A Time-Dependent Analysis of Association between Acupuncture Utilization and the Prognosis of Ischemic Stroke

被引:3
作者
Choi, Sung-Ryul [1 ]
Kim, Eun-San [2 ]
Jang, Bo-Hyoung [3 ]
Jung, Boyoung [4 ]
Ha, In-Hyuk [2 ]
机构
[1] Jaseng Hosp Korean Med, Seoul 06110, South Korea
[2] Jaseng Med Fdn, Jaseng Spine & Joint Res Inst, Seoul 06110, South Korea
[3] Kyung Hee Univ, Coll Korean Med, Dept Prevent Med, Seoul 02447, South Korea
[4] Hanyang Womens Univ, Dept Hlth Adm, Seoul 04763, South Korea
关键词
acupuncture; ischemic stroke; mortality; complications; time-dependent analysis; THERAPY; BIAS;
D O I
10.3390/healthcare10050756
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This study investigated the time-dependent characteristics of acupuncture and analyzed the association between acupuncture utilization and mortality rates, readmission rates, and complications among ischemic stroke patients. Data from the National Health Insurance Service-National Sample Cohort 2.0 from South Korea were used to track patients with subacute and chronic ischemic stroke, who had survived more than one month after onset, between 2010 and 2013. A total of 2299 patients were followed up until 2015. At baseline, the acupuncture group (n = 195) and the control group (n = 2104) had similar ages (acupuncture group: 69.0 +/- 11.1 years; control group: 68.5 +/- 11.8 years), but the acupuncture group had more comorbidities (Charlson comorbidity index; acupuncture group: 4.7 +/- 2.1, control group: 4.3 +/- 2.4). According to time-dependent Cox regression survival analysis, acupuncture treatment was associated with low hazard ratios (HR) for death (HR: 0.32; 95% confidence interval (CI): 0.18-0.60), fewer composite complications (HR: 0.34; 95% CI: 0.21-0.53), and reduced urinary tract infection (HR: 0.24; 95% CI: 0.11-0.54). Many acupuncture session sensitivity analyses were performed to assess the robustness using different criteria to define the acupuncture group, and the results were consistent with those of the main analysis. Therefore, acupuncture treatment might be associated with lower mortality rates and the prevention of complications after ischemic stroke.
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页数:12
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