The association between acupuncture therapy and the risk of reduced pressure ulcers in dementia patients: A retrospective matched cohort study
Background: The pressure ulcer is a complication developed from dementia. The aim of this study is to study the association between the development of pressure ulcers and the use of acupuncture therapy in patients with dementia. Methods: We performed a retrospective 1:1 propensity score-matched coho...
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| Language: | English |
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Elsevier
2023-09-01
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| Series: | Integrative Medicine Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213422023000604 |
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| author | Chia-Yu Huang Mei-Yao Wu Ming-Cheng Huang Teng-Shun Yu Hung-Rong Yen |
| author_facet | Chia-Yu Huang Mei-Yao Wu Ming-Cheng Huang Teng-Shun Yu Hung-Rong Yen |
| author_sort | Chia-Yu Huang |
| collection | DOAJ |
| description | Background: The pressure ulcer is a complication developed from dementia. The aim of this study is to study the association between the development of pressure ulcers and the use of acupuncture therapy in patients with dementia. Methods: We performed a retrospective 1:1 propensity score-matched cohort study to investigate the association between acupuncture therapy and the risk of pressure ulcers in patients with dementia. Results: A total of 8,994 patients were identified, 237 patients in the acupuncture cohort and 362 patients in the no-acupuncture cohort developed pressure ulcers. A reduced cumulative incidence of pressure ulcers was observed in the acupuncture cohort (P<0.001). The association between acupuncture and reducing the incidence of pressure ulcers was not affected by sex, age, residence, income, or comorbidities. The variables of etiologies to cause dementia did not change the final result. In the subgroups analyses, the patients without medication for dementia control had a significantly lower rate of pressure ulcers development when they had accepted acupuncture therapy (log-rank test, P<0.001). Conclusion: Our results revealed the association between acupuncture therapy and a reduced incidence of pressure ulcer development in patients with dementia. This finding offers important ideas for further research. |
| format | Article |
| id | doaj-art-488f3aa1f7d541bb900fdda5df75aeb4 |
| institution | OA Journals |
| issn | 2213-4220 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Integrative Medicine Research |
| spelling | doaj-art-488f3aa1f7d541bb900fdda5df75aeb42025-08-20T01:56:28ZengElsevierIntegrative Medicine Research2213-42202023-09-0112310098110.1016/j.imr.2023.100981The association between acupuncture therapy and the risk of reduced pressure ulcers in dementia patients: A retrospective matched cohort studyChia-Yu Huang0Mei-Yao Wu1Ming-Cheng Huang2Teng-Shun Yu3Hung-Rong Yen4Department of Family Medicine, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan; Graduate Institute of Chinese Medicine, School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, TaiwanDepartment of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan; School of Post-Baccalaureate Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; Research Center for Traditional Chinese Medicine, Department of Medical Research, China Medical University Hospital, Taichung, TaiwanGraduate Institute of Chinese Medicine, School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; Department of Chinese Medicine, China Medical University Hospital, Taichung, TaiwanManagement Office for Health Data, China Medical University Hospital, Taichung, TaiwanGraduate Institute of Chinese Medicine, School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan; Research Center for Traditional Chinese Medicine, Department of Medical Research, China Medical University Hospital, Taichung, Taiwan; International Master Program in Acupuncture, College of Chinese Medicine, China Medical University, Taichung, Taiwan; Chinese Medicine Research Center, China Medical University, Taichung, Taiwan; Corresponding author at: School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung 404333, Taiwan.Background: The pressure ulcer is a complication developed from dementia. The aim of this study is to study the association between the development of pressure ulcers and the use of acupuncture therapy in patients with dementia. Methods: We performed a retrospective 1:1 propensity score-matched cohort study to investigate the association between acupuncture therapy and the risk of pressure ulcers in patients with dementia. Results: A total of 8,994 patients were identified, 237 patients in the acupuncture cohort and 362 patients in the no-acupuncture cohort developed pressure ulcers. A reduced cumulative incidence of pressure ulcers was observed in the acupuncture cohort (P<0.001). The association between acupuncture and reducing the incidence of pressure ulcers was not affected by sex, age, residence, income, or comorbidities. The variables of etiologies to cause dementia did not change the final result. In the subgroups analyses, the patients without medication for dementia control had a significantly lower rate of pressure ulcers development when they had accepted acupuncture therapy (log-rank test, P<0.001). Conclusion: Our results revealed the association between acupuncture therapy and a reduced incidence of pressure ulcer development in patients with dementia. This finding offers important ideas for further research.http://www.sciencedirect.com/science/article/pii/S2213422023000604AcupunctureDementiaNational Health Insurance Research DatabasePressure ulcersTraditional Chinese Medicine |
| spellingShingle | Chia-Yu Huang Mei-Yao Wu Ming-Cheng Huang Teng-Shun Yu Hung-Rong Yen The association between acupuncture therapy and the risk of reduced pressure ulcers in dementia patients: A retrospective matched cohort study Integrative Medicine Research Acupuncture Dementia National Health Insurance Research Database Pressure ulcers Traditional Chinese Medicine |
| title | The association between acupuncture therapy and the risk of reduced pressure ulcers in dementia patients: A retrospective matched cohort study |
| title_full | The association between acupuncture therapy and the risk of reduced pressure ulcers in dementia patients: A retrospective matched cohort study |
| title_fullStr | The association between acupuncture therapy and the risk of reduced pressure ulcers in dementia patients: A retrospective matched cohort study |
| title_full_unstemmed | The association between acupuncture therapy and the risk of reduced pressure ulcers in dementia patients: A retrospective matched cohort study |
| title_short | The association between acupuncture therapy and the risk of reduced pressure ulcers in dementia patients: A retrospective matched cohort study |
| title_sort | association between acupuncture therapy and the risk of reduced pressure ulcers in dementia patients a retrospective matched cohort study |
| topic | Acupuncture Dementia National Health Insurance Research Database Pressure ulcers Traditional Chinese Medicine |
| url | http://www.sciencedirect.com/science/article/pii/S2213422023000604 |
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