High prevalence and prescription of benzodiazepines for elderly: Data from psychiatric consultation to patients from an emergency room of a general hospital

General Hospital Psychiatry

Volumn 33, Issue 1, 2011, Pages 45-50

  Spanemberg, Lucas ^a,b   Nogueira, Eduardo Lopes ^a   Belem da Silva, Cristiano Tschiedel ^a   Dargél, Aroldo Ayub ^a,b   Menezes, Fernanda Silva ^a   Neto, Alfredo Cataldo ^a  

^a PONTIFICAL CATHOLIC UNIVERSITY OF RIO GRANDE DO SUL   (Brazil)

^b FEDERAL UNIVERSITY OF RIO GRANDE DO SUL   (Brazil)

Author keywords

Benzodiazepines; Brazil; Elderly; Pharmacoepidemiology; Psychotropic drugs

Indexed keywords

ANTICONVULSIVE AGENT; ANTIDEPRESSANT AGENT; BENZODIAZEPINE; LITHIUM ACETATE; NEUROLEPTIC AGENT;

ADULT; AGING; ANXIETY DISORDER; ARTICLE; CONSULTATION; CONTROLLED STUDY; DEMOGRAPHY; DEPRESSION; DISRUPTIVE BEHAVIOR; EDUCATION; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; EMPLOYMENT STATUS; FEMALE; GENERAL HOSPITAL; HUMAN; MAJOR CLINICAL STUDY; MALE; MANIA; MARRIAGE; MEDICAL CARE; MEDICAL RECORD; MENTAL DISEASE; PRESCRIPTION; PREVALENCE; PSYCHOSIS; SUICIDAL IDEATION; SUICIDE ATTEMPT; TEACHING HOSPITAL;

ADULT; AGED; BENZODIAZEPINES; BRAZIL; CROSS-SECTIONAL STUDIES; DRUG UTILIZATION; FEMALE; HOSPITALS, TEACHING; HUMANS; MALE; MIDDLE AGED; PATIENT ADMISSION; PHARMACOEPIDEMIOLOGY; PHYSICIAN'S PRACTICE PATTERNS; PSYCHOTROPIC DRUGS;

EID: 79951850251     PISSN: 01638343     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.genhosppsych.2010.12.004     Document Type: Article

References (33)

