Key result
Integrative medicine therapies were associated with a 46.5% decrease in pain and a 54.8% decrease in anxiety among cardiovascular inpatients.
Why the study?
Does adjunctive integrative medicine therapy reduce pain and anxiety in hospitalized cardiovascular patients?
Observational (n=57,295)
No
Does adjunctive integrative medicine therapy reduce pain and anxiety in hospitalized cardiovascular patients?
Effect estimate: 46.5% decrease in pain and 54.8% decrease in anxiety
p-value: p=<0.001
Adjunctive integrative medicine interventions are associated with significant short-term reductions in patient-reported pain and anxiety among cardiovascular inpatients.
Should not yet change CV inpatient practice; hypothesis-generating for adjunctive integrative therapies.
BACKGROUND: Pain and anxiety occurring from cardiovascular disease are associated with long-term health risks. Integrative medicine (IM) therapies reduce pain and anxiety in small samples of hospitalized cardiovascular patients within randomized controlled trials; however, practice-based effectiveness research has been limited. The goal of the study is to evaluate the effectiveness of IM interventions (i.e., bodywork, mind-body and energy therapies, and traditional Chinese medicine) on pain and anxiety measures across a cardiovascular population. METHODS: Retrospective data obtained from medical records identified patients with a cardiovascular ICD-9 code admitted to a large Midwestern hospital between 7/1/2009 and 12/31/2012. Outcomes were changes in patient-reported pain and anxiety, rated before and after IM treatments based on a numeric scale (0-10). RESULTS: Of 57,295 hospital cardiovascular admissions, 6,589 (11.5%) included IM. After receiving IM therapy, patients averaged a 46.5% (p-value < 0.001) decrease in pain and a 54.8% (p-value < 0.001) decrease in anxiety. There was no difference between treatment modalities on pain reduction; however, mind-body and energy therapies (p-value < 0.01), traditional Chinese medicine (p-value < 0.05), and combination therapies (p-value < 0.01) were more effective at reducing anxiety than bodywork therapies. Each additional year of age reduced the odds of receiving any IM therapy by two percent (OR: 0.98, p-value < 0.01) and females had 96% (OR: 1.96, p-value < 0.01) higher odds of receiving any IM therapy compared to males. CONCLUSIONS: Cardiovascular inpatients reported statistically significant decreases in pain and anxiety following care with adjunctive IM interventions. This study underscores the potential for future practice-based research to investigate the best approach for incorporating these therapies into an acute care setting such that IM therapies are most appropriately provided to patient populations.
No takes yet. Share an insight, caveat, or question.
Johnson et al. (2014) conducted an observational in Cardiovascular disease (n=57,295). Integrative medicine therapies vs. Pre-treatment baseline was evaluated on Change in patient-reported pain and anxiety (46.5% decrease in pain and 54.8% decrease in anxiety, p=<0.001). Integrative medicine therapies were associated with a 46.5% decrease in pain and a 54.8% decrease in anxiety among cardiovascular inpatients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: