title: Use of acupuncture therapy as a supplement to conventional medical treatments for acute ischaemic stroke patients in an academic medical centre in Korea.
abstract: OBJECTIVE
  Acupuncture has served as a major complementary and alternative therapy that supplements conventional medicine and is the subject of growing public interest. This study was conducted to estimate the usage rate of acupuncture as a supplemental treatment in acute ischaemic stroke patients and to identify factors associated with the choice to use this therapy.
  
  
  METHODS
  Using the registry of stroke patients admitted to an academic medical centre in Korea, the use of acupuncture therapy was recorded and analysed, along with the patients' socio-demographic characteristics, hospital access variables, risk factors for ischaemic stroke and clinical characteristics. The data were analysed using descriptive statistics, chi-square tests and multiple logistic regression analyses.
  
  
  RESULTS
  Of 2167 patients, 18% received acupuncture therapy. The choice of acupuncture therapy was significantly associated with stroke severity as well as gender, age, geographical residence and previous history of stroke. After controlling for other significant factors, there was an approximately 3.4-fold greater usage in patients with moderately severe strokes (95% confidence interval (CI)=2.5-4.6) and 4.1-fold greater usage in patients with severe strokes (95% CI=2.7-6.4).
  
  
  CONCLUSIONS
  The findings provide a better understanding of patients' utilization of acupuncture therapy as a supplement to conventional medical treatments and of factors associated with the utilization of acupuncture in patients with acute ischemic stroke. Strategic implications of acupuncture therapy are suggested for both health-care providers and policy makers.
authors.affiliation: Department of Health Services Management, School of Management, Kyung Hee University, Seoul, Republic of Korea.
authors.forename: Hyejung
authors.initials: H
authors.lastname: Chang
authors.forename: Young Dae
authors.initials: YD
authors.lastname: Kwon
authors.forename: Sung Sang
authors.initials: SS
authors.lastname: Yoon
mesh_terms: D000046:Academic Medical Centers; D015670:Acupuncture Therapy / Q000706:statistics & numerical data*; D000368:Aged; D002545:Brain Ischemia / Q000628:therapy*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012042:Registries; D056910:Republic of Korea; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D020521:Stroke / Q000628:therapy*