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2024-12-01

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cc-by (c) Lukačišinová, A. et al., 2024
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/218044

Prevalence, country-specific prescribing patterns and determinants of benzodiazepine use in community-residing older adults in 7 European countries

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https://doi.org/10.1186/s12877-024-04742-7

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Background: The use of benzodiazepines (BZDs) in older population is often accompanied by drug-related complications. Inappropriate BZD use significantly alters older adults' clinical and functional status. This study compares the prevalence, prescribing patterns and factors associated with BZD use in community-dwelling older patients in 7 European countries. Methods: International, cross-sectional study was conducted in community-dwelling older adults (65 +) in the Czech Republic, Serbia, Estonia, Bulgaria, Croatia, Turkey, and Spain between Feb2019 and Mar2020. Structured and standardized questionnaire based on interRAI assessment scales was applied. Logistic regression was used to evaluate factors associated with BZD use. Results: Out of 2,865 older patients (mean age 73.2 years ± 6.8, 61.2% women) 14.9% were BZD users. The highest prevalence of BZD use was identified in Croatia (35.5%), Spain (33.5%) and Serbia (31.3%). The most frequently prescribed BZDs were diazepam (27.9% of 426 BZD users), alprazolam (23.7%), bromazepam (22.8%) and lorazepam (16.7%). Independent factors associated with BZD use were female gender (OR 1.58, 95%CI 1.19-2.10), hyperpolypharmacy (OR 1.97, 95%CI 1.22-3.16), anxiety (OR 4.26, 95%CI 2.86-6.38), sleeping problems (OR 4.47, 95%CI 3.38-5.92), depression (OR 1.95, 95%CI 1.29-2.95), repetitive anxious complaints (OR 1.77, 95%CI 1.29-2.42), problems with syncope (OR 1.78, 95%CI 1.03-3.06), and loss of appetite (OR 0.60, 95%CI 0.38-0.94). In comparison to Croatia, residing in other countries was associated with lower odds of BZD use (ORs varied from 0.49 (95%CI 0.32-0.75) in Spain to 0.01 (95%CI 0.00-0.03) in Turkey), excluding Serbia (OR 1.11, 95%CI 0.79-1.56). Conclusions: Despite well-known negative effects, BZDs are still frequently prescribed in older outpatient population in European countries. Principles of safer geriatric prescribing and effective deprescribing strategies should be individually applied in older BZD users. Keywords: Benzodiazepines; Community-dwelling older adults; Europe; Geriatric dosing; Geriatric length of therapy.

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Farmacologia geriàtrica, Benzodiazepines

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Geriatric pharmacology, Benzodiazepines

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Articles publicats en revistes (Farmàcia, Tecnologia Farmacèutica i Fisicoquímica)

Citació

FIALOVÁ, Daniela, LUKAČIŠINOVÁ, Anna, REISSIGOVÁ, Jindra, ORTNER-HADŽIABDIĆ, Maja, BRKIC, Jovana, OKUYAN, Betul, VOLMER, Daisy, TADIĆ, Ivana, MODAMIO CHARLES, Pilar, MARIÑO HERNÁNDEZ, Eduardo l., TACHKOV, Konstantine, LIPEROTTI, Rosa, ONDER, Graziano, FINNE-SOVERI, Harriet, VAN HOUT, Hein, HOWARD, Elizabeth p.. Prevalence, country-specific prescribing patterns and determinants of benzodiazepine use in community-residing older adults in 7 European countries. _BMC Geriatrics_. 2024. Vol. 24, núm. 1. [consulta: 26 de febrer de 2026]. ISSN: 1471-2318. [Disponible a: https://hdl.handle.net/2445/218044]

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