Decreased Risk of Stroke in Patients with Traumatic Brain Injury Receiving Acupuncture Treatment: A Population-Based Retrospective Cohort Study
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{"title"=>"Decreased Risk of Stroke in Patients with Traumatic Brain Injury Receiving Acupuncture Treatment: A Population-Based Retrospective Cohort Study", "type"=>"journal", "authors"=>[{"first_name"=>"Chun-Chuan", "last_name"=>"Shih"}, {"first_name"=>"Yi-Ting", "last_name"=>"Hsu"}, {"first_name"=>"Hwang-Huei", "last_name"=>"Wang"}, {"first_name"=>"Ta-Liang", "last_name"=>"Chen"}, {"first_name"=>"Chin-Chuan", "last_name"=>"Tsai"}, {"first_name"=>"Hsin-Long", "last_name"=>"Lane"}, {"first_name"=>"Chun-Chieh", "last_name"=>"Yeh"}, {"first_name"=>"Fung-Chang", "last_name"=>"Sung"}, {"first_name"=>"Wen-Ta", "last_name"=>"Chiu"}, {"first_name"=>"Yih-Giun", "last_name"=>"Cherng"}, {"first_name"=>"Chien-Chang", "last_name"=>"Liao"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"doi"=>"10.1371/journal.pone.0089208", "pmid"=>"24586597", "issn"=>"1932-6203"}, "id"=>"c7251df5-282b-33b4-adea-6080cfc99624", "abstract"=>"BACKGROUND: 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., METHODS: 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., RESULTS: 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)., CONCLUSION: 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.", "link"=>"http://www.mendeley.com/research/decreased-risk-stroke-patients-traumatic-brain-injury-receiving-acupuncture-treatment-populationbase", "reader_count"=>20, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Researcher"=>2, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>3, "Other"=>2, "Student > Master"=>3, "Student > Bachelor"=>7}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Researcher"=>2, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>3, "Other"=>2, "Student > Master"=>3, "Student > Bachelor"=>7}, "reader_count_by_subject_area"=>{"Nursing and Health Professions"=>1, "Medicine and Dentistry"=>15, "Agricultural and Biological Sciences"=>1, "Sports and Recreations"=>1, "Psychology"=>1, "Computer Science"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>15}, "Sports and Recreations"=>{"Sports and Recreations"=>1}, "Psychology"=>{"Psychology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}}, "reader_count_by_country"=>{"United States"=>1}, "group_count"=>1}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/1390933"], "description"=>"<p>*Per 1000 person-years with calculated by correcting immortal time.</p>†<p>Adjusted for age, gender, low income, density of TCM physicians, types of TBI, diabetes mellitus, hypertension, hyperlipidemia, mental disorders, ischemic heart disease, migraine, epilepsy, anticoagulants, antiplatelet agents, and lipid-lowering agents.</p>‡<p>Adjusted for all covariates in the full model except gender.</p>§<p>Adjusted for all covariates in the full model except age.</p><p>CI, confidence interval; HR, hazard ratio; IRR, incidence rate ratio; TBI, traumatic brain injury; TCM traditional Chinese medicine.</p>", "links"=>[], "tags"=>["statistics", "Confidence intervals", "Statistical methods", "cardiovascular", "stroke", "Clinical research design", "Cohort studies", "Retrospective studies", "Complementary and alternative medicine", "neurology", "Cerebrovascular diseases", "Head injury", "adjusted", "ratios", "intervals", "new-onset", "tbi", "patients", "acupuncture", "stratification"], "article_id"=>938418, "categories"=>["Mathematics", "Medicine"], "users"=>["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"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0089208.t002", "stats"=>{"downloads"=>1, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Incidence_adjusted_hazard_ratios_and_confidence_intervals_of_new_onset_stroke_for_TBI_patients_with_and_without_acupuncture_treatment_in_the_stratification_of_sex_and_age_/938418", "title"=>"Incidence, adjusted hazard ratios and confidence intervals of new-onset stroke for TBI patients with and without acupuncture treatment in the stratification of sex and age.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-02-19 02:54:47"}

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