Personal Use of Alternative Medicine Therapies by Health Science Center Faculty

Autor: Eleanor Palo Stoller, Allen H. Neims, Mary Ann Burg, Shae Graham Kosch
Rok vydání: 1998
Předmět:
Zdroj: JAMA. 280:1563
ISSN: 0098-7484
Popis: 3 reported that pneumothorax, fainting, local infections, and increased pain are fairly common based on their survey of 1135 randomly selected physicians and 197 acupuncturists in Nor- way. To determine the risk of acupuncture in a practice of trained acupuncturists, we studied the adverse events related to acu- puncture treatment at our institution in Japan. Tsukuba College of Technology Clinic is a unique national medical facility at which more than 60% of outpatients (ap- proximately 17 000 per year) undergo acupuncture treatment. All the acupuncturists are either preceptors or interns. Intern acupuncturists receive instruction for 3 months before taking charge of their own practice. Instruction is given by both lec- tures and practical training and includes information about anatomically risky depth of insertion and use of aseptic pro- cedure for puncturing. From November 1992 through October 1997, all acupunc- turists in our clinic were required to report adverse events related to acupuncture immediately on recognition. During these 5 years, a total of 76 acupuncturists (13 preceptors and 63 interns) participated in the study, and the total number of acupuncture treatments was 55 291. A total of 64 adverse events were reported and included 11 types of events. The most frequent adverse event was failure to remove needles after treatment; no sequelae occurred after removal of the needles. The second most common adverse event was dizzi- ness, discomfort, or perspiration probably due to transient hypotension associated with the acupuncture treatment. Re- ported adverse events are shown in the Table. We believe that all adverse events such as forgotten needles, transient hypotension, burn injuries, and falls from the treat- ment table were reported. However, less severe events would not have been reported if either a staff member or a patient did not regard the event as a problem. Most important, no serious events such as pneumothorax, spinal lesion, or infection were reported.
Databáze: OpenAIRE