Table 2. Incidence and adjusted hazard measures of pneumonia in association with acupuncture use by sex, age at first stroke and subtypes of stroke.
No use | Acupuncture use | Pneumonia risk | ||||||
---|---|---|---|---|---|---|---|---|
Events | PY | IR | Events | PY | IR | HR | (95% CI)* | |
Full model | 3825 | 64904 | 58.9 | 2971 | 55596 | 53.4 | 0.86 | (0.82–0.90) |
Sex | ||||||||
Female | 1473 | 28623 | 51.5 | 1009 | 24103 | 41.9 | 0.79 | (0.70–0.82) |
Male | 2352 | 36281 | 64.8 | 1962 | 31493 | 62.3 | 0.92 | (0.86–0.98) |
Age, years | ||||||||
20–29 | 13 | 387 | 33.6 | 2 | 366 | 5.5 | 0.16 | (0.04–0.69) |
30–39 | 31 | 956 | 32.4 | 15 | 839 | 17.9 | 0.52 | (0.28–0.98) |
40–49 | 171 | 6839 | 25.0 | 112 | 5657 | 19.8 | 0.73 | (0.58–0.93) |
50–59 | 486 | 14836 | 32.8 | 362 | 12364 | 29.3 | 0.83 | (0.72–0.95) |
60–69 | 1254 | 23222 | 54.0 | 920 | 19532 | 47.1 | 0.82 | (0.75–0.89) |
70–79 | 1553 | 16896 | 91.9 | 1257 | 14952 | 84.1 | 0.88 | (0.81–0.95) |
≥80 | 317 | 1769 | 179.2 | 303 | 1885 | 160.7 | 0.86 | (0.73–1.00) |
Subtypes of stroke | ||||||||
Hemorrhagic | 215 | 4310 | 49.9 | 147 | 4008 | 36.7 | 0.66 | (0.53–0.81) |
Ischemic | 2324 | 36768 | 63.2 | 1862 | 32254 | 57.7 | 0.86 | (0.81–0.92) |
Others | 1286 | 23826 | 54.0 | 962 | 19334 | 49.8 | 0.87 | (0.80–0.95) |
Medical conditions | ||||||||
0 | 471 | 4285 | 109.9 | 307 | 5115 | 60.0 | 0.49 | (0.43–0.57) |
1 | 971 | 14550 | 66.7 | 717 | 13006 | 55.1 | 0.77 | (0.70–0.85) |
2 | 1021 | 17711 | 57.6 | 816 | 14964 | 54.5 | 0.92 | (0.84–1.01) |
≥3 | 1362 | 28539 | 48.0 | 1131 | 22511 | 50.2 | 1.10 | (1.01–1.19) |
Length of stay, days | ||||||||
1–6 | 2420 | 44568 | 54.3 | 1820 | 36260 | 50.2 | 0.90 | (0.84–0.95) |
≥7 | 1405 | 20336 | 69.1 | 1151 | 19336 | 59.5 | 0.80 | (0.74–0.87) |
*Adjusted for all covariates listed in Table 1. The HR of pneumonia associated with acupuncture use is 0.86 (95% CI 0.82–0.91) in the additional full model adjusted all covariates listed in Table 1 plus suctioning, bacterial sensitivity test, general ward stay, nasogastric intubation, osmotherapy and urinary catheterization.
†In the sensitivity analysis, acupuncture was associated with reduced pneumonia risk after excluding pneumonia event in the 1 (OR 0.87, 95% CI 0.83–0.91), 3 (OR 0.88, 95% CI 0.84–0.93), 6 (OR 0.90, 95% CI 0.86–0.94), 9 (OR 0.91, 95% CI 0.86–0.95), 12 (OR 0.92, 95% CI 0.87–0.96) months during the follow-up period.