Journal of Pharmacopuncture (대한약침학회지)

KOREAN PHARMACOPUNCTURE INSTITUTE (대한약침학회)
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A Single-Center Retrospective Study on the Effects of Korean Medicine in 342 Traffic Accident Cases

  • Jeong, Jin-Ho (Jisung-Kyunghee Korean Medicine Clinic) ;
  • Ku, Jaseung (Bogwang Korean Medical Clinic) ;
  • Hwang, Ji Hye (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Gachon University)
  • Received : 2021.05.27
  • Accepted : 2021.07.20
  • Published : 2021.09.30
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Abstract

Objectives: In South Korea, traffic accident victims can be treated under automobile insurance coverage. Korean medicine (KM) clinics have reported the largest number of automobile insurance fee claims among medical institutions. This study investigated the status of the KM automobile insurance system in a single KM clinic. Methods: We retrospectively surveyed the medical charts of 342 traffic accident patients treated at the Jisung KM clinic between January 2009 and June 2017. Results: Most of the patients were men and in their 30s. The most common method of locating the clinic was an internet search. The most common traffic accident type was collision between vehicles (83.63%), with 70.76% of patients visiting during the most acute phase. The major disease codes included S434, M4836, F072, S0600, and S3350. The most frequent treatment period was within 1 month of the accident, and most patients received 10 or fewer treatments. The mean treatment duration and number of treatments were 37.68 ± 45.11 days and 11.68 ± 10.63 treatments, respectively. The initial pain numerical rating scale (NRS), 7.32 ± 0.96, decreased to 3.57 ± 1.40 at the end of treatment, with a symptom improvement score of 1.87 ± 0.60. Regarding sex, age, disease duration, location at the time of the accident, presence of additional and psychological symptoms, and chuna, there were statistically significant differences in treatment duration and number of treatments. A higher number of treatments and the longer treatment duration was associated with a higher initial NRS, lower post-treatment NRS, and better improvement score. Since the introduction of traffic accident (TA) pharmacopuncture, the rate of use of a single type of pharmacopuncture increased; however, no significant differences in treatment duration and number, NRS before and after treatment, and improvement score were observed between treatment groups before and after TA pharmacopuncture. No adverse reactions were observed for any treatment. Conclusion: This study confirmed the previous findings of a high treatment effect of KM under automobile insurance. We also observed significant correlations based on a detailed medical status, which may explain the increasing use of KM in the automobile insurance system. Additional multi-center studies in different regions are needed.

