PMID- 25271149
OWN - NLM
STAT- MEDLINE
DCOM- 20150706
LR  - 20150928
IS  - 1759-9873 (Electronic)
IS  - 0964-5284 (Linking)
VI  - 32
IP  - 6
DP  - 2014 Dec
TI  - Risk factors associated with adverse events of acupuncture: a prospective study.
PG  - 455-62
LID - 10.1136/acupmed-2014-010635 [doi]
AB  - OBJECTIVE: Mild adverse events (AEs) are common with acupuncture, but the risk 
      factors remain unclear. A prospective study using a standardised AE assessment 
      and acupuncture protocol was undertaken to address the question. METHODS: A 
      20-item AE report form investigated local and systemic AEs in 150 adults with 
      insomnia randomised to receive traditional, minimal and non-invasive sham 
      acupuncture. Sociodemographic, clinical and psychological variables at baseline 
      and past history and perceived credibility of acupuncture were assessed. RESULTS: 
      The incidence of any AEs per patient was 42.4% with traditional acupuncture, 
      40.7% with minimal acupuncture and 16.7% with non-invasive sham acupuncture. 
      Traditional and minimal acupuncture were associated with a greater number of 
      local AEs, while the presence of a chronic medical condition was predictive of 
      fewer local and systemic AEs. Greater severity of insomnia, anxiety, depression, 
      somatic symptoms and pain catastrophising thoughts were associated with lower 
      risk, but most of the significant correlations disappeared after logistic 
      regression. Divorce and widowhood were the only significant sociodemographic 
      variables, while previous acupuncture treatment and perceived credibility of 
      acupuncture were found to be unrelated. The risk of any AEs was higher in 
      participants receiving traditional acupuncture (OR 4.26) and minimal acupuncture 
      (OR 4.27) and in those without medical comorbidity (OR 3.39). CONCLUSIONS: The 
      prevalence of AEs was higher than usual, probably due to the low threshold in our 
      definition of AEs and the systematic collection from the patients' perspective. 
      Baseline variables were largely unable to predict AEs associated with 
      acupuncture. Further studies should explore the roles of practitioners, patients' 
      anxiety during treatment and patient-practitioner interactions. TRIAL 
      REGISTRATION NUMBER: NCT01707706.
CI  - Published by the BMJ Publishing Group Limited. For permission to use (where not 
      already granted under a licence) please go to 
      http://group.bmj.com/group/rights-licensing/permissions.
FAU - Chung, Ka-Fai
AU  - Chung KF
AD  - Department of Psychiatry, University of Hong Kong, Hong Kong SAR, China.
FAU - Yeung, Wing-Fai
AU  - Yeung WF
AD  - School of Chinese Medicine, University of Hong Kong, Hong Kong SAR, China.
FAU - Kwok, Chi-Wa
AU  - Kwok CW
AD  - Department of Psychiatry, University of Hong Kong, Hong Kong SAR, China.
FAU - Yu, Yee-Man
AU  - Yu YM
AD  - Department of Psychiatry, University of Hong Kong, Hong Kong SAR, China.
LA  - eng
SI  - ClinicalTrials.gov/NCT01707706
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20140930
PL  - England
TA  - Acupunct Med
JT  - Acupuncture in medicine : journal of the British Medical Acupuncture Society
JID - 9304117
SB  - IM
MH  - Acupuncture Therapy/*adverse effects/psychology
MH  - Adult
MH  - Anxiety/complications
MH  - Chronic Disease
MH  - *Comorbidity
MH  - Depression/complications
MH  - Dizziness/etiology
MH  - Female
MH  - Hemorrhage/etiology
MH  - Humans
MH  - *Iatrogenic Disease/epidemiology
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Odds Ratio
MH  - Pain/etiology/psychology
MH  - Prevalence
MH  - Prospective Studies
MH  - Risk Factors
MH  - Sleep Initiation and Maintenance Disorders/complications/therapy
MH  - Syncope/etiology
MH  - Wounds and Injuries/etiology
EDAT- 2014/10/02 06:00
MHDA- 2015/07/07 06:00
CRDT- 2014/10/02 06:00
PHST- 2014/10/02 06:00 [entrez]
PHST- 2014/10/02 06:00 [pubmed]
PHST- 2015/07/07 06:00 [medline]
AID - acupmed-2014-010635 [pii]
AID - 10.1136/acupmed-2014-010635 [doi]
PST - ppublish
SO  - Acupunct Med. 2014 Dec;32(6):455-62. doi: 10.1136/acupmed-2014-010635. Epub 2014 
      Sep 30.