEASURES: We compared incident epilepsy during the follow-up period until the end of 2009 in stroke patients who were and were not receiving acupuncture. The adjusted HRs and 95% CIs of epilepsy associated with acupuncture were calculated using multivariate Cox proportional hazard regression.

RESULTS: Stroke patients who received acupuncture treatment (9.8 per 1000 person-years) experienced a reduced incidence of epilepsy compared to those who did not receive acupuncture treatment (11.5 per 1000 person-years), with an HR of 0.74 (95% CI 0.68 to 0.80) after adjustment for sociodemographic factors and coexisting medical conditions. Acupuncture treatment was associated with a decreased risk of epilepsy, particularly among stroke patients aged 20-69 years. The log-rank test probability curve indicated that stroke patients receiving acupuncture treatment had a reduced probability of epilepsy compared with individuals who did not receive acupuncture treatment during the follow-up period (p<0.0001).

CONCLUSIONS: Stroke patients who received acupuncture treatment had a reduced risk of epilepsy compared with those not receiving acupuncture treatment. However, the protective effects associated with acupuncture treatment require further validation in prospective cohort studies.

原文英語
頁(從 - 到)e010539
期刊BMJ Open
6
發行號7
DOIs
出版狀態已發佈 - 7月 13 2016

ASJC Scopus subject areas

  • 醫藥 (全部)

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