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References

  1. Ottosson C, Pettersson H, Johansson SE, Nyren O, Ponzer S. Recovered? Association between self-perceived recovery and the SF-36 after minor musculoskeletal injuries. Qual Life Res. 2007;16(2):217-26. https://doi.org/10.1007/s11136-006-9118-8
  2. Department for Transport. RAS 60003: Total Value of Prevention of Reported Accidents by Severity and Cost Element: Great Britain. [Internet]. London: GOV.UK; c2021 [cited 2018 Aug 22]. Available from: https://www.gov.uk/government/statisticaldata-sets/ras60-average-value-of-preventing-road-accidents.
  3. KoROAD. Estimation and Assessment of Traffic Accident Incurred Costs in 2016. [Internet]. Wonju: TAAS; c2017 [cited 2018 Aug 22]. Available from: http://taas.koroad.or.kr/web/bdm/srs/selectStaticalReportsList.do?menuId=WEB_KMP_IDA_SRS_RTE.
  4. Song MY, Jo HG, Sul JU, Kim ST, Bae KJ, Kim TG, et al. Inpatient treatment effect and Minnesota Multiphasic Personality Inventory characteristics of motor vehicle collision injuries in a traditional korean medicine hospital: retrospective chart review. Chin J Integr Med. 2016 Nov 3. doi: 10.1007/s11655-016-2743-3. Epub ahead of print.
  5. Health Insurance Review & Assessment Service. Automobile Insurance Statistical Data. [Internet]. Wonju: HIRA; c2019 [cited 2020 Dec 31]. Available from: http://www.hira.or.kr/bbsDummy.do?brdBltNo=2312&brdScnBltNo=4&pgmid=HIRAA020045010000#none.
  6. Park SY, Lee YK, Kim JS, Lim SC, Lee BH, Jung TY, et al. Survey of oriental medical care for traffic accident patients with automobile insurance; 544 cases report. J Korean Acupunct Moxib Soc. 2009;26(3):1-10.
  7. Hong S, Park W, Ha S. A real-world accident study on vehicle damage types and occupant injury. Trans Korean Soc Automot Eng. 2013;21(1):107-12. https://doi.org/10.7467/KSAE.2013.21.1.107
  8. Kim HR, Kim SH, Lee YS, Sung WS, Park SH, Cho HS, et al. Survey on satisfaction and symptom improvement of Korean medicine treatment in 122 cases by traffic accident. J Korean Med. 2018;39(3):61-72. https://doi.org/10.13048/jkm.18025
  9. Hwang JH, Jung C. Single-center retrospective study on the status of Korean medicine automobile insurance treatment and usage of main pharmacopuncture. J Physiol Pathol Korean Med. 2019;33(3):181-90. https://doi.org/10.15188/kjopp.2019.06.33.3.181
  10. Broekema AE, Molenberg R, Kuijlen JM, Groen RJ, Reneman MF, Soer R. The Odom criteria: validated at last: a clinimetric evaluation in cervical spine surgery. J Bone Joint Surg Am. 2019;101(14):1301-8. https://doi.org/10.2106/JBJS.18.00370
  11. Jeon HJ, Kim SH, Kim JH, Lee SM, Shin HY, Lee YK, et al. The clinical study on 197 cases with patients of neck pain caused by traffic accident. J Korean Acupunct Moxib Soc. 2010;27(2):143-54.
  12. Im SH, Lee SH, Lee SM, Nam DW, Kim YS. A qualitative study on the treatment process experiences of patients with whiplash associated disorder treated with traditional Korean medicine- based on the grounded theory approach. Acupuncture. 2016;33(4):73-92. https://doi.org/10.13045/acupunct.2016056
  13. Moon TW, Posadzki P, Choi TY, Park TY, Kim HJ, Lee MS, et al. Acupuncture for treating whiplash associated disorder: a systematic review of randomised clinical trials. Evid Based Complement Alternat Med. 2014;2014:870271.
  14. Kim EG, Lee DG, Jeong WJ, Cho HS, Bae JI, Kim SH, et al. The clinical study on 500 cases with traffic accident patients admitted in oriental medical hospital. J Korean Acupunct Moxib Soc. 2009;26(5):29-38.
  15. Kook KH, Oh MS. The analysis of 509 admission patients in Korean medical hospital due to traffic accident. J Korean Med Rehabil. 2012;22(4):169-83.
  16. Shin JH, Oh MS. The retrospective analysis of 1,162 traffic accident inpatients in Korean medicine hospital. J Korean Med Rehabil. 2013;23(4):233-50.
  17. Song YA, Lee SY The present status and future direction of oriental medical services in the automobile insurance. Seoul: Korea Insurance Research Institute; 2017.
  18. Sterling M, Kenardy J. Whiplash: evidence base for clinical practice. Chatswood: Elsevier Australia; 2011.
  19. Treleaven J. Dizziness, unsteadiness, visual disturbances, and postural control: implications for the transition to chronic symptoms after a whiplash trauma. Spine (Phila Pa 1976). 2011;36 Suppl 25:S211-7. https://doi.org/10.1097/BRS.0b013e3182387f78
  20. Kasch H, Turk DC, Jensen TS. Whiplash injury: perspectives on the development of chronic pain. Philadelphia: Wolters Kluwer; 2016.
  21. Jung KH, Hwang HS, Jeon JC, Kim MS, Park JY, Lee TH, et al. Correlation analysis of subjective stress caused by traffic accident with prognosis. J Korean Acupunct Moxib Soc. 2009;26(6):161-9.
  22. NIKOM (National Development Institute of Korean Medicine). Actual situation survey on korean medicine use and herbal medicine consumption. Seoul: National Development Institute of Korean Medicine; 2018.
  23. Kamper SJ, Rebbeck TJ, Maher CG, McAuley JH, Sterling M. Course and prognostic factors of whiplash: a systematic review and meta-analysis. Pain. 2008;138(3):617-29. https://doi.org/10.1016/j.pain.2008.02.019
  24. Sterling M, Hendrikz J, Kenardy J. Compensation claim lodgement and health outcome developmental trajectories following whiplash injury: a prospective study. Pain. 2010;150(1):22-8. https://doi.org/10.1016/j.pain.2010.02.013
  25. Korean Acupuncture & Moxibustion Medicine Society. Acupuncture medicine. Seoul: Hanmi Medical Publishing Co.; 2016.
  26. Hwang JH, Jung HW. TA pharmacopuncture as a primary and independent treatment for frequent sprains occurring over 9 months in a patient with needle sickness: case report. Medicine (Baltimore). 2018;97(45):e13123. https://doi.org/10.1097/md.0000000000013123
  27. Hwang JH, Jung HW, Jung C. Evaluation of the single-dose toxicity of TA pharmacopuncture in rats. J Pharmacopuncture. 2019;22(3):171-5. https://doi.org/10.3831/kpi.2019.22.023
  28. Chung YJ, Lee YK, Lee HJ, Kim JS. A case report of thoracic pain which was occurred by seat belt with additional TA pharmacopuncture. J Korea Immuno-Yakchim Soc. 2017;6(1):39-48.