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Clinical caracteristics if chronic elderly benzodiazepines consumers
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Clinical characteristics of chronic elderly Benzodiazepines
consumersAuthors: G. Vazquez, G. Rovira , B. Jiménez, R. Moteserín
• To study the prevalence of long-term use of benzodiazepines (≥3 months) and the factors associated with its use
Objective
• Long-term use of benzodiazepines (BZDs) is very common phenomenon. It is important to know which short-term users are at risk of becoming long-term users.
• Not only is such use ineffective, but it also has several risks such as memory impairment and risk of falls (especially in elderly) in addition to dependence risk.
• Despite its addictive potential effect and the long term adverse effects, it remain as first choice worldwide for the management of anxiety and insomnia.
Background
• Design: Cross-sectional study. • Scope: Urban health center• Participants: 620 community older adults (up to 74
years).• Exclusion criteria:
i. Severe cognitive impairmentii. Terminal illnessiii. Inability to attend the center autonomously
Material and Methods
• Variables Measured: i. Socio-demographic characteristics ii. Clinical and mental health (comorbidity, geriatric
syndromes, chronic medication)iii. Cognitive/affective studio (Mini-Mental Stat Examination,
Yesavage-5)iv. Functionality (Barthel Index of Activities of Daily Living)v. Nutrition and social state (Mini Nutritional Assessment,
Social Gijon Scale)
Results (I)Long term use of benzodiazepines was significantly associated with:
Results (II)Other geriatric conditions frequently associated were:
Results (III)
Association was also found in those with high scores on Barthel Index, Gijón Scale and Yesavage-5 Scale
Results (IV)PHOTO FINISH: The consume of long term Benzodiazepines was associated with:
• Elderly people are heavy users of Benzodiazepines (1/3 study population)
• Data suggest that women with polyfarmacy and depression are the most commune long term consumers.
• Interventions performed by GP may help patients to discontinue or reduce the number of elderly people becoming long-term users.
• It is important to design interventions in order to improve the appropriately use of this medication
Conclusions:
Thank you so much for your attention!
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