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. 2022 Nov 18;22:300. doi: 10.1186/s12906-022-03782-z

Table 2.

Frequency of Administrative Problems and AEs Associated with Acupuncture Treatments (N = 37,490)

AE occurrence
n (%)a
Frequency category by CIOMSb
Administrative problems
Defective devices
  Defective needle (e.g., broken needle) 31 (0.08) Rare
Incidents
  Delayed needle removal 226 (0.60) Uncommon
  Forgotten or lost needle 136 (0.36) Uncommon
  Burn due to negligence 41 (0.11) Uncommon
  Others 12 (0.03) Rare
Local AEs
 Bleeding 1,969 (5.25) Common
 Needle site pain 1,423 (3.80) Common
 Bruising 951 (2.54) Common
 Paraesthesia 605 (1.61) Common
 Redness 226 (0.60) Uncommon
 Itching 198 (0.53) Uncommon
 Swelling 147 (0.39) Uncommon
 Burn for treatment purpose 38 (0.10) Uncommon
 Blister for treatment purpose 25 (0.07) Rare
 Nerve injury 2 (0.01) Very rare
 Local infection 1 (0.003) Very rare
 Other 17 (0.05) Rare
Systemic AEs
 Tiredness 150 (0.40) Uncommon
 Somnolence 149 (0.40) Uncommon
 Exacerbation of symptoms 79 (0.21) Uncommon
 Lethargy 77 (0.21) Uncommon
 ANS symptoms 45 (0.12) Uncommon
 Pain elsewhere than needling sites 25 (0.07) Rare
 Sleep disturbance 20 (0.05) Rare
 Systemic inflammation 15 (0.04) Rare
 New symptoms after treatment 10 (0.03) Rare
 Convulsion 7 (0.02) Rare
 Emotional complaint 5 (0.01) Rare
 Others 15 (0.04) Rare

Abbreviations: AE Adverse event, ANS Autonomic nervous system, CIOMS Council for International Organisations of Medical Sciences

aDenominator was 37,490 acupuncture treatments.

bVery common (≥ 1/10), common (≥ 1/100 and < 1/10), uncommon (≥ 1/1,000 and < 1/100), rare (≥ 1/10,000 and < 1/1,000), or very rare (< 1/10,000) [20]