Decreased risk of stroke in patients with traumatic brain injury receiving acupuncture treatment: a population-based retrospective cohort study.

<h4>Background</h4>Patients with traumatic brain injury (TBI) face increased risk of stroke. Whether acupuncture can help to protect TBI patients from stroke has not previously been studied.<h4>Methods</h4>Taiwan's National Health Insurance Research Database was used to...

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Autores principales:	Chun-Chuan Shih, Yi-Ting Hsu, Hwang-Huei Wang, Ta-Liang Chen, Chin-Chuan Tsai, Hsin-Long Lane, Chun-Chieh Yeh, Fung-Chang Sung, Wen-Ta Chiu, Yih-Giun Cherng, Chien-Chang Liao
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6959010f593446ffb25a8bae734f91c1
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spelling	oai:doaj.org-article:6959010f593446ffb25a8bae734f91c12021-11-18T08:31:58ZDecreased risk of stroke in patients with traumatic brain injury receiving acupuncture treatment: a population-based retrospective cohort study.1932-620310.1371/journal.pone.0089208https://doaj.org/article/6959010f593446ffb25a8bae734f91c12014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24586597/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Patients with traumatic brain injury (TBI) face increased risk of stroke. Whether acupuncture can help to protect TBI patients from stroke has not previously been studied.<h4>Methods</h4>Taiwan's National Health Insurance Research Database was used to conduct a retrospective cohort study of 7409 TBI patients receiving acupuncture treatment and 29,636 propensity-score-matched TBI patients without acupuncture treatment in 2000-2008 as controls. Both TBI cohorts were followed until the end of 2010 and adjusted for immortal time to measure the incidence and adjusted hazard ratios (HRs) with 95% confidence intervals (CIs) of new-onset stroke in the multivariable Cox proportional hazard models.<h4>Results</h4>TBI patients with acupuncture treatment (4.9 per 1000 person-years) had a lower incidence of stroke compared with those without acupuncture treatment (7.5 per 1000 person-years), with a HR of 0.59 (95% CI = 0.50-0.69) after adjustment for sociodemographics, coexisting medical conditions and medications. The association between acupuncture treatment and stroke risk was investigated by sex and age group (20-44, 45-64, and ≥65 years). The probability curve with log-rank test showed that TBI patients receiving acupuncture treatment had a lower probability of stroke than those without acupuncture treatment during the follow-up period (p<0.0001).<h4>Conclusion</h4>Patients with TBI receiving acupuncture treatment show decreased risk of stroke compared with those without acupuncture treatment. However, this study was limited by lack of information regarding lifestyles, biochemical profiles, TBI severity, and acupuncture points used in treatments.Chun-Chuan ShihYi-Ting HsuHwang-Huei WangTa-Liang ChenChin-Chuan TsaiHsin-Long LaneChun-Chieh YehFung-Chang SungWen-Ta ChiuYih-Giun CherngChien-Chang LiaoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 2, p e89208 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chun-Chuan Shih Yi-Ting Hsu Hwang-Huei Wang Ta-Liang Chen Chin-Chuan Tsai Hsin-Long Lane Chun-Chieh Yeh Fung-Chang Sung Wen-Ta Chiu Yih-Giun Cherng Chien-Chang Liao Decreased risk of stroke in patients with traumatic brain injury receiving acupuncture treatment: a population-based retrospective cohort study.
description	<h4>Background</h4>Patients with traumatic brain injury (TBI) face increased risk of stroke. Whether acupuncture can help to protect TBI patients from stroke has not previously been studied.<h4>Methods</h4>Taiwan's National Health Insurance Research Database was used to conduct a retrospective cohort study of 7409 TBI patients receiving acupuncture treatment and 29,636 propensity-score-matched TBI patients without acupuncture treatment in 2000-2008 as controls. Both TBI cohorts were followed until the end of 2010 and adjusted for immortal time to measure the incidence and adjusted hazard ratios (HRs) with 95% confidence intervals (CIs) of new-onset stroke in the multivariable Cox proportional hazard models.<h4>Results</h4>TBI patients with acupuncture treatment (4.9 per 1000 person-years) had a lower incidence of stroke compared with those without acupuncture treatment (7.5 per 1000 person-years), with a HR of 0.59 (95% CI = 0.50-0.69) after adjustment for sociodemographics, coexisting medical conditions and medications. The association between acupuncture treatment and stroke risk was investigated by sex and age group (20-44, 45-64, and ≥65 years). The probability curve with log-rank test showed that TBI patients receiving acupuncture treatment had a lower probability of stroke than those without acupuncture treatment during the follow-up period (p<0.0001).<h4>Conclusion</h4>Patients with TBI receiving acupuncture treatment show decreased risk of stroke compared with those without acupuncture treatment. However, this study was limited by lack of information regarding lifestyles, biochemical profiles, TBI severity, and acupuncture points used in treatments.
format	article
author	Chun-Chuan Shih Yi-Ting Hsu Hwang-Huei Wang Ta-Liang Chen Chin-Chuan Tsai Hsin-Long Lane Chun-Chieh Yeh Fung-Chang Sung Wen-Ta Chiu Yih-Giun Cherng Chien-Chang Liao
author_facet	Chun-Chuan Shih Yi-Ting Hsu Hwang-Huei Wang Ta-Liang Chen Chin-Chuan Tsai Hsin-Long Lane Chun-Chieh Yeh Fung-Chang Sung Wen-Ta Chiu Yih-Giun Cherng Chien-Chang Liao
author_sort	Chun-Chuan Shih
title	Decreased risk of stroke in patients with traumatic brain injury receiving acupuncture treatment: a population-based retrospective cohort study.
title_short	Decreased risk of stroke in patients with traumatic brain injury receiving acupuncture treatment: a population-based retrospective cohort study.
title_full	Decreased risk of stroke in patients with traumatic brain injury receiving acupuncture treatment: a population-based retrospective cohort study.
title_fullStr	Decreased risk of stroke in patients with traumatic brain injury receiving acupuncture treatment: a population-based retrospective cohort study.
title_full_unstemmed	Decreased risk of stroke in patients with traumatic brain injury receiving acupuncture treatment: a population-based retrospective cohort study.
title_sort	decreased risk of stroke in patients with traumatic brain injury receiving acupuncture treatment: a population-based retrospective cohort study.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/6959010f593446ffb25a8bae734f91c1
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Decreased risk of stroke in patients with traumatic brain injury receiving acupuncture treatment: a population-based retrospective cohort study.

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