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Acupuncture in the Inpatient Acute Care Setting: A Pragmatic, Randomized Control Trial

Purpose. To evaluate the acceptance and effectiveness of acupuncture in a hospital setting. Methods. This 18-month pragmatic randomized controlled trial used a two-tiered consent process for all patients admitted to the acute care unit by study physician groups. The primary study comparison was betw...

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Autores principales: Painovich, Jeannette, Herman, Patricia M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3132464/
https://www.ncbi.nlm.nih.gov/pubmed/21754946
http://dx.doi.org/10.1155/2012/309762
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author Painovich, Jeannette
Herman, Patricia M.
author_facet Painovich, Jeannette
Herman, Patricia M.
author_sort Painovich, Jeannette
collection PubMed
description Purpose. To evaluate the acceptance and effectiveness of acupuncture in a hospital setting. Methods. This 18-month pragmatic randomized controlled trial used a two-tiered consent process for all patients admitted to the acute care unit by study physician groups. The primary study comparison was between those randomized (using biased-coin randomization after initial consent) to be offered acupuncture or not. The primary outcome was length of stay (LOS). Other measures include costs, self-reported anxiety, depression, health status, and patient satisfaction. Results. Of the 383 patients consented to the study, 253 were randomized to be offered acupuncture, and 130 were not offered acupuncture. Of those offered acupuncture, 173 (69%) accepted and received daily acupuncture. On average, patients offered acupuncture had longer LOSs (4.9 versus 4.1 days) than those not offered acupuncture (P = .047). Adjustment for diagnosis and severity mix reduced this difference and its significance (P = .108). No other significant differences in outcomes were found. Patients who were more anxious (P = .000) or depressed (P = .017) at admission tended to more often accept acupuncture when offered. Conclusion. Acupuncture is accepted by a majority of hospitalized acute care patients. However, it did not reduce LOS in this already short-stay population.
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spelling pubmed-31324642011-07-13 Acupuncture in the Inpatient Acute Care Setting: A Pragmatic, Randomized Control Trial Painovich, Jeannette Herman, Patricia M. Evid Based Complement Alternat Med Research Article Purpose. To evaluate the acceptance and effectiveness of acupuncture in a hospital setting. Methods. This 18-month pragmatic randomized controlled trial used a two-tiered consent process for all patients admitted to the acute care unit by study physician groups. The primary study comparison was between those randomized (using biased-coin randomization after initial consent) to be offered acupuncture or not. The primary outcome was length of stay (LOS). Other measures include costs, self-reported anxiety, depression, health status, and patient satisfaction. Results. Of the 383 patients consented to the study, 253 were randomized to be offered acupuncture, and 130 were not offered acupuncture. Of those offered acupuncture, 173 (69%) accepted and received daily acupuncture. On average, patients offered acupuncture had longer LOSs (4.9 versus 4.1 days) than those not offered acupuncture (P = .047). Adjustment for diagnosis and severity mix reduced this difference and its significance (P = .108). No other significant differences in outcomes were found. Patients who were more anxious (P = .000) or depressed (P = .017) at admission tended to more often accept acupuncture when offered. Conclusion. Acupuncture is accepted by a majority of hospitalized acute care patients. However, it did not reduce LOS in this already short-stay population. Hindawi Publishing Corporation 2012 2011-06-22 /pmc/articles/PMC3132464/ /pubmed/21754946 http://dx.doi.org/10.1155/2012/309762 Text en Copyright © 2012 J. Painovich and P. M. Herman. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Painovich, Jeannette
Herman, Patricia M.
Acupuncture in the Inpatient Acute Care Setting: A Pragmatic, Randomized Control Trial
title Acupuncture in the Inpatient Acute Care Setting: A Pragmatic, Randomized Control Trial
title_full Acupuncture in the Inpatient Acute Care Setting: A Pragmatic, Randomized Control Trial
title_fullStr Acupuncture in the Inpatient Acute Care Setting: A Pragmatic, Randomized Control Trial
title_full_unstemmed Acupuncture in the Inpatient Acute Care Setting: A Pragmatic, Randomized Control Trial
title_short Acupuncture in the Inpatient Acute Care Setting: A Pragmatic, Randomized Control Trial
title_sort acupuncture in the inpatient acute care setting: a pragmatic, randomized control trial
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3132464/
https://www.ncbi.nlm.nih.gov/pubmed/21754946
http://dx.doi.org/10.1155/2012/309762
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