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Your search keyword '"Tsai, Sheng-Ta"' showing total 3 results
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2. Acupuncture reduced the medical expenditure in migraine patients

Author

Tsai, Sheng-Ta, Tseng, Chun-Hung, Lin, Mei-Chen, Liao, Hsien-Yin, Teoh, Boon-Khai, San, Shao, Tsai, Chon-Haw, Huang, Hung-Yu, and Lin, Yi-Wen

Subjects
Adult, Male, medical expenditure, economic, health care system, Economic Evaluation Study, Migraine Disorders, real world, Acupuncture Therapy, Taiwan, Middle Aged, Cohort Studies, Treatment Outcome, Humans, migraine, Female, Health Expenditures, acupuncture, Research Article, Aged, Retrospective Studies
Abstract

Objectives: According to the data of Organisation for Economic Cooperation and Development, almost all the countries got increased medical expenditures in these years. Among the diseases, migraine is a condition that affects predominantly young and middle-aged people. It results in great economic losses. So we perform this research to investigate the acupuncture effect of reducing medical expenditure and medical resources use. Perspective: Acupuncture is a non-pharmacologic treatment and it became popular in recent years. In Taiwan, about 13% migraine patients visited acupuncture doctor. We hypothesized that the acupuncture had the additional effect than the medical treatment. Setting: We analysed the economic cost and medical visits in the real word. Methods: We used national cohort data from Taiwan, retrospectively gathered between 2000 and 2010. We selected newly diagnosed migraine patients who were diagnosed by registered neurologists formally licensed by the Taiwan Neurological Society. We divided these patients into two groups: with and without acupuncture treatment. The main outcome was medical expenditures and visits within 1 year after acupuncture. Results: In migraine patients who received acupuncture treatment, medical expenditures on emergency care and hospitalization were significantly lower than the group without acupuncture treatment. Conclusion: According to our real-world data, acupuncture can reduce the medical expenditure in migraine patients within 1 year after diagnosis. For the health policy maker, it is cost effective to encourage combining acupuncture and western medicine to treat migraine patients. For the doctors in routine clinical practice, who may consider to consult acupuncture doctors to deal with the migraine patients together.

Published
2020

3. Cervical spinal epidural abscess following needle-knife acupotomy, with an initial presentation that mimicked an acute stroke: A case report.

Author

Tsai, Sheng-Ta, Huang, Wei-Shih, Jiang, Shin-Kuang, and Liao, Hsien-Yin

Subjects
*EPIDURAL abscess, *NECK pain, *STROKE, *SPONDYLOSIS, *MAGNETIC resonance imaging, *CHRONIC pain
Abstract

Introduction: A spinal epidural abscess is difficult to diagnose and it can sometimes mimic an acute ischemic stroke. Case presentation: We report a 69-year-old woman attended our emergency department because of gross hematuria for 1 week, with fever and bilateral flank pain. Two weeks earlier, she had received needle-knife acupotomy (a more invasive procedure than the traditional acupuncture) for chronic neck pain. Acute pyelonephritis was diagnosed; however, 4 h later, she developed weakness of both right limbs. Acute lacunar infarction was tentatively diagnosed. After admission, weakness of the left limbs developed, with a feeling of fullness and discomfort around the entire T6 dermatome with urinary retention. Neck magnetic resonance imaging showed extensive cervical epidural abscesses from C3 to T1. After an operation, her neck pain and the weakness of the four limbs gradually improved. Discussion: Spinal epidural abscess is a rare complication, and which should be considered for patients who have undergone invasive cervical procedures. Needle-knife acupotomy is a more invasive procedure than the traditional acupuncture. Conclusion: Although it is considered safe and effective for cervical spondylosis, it can be complicated by spinal infection. Careful disinfection should therefore be performed, and disposable needleknives should be used. [ABSTRACT FROM AUTHOR]

Published
2020
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