دورية أكاديمية

Chronic benzodiazepine usage among older people: prevalence, indications, and treatment modifications in patients admitted to an acute geriatric unit.

التفاصيل البيبلوغرافية
العنوان: Chronic benzodiazepine usage among older people: prevalence, indications, and treatment modifications in patients admitted to an acute geriatric unit.
المؤلفون: Corral-Tuesta C; Servicio de Geriatría, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain. celiacorral23@hotmail.com., Rodríguez Díaz-Pavón A; Servicio de Geriatría, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain., Montero-Errasquín B; Servicio de Geriatría, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain., Álvarez-Pinheiro CG; Servicio de Geriatría, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain., Lavilla-Gracia V; Servicio de Geriatría, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain., Cruz-Jentoft AJ; Servicio de Geriatría, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.
المصدر: European geriatric medicine [Eur Geriatr Med] 2024 Apr; Vol. 15 (2), pp. 539-543. Date of Electronic Publication: 2024 Jan 12.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer International Publishing Country of Publication: Switzerland NLM ID: 101533694 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1878-7649 (Print) Linking ISSN: 18787649 NLM ISO Abbreviation: Eur Geriatr Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : Cham : Springer International Publishing
Original Publication: Issy-les-Moulineaux, Paris : Elsevier Masson SAS
مواضيع طبية MeSH: Benzodiazepines*/therapeutic use , Hospitalization*, Female ; Humans ; Aged ; Aged, 80 and over ; Male ; Prevalence ; Potentially Inappropriate Medication List ; Inappropriate Prescribing
مستخلص: Aim: To investigate the prevalence and indications of benzodiazepines (BZD) usage among patients admitted to an acute geriatric unit and assess changes in prescriptions.
Methods: BZD indications were documented reviewing clinical records, with appropriateness assessed based on the STOPP-START criteria. Changes in BZD prescriptions were recorded at discharge and 3 months later.
Results: Among the 366 patients included (mean age: 92.8 years, 68% females), 91 (24.9%) were on BZD upon admission, being inappropriate in 93.4%. At discharge, BZD discontinuation was observed in 40.7% and dose reduction initiated in 57.4%. Among patients discharged without prescriptions, 10.8% resumed their use at 3 months. Of those discharged with BZD tapering, 74.1% were still on them 3 months later.
Conclusions: The majority of patients employing BZD lacked a medical indication. Admission to a geriatric ward resulted in successful discontinuation or dose reduction for most patients but was not maintained in the outpatient setting.
(© 2024. The Author(s), under exclusive licence to European Geriatric Medicine Society.)
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فهرسة مساهمة: Keywords: Acute geriatric unit; Deprescription; STOPP-START; Benzodiazepines
المشرفين على المادة: 12794-10-4 (Benzodiazepines)
تواريخ الأحداث: Date Created: 20240112 Date Completed: 20240408 Latest Revision: 20240408
رمز التحديث: 20240408
DOI: 10.1007/s41999-023-00918-3
PMID: 38214865
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-7649
DOI:10.1007/s41999-023-00918-3