Evidence map›Paper›PMID 24586597›Full record

ArticlePloS one2014

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

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 and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
15.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  4. Stroke risk following traumatic brain injury: Systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2021
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  10. Prescription of RadixFrontiers in pharmacology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 1 country.

Chun-Chuan ShihSchool of Chinese Medicine for Post-Baccalaureate, I-Shou University, Kaohsiung, Taiwan.
Yi-Ting HsuNeuroscience Laboratory, Department of Neurology, China Medical University Hospital, Taichung, Taiwan.
Hwang-Huei WangGraduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan.
Ta-Liang ChenDepartment of Anesthesiology, Taipei Medical University Hospital, Taipei, Taiwan ; Health Policy Research Centre, Taipei Medical University Hospital, Taipei, Taiwan ; School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Chin-Chuan TsaiSchool of Chinese Medicine for Post-Baccalaureate, I-Shou University, Kaohsiung, Taiwan.
Hsin-Long LaneSchool of Chinese Medicine for Post-Baccalaureate, I-Shou University, Kaohsiung, Taiwan.
Chun-Chieh YehGraduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan.
Fung-Chang SungDepartment of Public Health, China Medical University, Taichung, Taiwan.
Wen-Ta ChiuGraduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan.
Yih-Giun CherngDepartment of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Chien-Chang LiaoDepartment of Anesthesiology, Taipei Medical University Hospital, Taipei, Taiwan ; Health Policy Research Centre, Taipei Medical University Hospital, Taipei, Taiwan ; School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan ; Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan.
I-Shou University · TWChina Medical University · TWTaipei Medical University Hospital · TWChina Medical University Hospital · TWNational Yang Ming Chiao Tung University · TWTaipei Medical University · TWTaipei Medical University-Shuang Ho Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients 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.

methodsTaiwan'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.

resultsTBI 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).

conclusionPatients 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.

Indexed as

Acupuncture TherapyAdultAgedAge FactorsBrain InjuriesCase-Control StudiesCohort StudiesFemaleHumansMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesSex FactorsStrokeTaiwan

Identifiers

PMID24586597
PMCPMC3929662
OpenAlexW2070102310

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.