Ontology highlight
ABSTRACT: Background
Some adverse events following immunization (AEFI) were observed in potential corelation with COVID-19 vaccination but without prevention or ongoing trial for it. We aimed to investigate efficacy of auricular acupressure (AuriAc) therapy in preventing AEFI after first dosage of the vaccine.Methods
We performed a multicentre randomized controlled trial with three arms, including AuriAc, SAuriAc (sham auricular acupressure), and TrAsU (treatment as usual) group, carried out in four medical institutions in Chengdu, China, from March 17th to April 23rd, 2021. We enrolled participants based on eligibility criteria and randomized them into three groups: AuriAc (AEFI-specific auricular points applied, n = 52), SAuriAc (n = 51) or TrAsU (n = 44) group. Primary outcomes were percentages of any AEFI and local pain, and secondary outcomes were percentages who reported other AEFI. They were followed at 1, 3, 5, 7, and 14 days, by phone or online, with severity evaluated.Results
147 participants (73.47% females) were included with median age as 31 years (25-45, IQR). One day after the injection, participants in AuriAc group reported significant reduction on percentages of any AEFI [intention-to-treat, difference of percentage (DP) = -20.13, 95%CI: - 0.39, - 0.02, p = 0.01; per-protocol, DP = -22.21, 95%CI: - 0.40, - 0.03, P = 0.02] and local pain (per-protocol, DP = -18.40, 95%CI: -0.36, -0.01, P = 0.04), compared with TrAsU group. The effects were slight at other follow-up days and for other outcomes, and with a low percentage of mild local allergic reactions.Conclusions
We firstly explored potential of AuriAc for preventing AEFI related to COVID-19 vaccine injection, which is beneficial for the vaccine recipients, but evidence is limited.Trial registration
chictr.org.cn no. ChiCTR2100043210 (http://www.chictr.org.cn/showproj.aspx?proj=121519).
SUBMITTER: Fu Q
PROVIDER: S-EPMC9650252 | biostudies-literature | 2022 Dec
REPOSITORIES: biostudies-literature
Fu Qinwei Q Xie Hui H Zhou Li L Li Xinrong X Liu Yang Y Luo Hongyan H Zhang Chunyan C Peng Wenyu W Wang Zhiqiao Z Su Chang C Xiao Zhiyong Z Lin Hanwen H Xiao Xiang X Wu Xuanyu X Huang Jiali J Wang Xiaocen X Hu Sihan S Tang Jinfan J Xiao Huan H Zhou Jing J Feng Chengzhi C Wang Li L Ao Zhimin Z Chen Xi X Zhang Qinxiu Q Jiang Luyun L
Complementary therapies in medicine 20221111
<h4>Background</h4>Some adverse events following immunization (AEFI) were observed in potential corelation with COVID-19 vaccination but without prevention or ongoing trial for it. We aimed to investigate efficacy of auricular acupressure (AuriAc) therapy in preventing AEFI after first dosage of the vaccine.<h4>Methods</h4>We performed a multicentre randomized controlled trial with three arms, including AuriAc, SAuriAc (sham auricular acupressure), and TrAsU (treatment as usual) group, carried o ...[more]