• J Formos Med Assoc · Sep 2024

    Integrating traditional Chinese Medicine reduced the risk of hip fracture in patients with dementia.

    • Ming-Huei Cheng, Ying-Hsiu Shih, Cheng-Li Lin, Hung-Rong Yen, and Mei-Yao Wu.
    • Graduate Institute of Chinese Medicine, School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; Department of Chinese Medicine, Taichung Armed Forces General Hospital, Taichung, Taiwan.
    • J Formos Med Assoc. 2024 Sep 12.

    Background/PurposeThe high incidence of hip fracture is an important problem among dementia patients because of their higher risk of falls and balance deficits due to a lack of physical activity. The aim of this study was to investigate whether traditional Chinese medicine (TCM) therapy could reduce the risk of hip fracture in dementia patients.MethodsWe identified 38,071 patients who were first diagnosed with dementia from January 1, 2000, to December 31, 2017, from the database of the 2000 Longitudinal Generation Tracking Database (LGTD 2000) provided by the Health and Welfare Data Science Center (HWDC) in Taiwan. Patients who received TCM treatment after the initial diagnosis of dementia were assigned to the TCM group, and patients who never received TCM treatment were assigned to the non-TCM group. After performing 1:1 propensity score matching (1:1) based on age, sex, comorbidities and medication between the TCM and non-TCM groups, there were 902 patients in each group. Patients were followed up to December 31, 2018, and incidences of hip fracture after the initial diagnosis of dementia between the two groups were compared with Cox regression analysis.ResultsNinety-four patients in the non-TCM group (10.42%) and 58 patients in the TCM group (6.43%) suffered from hip fracture during the follow-up period. Patients in the TCM group had a lower incidence of hip fracture than those in the non-TCM group (adjusted hazard ratio = 0.54, 95% confidence interval = 0.38-0.76).ConclusionsIntegrating TCM health care for dementia patients might reduce the risk of hip fracture.Copyright © 2024 Formosan Medical Association. Published by Elsevier B.V. All rights reserved.

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