Evidence map›Paper›PMID 26353964›Full record

ArticleBMC complementary and alternative medicine2015

Decreased risk of acute myocardial infarction in stroke patients receiving acupuncture treatment: a nationwide matched retrospective cohort study.

Sun-Fa Chuang, Chun-Chuan Shih, Chun-Chieh Yeh, Hsin-Long Lane, Chin-Chuan Tsai, Ta-Liang Chen, Jaung-Geng Lin, Tainsong Chen, Chien-Chang Liao

Open access · goldAbstract read
In one paragraph

Article in BMC complementary and alternative medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
10.7field-weighted citation impact, top 2% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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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

9 authors at 5 institutions in 1 country.

Sun-Fa ChuangDepartment of Biomedical Engineering, National Cheng Kung University, 1 University Road, Tainan City, 701, Taiwan. alpha168a@gmail.com.
Chun-Chuan ShihSchool of Chinese Medicine for Post-Baccalaureate, I-Shou University, 8 Yida Road, Kaohsiung City, 824, Taiwan. hwathai@seed.net.tw.
Chun-Chieh YehDepartment of Surgery, China Medical University Hospital, Taichung, Taiwan. b8202034@gmail.com.
Hsin-Long LaneSchool of Chinese Medicine for Post-Baccalaureate, I-Shou University, 8 Yida Road, Kaohsiung City, 824, Taiwan. imcold0404@hotmail.com.
Chin-Chuan TsaiSchool of Chinese Medicine for Post-Baccalaureate, I-Shou University, 8 Yida Road, Kaohsiung City, 824, Taiwan. tsaicc@isu.edu.tw.
Ta-Liang ChenDepartment of Anesthesiology, Taipei Medical University Hospital, 252 Wuxing St., Taipei, 110, Taiwan. tlc@tmu.edu.tw.
Jaung-Geng LinSchool of Chinese Medicine, China Medical University, 91 Hsueh-Shih Road, Taichung, 404, Taiwan. jglin@mail.cmu.edu.tw.
Tainsong ChenDepartment of Biomedical Engineering, National Cheng Kung University, 1 University Road, Tainan City, 701, Taiwan. chents@mai.ncku.edu.tw.
Chien-Chang LiaoDepartment of Anesthesiology, Taipei Medical University Hospital, 252 Wuxing St., Taipei, 110, Taiwan. jacky48863027@yahoo.com.tw.
I-Shou University · TWNational Cheng Kung University · TWTaipei Medical University Hospital · TWChina Medical University · TWChina Medical University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhether acupuncture protects stroke patients from acute myocardial infarction (AMI) has not been studied previously. The purpose of this study was to investigate the risk of AMI among stroke patients receiving acupuncture treatment.

methodsTaiwan's National Health Insurance Research Database was used to conduct a retrospective cohort study of 23475 stroke patients aged 40-79 years receiving acupuncture treatment and 46950 propensity score-matched stroke patients not receiving acupuncture treatment who served as controls from 2000 to 2004. Both stroke cohorts were followed until the end of 2009 and were adjusted for immortal time to measure the incidence and adjusted hazard ratios (HRs) with 95 % confidence intervals (CIs) for new-onset AMI in multivariate Cox proportional hazard models.

resultsStroke patients who received acupuncture treatment (9.2 per 1000 person-years) exhibited a lower incidence of AMI compared with those who did not receive acupuncture treatment (10.8 per 1000 person-years), with an HR of 0.86 (95 % CI, 0.80-0.93) after adjusting for age, sex, low income, coexisting medical conditions and medications. The relationship between acupuncture treatment and AMI risk was investigated in female stroke patients (HR, 0.85; 95 % CI, 0.76-0.95), male stroke patients (HR, 0.87; 95 % CI, 0.80-0.95), patients from 50 to 59 years of age (HR, 0.75; 95 % CI, 0.63-0.90), patients from 60 to 69 years of age (HR, 0.85; 95 % CI, 0.75-0.95), patients suffering from ischemic stroke (HR, 0.87; 95 % CI, 0.79-0.95), and patients suffering from hemorrhagic stroke (HR, 0.62; 95 % CI, 0.44-0.88).

conclusionsWe raised the possibility that acupuncture may be effective in lowering the risk of AMI in stroke patients aged 50-69 in this study, which was limited by a lack of information regarding stroke severity and acupuncture points. Our results suggest that prospective randomized trials are needed to establish the efficacy of acupuncture in preventing AMI.

Indexed as

Myocardial InfarctionStrokeAcupuncture TherapyAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesRisk

Identifiers

PMID26353964
PMCPMC4563856
OpenAlexW1884836549

What OpenQuestion holds

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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.