PMID- 32418438
OWN - NLM
STAT- MEDLINE
DCOM- 20210128
LR  - 20210128
IS  - 1759-9873 (Electronic)
IS  - 0964-5284 (Linking)
VI  - 38
IP  - 6
DP  - 2020 Dec
TI  - Adverse events related to electroacupuncture: a systematic review of single case 
      studies and case series.
PG  - 407-416
LID - 10.1177/0964528420920287 [doi]
AB  - OBJECTIVE: Electroacupuncture (EA) is used in the treatment of various diseases 
      through the use of electrical stimulation. Reports of adverse events (AEs) 
      associated with acupuncture are relatively consistent, but the safety of EA has 
      been less well reported. In this systematic review, we provide a summary of the 
      types of AEs related to EA in clinical practice. METHODS: Twelve electronic 
      databases, including those in English (PubMed, Ovid-EMBASE, CENTRAL), Korean 
      (KMbase, KISS, NDSL, KISTI, OASIS), Chinese (CNKI, Wanfang, Weipu) and Japanese 
      (J-STAGE), were systematically searched for single case studies and case series 
      through April 2018. There were no language restrictions. We included clinical 
      studies in which EA was used as a key intervention and in which AEs that may have 
      been causally related to EA were reported. RESULTS: Thirty-seven studies, 
      including 27 single case studies and 10 case series, were evaluated. The most 
      frequently reported AEs were pallor (eight cases), skin pigmentation (eight 
      cases), vertigo (seven cases), chest tightness (six cases), vomiting (six cases) 
      and unconsciousness (five cases). Thirty-one cases (62%) achieved full recovery 
      and three cases (6%) achieved partial recovery. There were also three cases of 
      death (6%). CONCLUSION: AEs related to EA included acupuncture-related AEs and 
      serious AEs induced by electrical stimulation. Currently, specific stimulation 
      conditions associated with EA-specific AEs are not identifiable due to 
      inappropriate reporting. However, skin pigmentation, syncope or spasm, 
      implantable cardioverter-defibrillator shock, cardiac emergencies, electrical 
      burns, and potential internal organ injury are potential EA-specific AEs 
      regarding which physicians should be cautious in clinical practice.
FAU - Park, Jeong Hwan
AU  - Park JH
AD  - Future Medicine Division, Korea Institute of Oriental Medicine, Daejeon, South 
      Korea.
FAU - Lee, Jun-Hwan
AU  - Lee JH
AD  - Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, South 
      Korea.
FAU - Lee, Sanghun
AU  - Lee S
AD  - Future Medicine Division, Korea Institute of Oriental Medicine, Daejeon, South 
      Korea.
FAU - Shin, Jae-Young
AU  - Shin JY
AD  - Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, South 
      Korea.
FAU - Kim, Tae-Hun
AU  - Kim TH
AD  - Korea Medicine Clinical Trial Center, Korea Medicine Hospital, Kyung Hee 
      University, Seoul, South Korea.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Systematic Review
DEP - 20200516
PL  - England
TA  - Acupunct Med
JT  - Acupuncture in medicine : journal of the British Medical Acupuncture Society
JID - 9304117
SB  - IM
MH  - Case-Control Studies
MH  - Clinical Studies as Topic
MH  - Electroacupuncture/*adverse effects
MH  - Humans
MH  - Pallor/*etiology
MH  - Unconsciousness/*etiology
MH  - Vertigo/*etiology
MH  - Vomiting/*etiology
OTO - NOTNLM
OT  - acupuncture
OT  - adverse events
OT  - case report
OT  - case series
OT  - electroacupuncture
EDAT- 2020/05/19 06:00
MHDA- 2021/01/29 06:00
CRDT- 2020/05/19 06:00
PHST- 2020/05/19 06:00 [pubmed]
PHST- 2021/01/29 06:00 [medline]
PHST- 2020/05/19 06:00 [entrez]
AID - 10.1177/0964528420920287 [doi]
PST - ppublish
SO  - Acupunct Med. 2020 Dec;38(6):407-416. doi: 10.1177/0964528420920287. Epub 2020 
      May 16.