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Efficacy and safety of acupuncture for dizziness and vertigo in emergency department: a pilot cohort study.

Chiu CW, Lee TC, Hsu PC, Chen CY, Chang SC, Chiang JY, Lo LC - BMC Complement Altern Med (2015)

Bottom Line: However, every medication is accompanied with unavoidable side-effects.The variation of VAS demonstrated a significant decrease (p-value: 0.001 and p-value: 0.037) between two groups after two different durations: 30 mins and 7 days.The variation of DHI showed no significant difference after 7 days.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, Changhua Christian hospital, Changhua, Taiwan.

ABSTRACT

Background: Dizziness and vertigo account for roughly 4% of chief symptoms in the emergency department (ED). Pharmacological therapy is often applied for these symptoms, such as vestibular suppressants, anti-emetics and benzodiazepines. However, every medication is accompanied with unavoidable side-effects. There are several research articles providing evidence of acupuncture treating dizziness and vertigo but few studies of acupuncture as an emergent intervention in ED. We performed a pilot cohort study to evaluate the efficacy and safety of acupuncture in treating patients with dizziness and vertigo in ED.

Methods: A total of 60 participants, recruited in ED, were divided into acupuncture and control group. Life-threatening conditions or central nervous system disorders were excluded to ensure participants' safety. The clinical effect of treating dizziness and vertigo was evaluated by performing statistical analyses on data collected from questionnaires of Dizziness Handicap Inventory (DHI), Visual Analog Scale (VAS) of dizziness and vertigo, and heart rate variability (HRV).

Results: The variation of VAS demonstrated a significant decrease (p-value: 0.001 and p-value: 0.037) between two groups after two different durations: 30 mins and 7 days. The variation of DHI showed no significant difference after 7 days. HRV revealed a significant increase in high frequency (HF) in the acupuncture group. No adverse event was reported in this study.

Conclusion: Acupuncture demonstrates a significant immediate effect in reducing discomforts and VAS of both dizziness and vertigo. This study provides clinical evidence on the efficacy and safety of acupuncture to treat dizziness and vertigo in the emergency department.

Trial registration: ClinicalTrials.gov ID: NCT02358239 . Registered 5 February 2015.

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Related in: MedlinePlus

Experimental flowchart
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
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Fig2: Experimental flowchart

Mentions: The VAS and DHI were conducted to evaluate efficacy maintenance effect by phone interview after treatment over 1 week, ref. Fig. 2. There were 4 and 1 participants lost to follow-up in the acupuncture and control groups, respectively.Fig. 2


Efficacy and safety of acupuncture for dizziness and vertigo in emergency department: a pilot cohort study.

Chiu CW, Lee TC, Hsu PC, Chen CY, Chang SC, Chiang JY, Lo LC - BMC Complement Altern Med (2015)

Experimental flowchart
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4459064&req=5

Fig2: Experimental flowchart
Mentions: The VAS and DHI were conducted to evaluate efficacy maintenance effect by phone interview after treatment over 1 week, ref. Fig. 2. There were 4 and 1 participants lost to follow-up in the acupuncture and control groups, respectively.Fig. 2

Bottom Line: However, every medication is accompanied with unavoidable side-effects.The variation of VAS demonstrated a significant decrease (p-value: 0.001 and p-value: 0.037) between two groups after two different durations: 30 mins and 7 days.The variation of DHI showed no significant difference after 7 days.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, Changhua Christian hospital, Changhua, Taiwan.

ABSTRACT

Background: Dizziness and vertigo account for roughly 4% of chief symptoms in the emergency department (ED). Pharmacological therapy is often applied for these symptoms, such as vestibular suppressants, anti-emetics and benzodiazepines. However, every medication is accompanied with unavoidable side-effects. There are several research articles providing evidence of acupuncture treating dizziness and vertigo but few studies of acupuncture as an emergent intervention in ED. We performed a pilot cohort study to evaluate the efficacy and safety of acupuncture in treating patients with dizziness and vertigo in ED.

Methods: A total of 60 participants, recruited in ED, were divided into acupuncture and control group. Life-threatening conditions or central nervous system disorders were excluded to ensure participants' safety. The clinical effect of treating dizziness and vertigo was evaluated by performing statistical analyses on data collected from questionnaires of Dizziness Handicap Inventory (DHI), Visual Analog Scale (VAS) of dizziness and vertigo, and heart rate variability (HRV).

Results: The variation of VAS demonstrated a significant decrease (p-value: 0.001 and p-value: 0.037) between two groups after two different durations: 30 mins and 7 days. The variation of DHI showed no significant difference after 7 days. HRV revealed a significant increase in high frequency (HF) in the acupuncture group. No adverse event was reported in this study.

Conclusion: Acupuncture demonstrates a significant immediate effect in reducing discomforts and VAS of both dizziness and vertigo. This study provides clinical evidence on the efficacy and safety of acupuncture to treat dizziness and vertigo in the emergency department.

Trial registration: ClinicalTrials.gov ID: NCT02358239 . Registered 5 February 2015.

Show MeSH
Related in: MedlinePlus