Benzodiazepine use in hospitalized older adults: a retrospective observational study.

BACKGROUND

To assess the prevalence and indications for the use of benzodiazepines (BZDs) in patients admitted to an acute geriatric unit and to evaluate changes in their prescriptions.

METHODS

BZD indications were investigated using computerized clinical records. Changes in BZD prescriptions were assessed at the time of discharge.

RESULTS

Among the 165 patients included (mean age: 86.7 years, 71.5% women), 60 (36.4%) were taking BZD on admission, 58.3% of which were considered inappropriate. At discharge, BZD discontinuation was observed in 11.7% and dose reduction was initiated in 18.3%.

CONCLUSIONS

Most patients using BZD had no clear medical indication. Admission to a geriatric ward resulted in successful discontinuation or dose reduction in a third of patients.