TY - JOUR
T1 - Lower rates of mortality, readmission and reoperation in patients receiving acupuncture after hip fracture
T2 - a population-based analysis
AU - Lin, Jeff Chien Fu
AU - Lin, Tzu Chieh
AU - Cheng, Chi Fung
AU - Lin, Ying Ju
AU - Liang, Sophia
AU - Chang, Yu Jun
AU - Liang, Wen Miin
N1 - Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by grants from the China Medical University (grant no. CMU108-MF-32, CMU 108-S-15, and CMU108-S17) and the China Medical University Hospital (grant no. DMR-108-113, DMR-108-114, and DMR-108-118, DMR-109-145, DMR-109-188, and DMR-109-192). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Funding Information:
The authors wish to thank Dr Te-Mao Li, a senior Chinese medicine doctor, for his professional opinions and suggestions in the definition of acupuncture group. We would also like to thank Mr Christopher Shane for his assistance in providing professional writing services. Finally, we are grateful to the Health Data Science Center, China Medical University Hospital for providing administrative, technical and funding support. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by grants from the China Medical University (grant no. CMU108-MF-32, CMU 108-S-15, and CMU108-S17) and the China Medical University Hospital (grant no. DMR-108-113, DMR-108-114, and DMR-108-118, DMR-109-145, DMR-109-188, and DMR-109-192). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Publisher Copyright:
© The Author(s) 2020.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/10/1
Y1 - 2020/10/1
N2 - Background: Studies on the effects of acupuncture on mortality and complication rates in hip fracture patients are limited by small sample size and short follow-up time. We aimed to assess the associations of acupuncture use with mortality, readmission and reoperation rates in hip fracture patients using a longitudinal population-based database. Methods: A retrospective matched cohort study was conducted using data for the years 1996–2012 from Taiwan’s National Health Insurance Research Database. Hip fracture patients were divided into an acupuncture group consisting of 292 subjects who received at least 6 acupuncture treatments within 183 days of hip fracture, and a propensity score matched “no acupuncture” group of 876 subjects who did not receive any acupuncture treatment and who functioned as controls. The two groups were compared using survival analysis and competing risk analysis. Results: Compared to non-treated subjects, subjects treated with acupuncture had a lower risk of overall death (hazard ratio (HR): 0.41, 95% confidence interval (CI): 0.24–0.73, p = 0.002), a lower risk of readmission due to medical complications (subdistribution HR (sHR): 0.64, 95% CI: 0.44–0.93, p = 0.019) and a lower risk of reoperation due to surgical complications (sHR: 0.62, 95% CI: 0.40–0.96, p = 0.034). Conclusion: This is the first study to suggest that postoperative acupuncture in hip fracture patients is associated with significantly lower mortality, readmission and reoperation rates compared with those of matched controls.
AB - Background: Studies on the effects of acupuncture on mortality and complication rates in hip fracture patients are limited by small sample size and short follow-up time. We aimed to assess the associations of acupuncture use with mortality, readmission and reoperation rates in hip fracture patients using a longitudinal population-based database. Methods: A retrospective matched cohort study was conducted using data for the years 1996–2012 from Taiwan’s National Health Insurance Research Database. Hip fracture patients were divided into an acupuncture group consisting of 292 subjects who received at least 6 acupuncture treatments within 183 days of hip fracture, and a propensity score matched “no acupuncture” group of 876 subjects who did not receive any acupuncture treatment and who functioned as controls. The two groups were compared using survival analysis and competing risk analysis. Results: Compared to non-treated subjects, subjects treated with acupuncture had a lower risk of overall death (hazard ratio (HR): 0.41, 95% confidence interval (CI): 0.24–0.73, p = 0.002), a lower risk of readmission due to medical complications (subdistribution HR (sHR): 0.64, 95% CI: 0.44–0.93, p = 0.019) and a lower risk of reoperation due to surgical complications (sHR: 0.62, 95% CI: 0.40–0.96, p = 0.034). Conclusion: This is the first study to suggest that postoperative acupuncture in hip fracture patients is associated with significantly lower mortality, readmission and reoperation rates compared with those of matched controls.
KW - acupressure
KW - epidemiology
KW - orthopedic and trauma
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U2 - 10.1177/0964528420911664
DO - 10.1177/0964528420911664
M3 - Article
AN - SCOPUS:85084983175
SN - 0964-5284
VL - 38
SP - 352
EP - 360
JO - Acupuncture in Medicine
JF - Acupuncture in Medicine
IS - 5
ER -