1. Population Ageing and Development 2009 2009, Department of Economics and Social Affairs. Population Division, United Nations, New York, (http://www.un.org/esa/population/publications/ageing/ageing2009.htm, accessed 15 July 2010).
2. World Health Organization 10 facts on ageing and the life course accessed 15 July 2010. http://www.who.int/features/factfiles/ageing/ageing_facts/en/index.html.
3. Kriegsman D.M.W., Deeg D.J.H., Stalman W.A.B. Comorbidity of somatic chronic diseases and decline in physical functioning: the Longitudinal Aging Study Amsterdam. J Clin Epidemiol 2004, 57(1):55-65.
4. Ajjar E.R., Cafiero A.C., Hanlon J.T. Polypharmacy in elderly patients. Am J Ger Pharmacother 2007, 5:345-351.
5. Jorm A.F., Grayson D., Creasey H., Waite L., Broe G.A. Long-term benzodiazepine use by elderly people living in the community. Aust N Z J Public Health 1999, 24:7-10.
6. Allen M.H., Currier G.W. Use of restraints and pharmacotherapy in academic psychiatric emergency services. Gen Hosp Psychiatry 2004, 26:42-49.
7. Fourrier A., Letenneur L., Dartigues J.F., Moore N., Bégaud B. Benzodiazepine use in an elderly community-dwelling population - characteristics of users and factors associated with subsequent use. Eur J Clin Pharmacol 2001, 57:419-425.
8. Lima M.S., Hotopf M., Mari J.J., Béria J.U., Bastos A.B., Mann A. Psychiatric disorder and the use of benzodiazepines: an example of the inverse care law from Brazil. Soc Psychiatry Psychiatr Epidemiol 1999, 4:316-322.
9. Carrasco-Garrido P., JIménez-García R., Astasio-Arbiza P., Ortega-Moliona P., Miguel A.G. Psychotropics use in the Spanish elderly: predictors and evolution between years 1993 and 2003. Pharmacoepidemiol Drug Saf 2007, 16:449-457.
10. Paterniti S., Dufouil C., Alpérovitch A. Long-term benzodiazepine use and cognitive decline in the elderly: the Epidemiology of Vascular Aging study. J Clin Psychopharmacol 2002, 22(3):285-293.
11. Fick D.M., Cooper J.W., Wade W.E., Waller J.L., Maclean J.R., Beers M.H. Updating the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Arch Intern Med 2003, 163:2716-2721. (Reprinted with corrections previously to online versions of this article).
12. Instituto Brasileiro de Geografia e Estatística (IBGE) 2002 Perfil dos idosos responsáveis pelos domicílios no Brasil 2002, Rio de Janeiro, RJ.
13. Andrade L., Walters E.E., Gentil V., Laurenti R. Prevalence of ICD-10 mental disorders in a catchment area in the city of São Paulo, Brazil. Soc Psychiatry Psychiatr Epidemiol 2002, 37:316-325.
14. Maragno L., Goldbaum M., Gianini R.J., Novaes H.M.D., Cesar C.L. Prevalência de Transtorno mental comum em populacões atendidas pelo Programa Saúda da família (QUALIS) no município de São Paulo, Brasil. Cad Saude Publica 2006, 22(8):1639-1648.
15. Alvarenga M.J., Loyola Filho A.I., Firmo J.O.A., Lima-Costa M.F., Uchoa E. Prevalence and sociodemographic characteristics associated with benzodiazepines use among community dwelling older adults: The Bambuí Health and Aging Study (BHAS). Rev Bras Psiquiatr 2008, 30(1):7-11.
16. Rodrigues M.A.P., Facchini L.A., Lima M.S. Modificações nos padrões de consumo de psicofármacos em localidade do Sul do Brasil. Rev Saude Publica 2006, 40(1):107-114.
17. Windle A., Elliot E., Duszynski K., Moore V. Benzodiazepine prescribing in elderly Australian general practice patients. Aust NZ J Public Health 2007, 31:379-381.
18. Cohen-Mansfield J. Agited behavior in persons with dementia: the relationship between type of behavior, its frequency, and its disruptiveness. J Psychiatry Res 2009, 43:64-69.
19. Van der Heyden J.H.A., Gisle L., Hesse E., Demarest S., Drieskens S., Tafforeau J. Gender differences in the use of anxiolytics and antidepressants: a population based study. Pharmacoepidemiol Drug Saf 2009, 18:1101-1110.
20. Gleason P.P., Schulz R., Smith N.L., Newsom J.T., Kroboth P.D., Kroboth F.J., et al. Correlates and prevalence of benzodiazepine use in community-dwelling elderly. J Gen Int Med 1998, 13:243-250.
21. Thomson M., Smith W.A. Prescribing benzodiazepines for noninstitutionalized elderly. Can Fam Physician 1995, 41:792-798.
22. Johnell K., Fastbom J. The use of benzodiazpines and related drugs amongst older people in Sweden: associated factors and concomitant use of other psychotropics. Int J Geriatr Psychiatry 2009, 24:731-738.
23. Cheng J.S., Huang W.F., Lin K.M., Shih Y.T. Characteristics associated with benzodiazepine usage in elderly outpatients in Taiwan. Int J Geriatr Psychiatry 2008, 23:618-624.
24. Sousa M. Perfil dos utilizadores de psicofármacos na Unidade de Saúde Familiar de Canelas. Rev Port Clin Geral 2007, 23:33-42.
25. Lader M.H. Limitations on use of benzodiazepines in anxiety and insomnia: are they justified?. Eur Neuropsychopharmacol 1999, 9(suppl. 6):399-405.
26. Valenstein M., Taylor K.K., Austin K., Kales H.C., McCarthy J.F., Blow F.C. Benzodiazepine use among depressed patients treated in mental health settings. Am J Psychiatry 2004, 161:654-661.
27. Assem-Hilger E., Jungwirth S., Eeissgram S., Kirchmeyr W., Fisher P., Barnas C. Benzodiazepine use in the elderly: an indicator for inappropriately treated geriatric depression?. Int J Geriatr Psychiatry 2009, 24:563-569.
28. Sheikh J.I., Cassidy E.L. Treatment of anxiety disorders in the elderly: issues and strategies. J Anxiety Disord 2000, 14(2):173-190.
29. Cook J.M., Biyanova T., Thompson R., Coyne J.C. Older primary care patients' willing to consider discontinuation of chronic benzodiazepines. Gen Hosp Psychiatry 2007, 29:396-401.
30. Sabbi E.H., Quevedo J., Almeida J.T.A. Emergências psiquiátricas no idoso. Emergências psiquiátrica 2001, 205-211. Artmed Editora, Porto Alegre. F. Kapcziski, J. Quevedo, R. Schmitt, E. Chachamovich (Eds.).
31. Comité de Consenso Tercer Consenso de Granada sobre problemas relacionados com los medicamentos (PRM) y resultados negativos asociados a La medicación (RNM). Ars Pharm 2007, 48(1):5-17.
32. Bogunovic O.J., Greenfield S.F. Use of benzodiazepines among elderly patients. Psychiatric Serv 2004, 55(3):233-235.
33. Landy F., Onder G., Cesari M., Barillaro C., Russo A., Bernabei R. Psychotropic medication and risk for falls among community-dwelling frail older people: a observational study. Gerontology 2005, 14(1):11-16.