Research Article

Efficacy of Acupuncture Treatment for Incidence of Poststroke Comorbidities: A Systematic Review and Meta-Analysis of Nationalized Cohort Studies

Table 1

Main characteristics of included studies.

First author (year)New stroke survivorsSample size (acupuncture: non acupuncture)Propensity match ratioMean age or year rangePrimary diagnosis of strokeDiagnosis for inclusionInterventionControlPrimary outcomeFollow-up untilIncidence (per 1,000 person-years)Adjusted HR (95% CI)

Chuang (2015) [22]182,61923,475:46,9501 : 240–7901/01/2000–12/31/2004ICD-9 CM 430–437≥1 course of acuWithout acuAMI (ICD-9-CM 410)12/31/2009Acu: 9.2
Nonacu: 10.8
0.86 (0.80–0.93)
Chang (2018) [21]226,69912,557:12,5571 : 1≥2001/01/2000–12/31/2004ICD-9 CM 430–437≥2 courses of acuWithout acuPneumonia (ICD-9-CM 480–486)12/31/2009Acu: 53.4
Nonacu: 58.9
0.86 (0.82–0.90)
Shih (2017) [24]226,6995,610:5,6101 : 1≥5001/01/2000–12/31/2004ICD-9 CM 430–437≥5 courses of acuWithout acuDementia (ICD-9-CM 290)12/31/2009Acu: 26.5
Nonacu: 34.6
0.73 (0.66–0.80)
Weng (2016) [26]226,69921,020:21,0201 : 1≥2001/01/2000–12/31/2004ICD-9 CM 430–438≥2 courses of acuWithout acuEpilepsy (ICD-9-CM 345)12/31/2009Acu: 9.8
Nonacu: 11.5
0.74 (0.68–0.80)
Yang (2019) [19]226,6999,643:9,6431 : 1≥3001/01/2000–12/31/2004ICD-9 CM 430–437≥2 treat of acuWithout acuUTI (ICD-9-CM 599.0)12/31/2009Acu: 37.6
Nonacu: 39.4
0.76 (0.73–0.80)
Lu (2017) [20]16,0461,714:14,332
1,714:1,714
Non-1 : 1≥1801/01/2002–12/31/2012ICD-9 CM 430–434, 436–437≥1 treat of acuWithout acuDepression (ICD-9-CM 296, 309, 311)12/31/2013Acu: 11.1
Nonacu: 9.7
Propensity: Acu: 11.1
Nonacu: 10.6
1.04 (0.84–1.29)
Propensity: 1.06 (0.79–1.42)
Tseng (2017) [25]8,487Freq U: 1,036
Infreq U: 1,053
Non-U: 6,398
Non-Freq U: 61.28
Infreq U: 61.77
Non-U: 66.21
01/01/2000–12/31/2005ICD-9 CM 430–434, 436–437Freq U: ≥6 acu treat
Infreq U: 1–5 acu treat
Without acuDepression (ICD-9-CM 296, 309, 311)12/31/2007Freq U: 15.2
Infreq U: 24.0
Non-U: 34.6
Freq U: 0.475 (0.389–0.580)
Infreq U: 0.718 (0.612–0.842)
Shih (2015) [23]30,05815,029:15,0291 : 1≥3001/01/2000–12/31/2004ICD-9 CM 430–434≥1 course of acuWithout acuIschemic stroke (ICD-9-CM 430–434)12/31/2009Acu: 69.9
Nonacu: 71.4
0.88 (0.84–0.91)

Note: acu = acupuncture, treat = treatments, U = users, freq U = frequent users, infreq U=Infrequent users, non-U = nonusers, course = six consecutive acupuncture treatments.