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Benzodiazepine Prescribing in Older Adults in U.S. Ambulatory Clinics and Emergency Departments (2001-10).

MedStar author(s):

Citation: Journal of the American Geriatrics Society. 63(10):2074-81, 2015 Oct.PMID: 26415836Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Ambulatory Care Facilities | *Benzodiazepines/tu [Therapeutic Use] | *Drug Prescriptions/sn [Statistics & Numerical Data] | *Drug Utilization/sn [Statistics & Numerical Data] | *Emergency Service, Hospital | Age Factors | Aged | Aged, 80 and over | Anxiety/dt [Drug Therapy] | Anxiety/ep [Epidemiology] | Drug Utilization/td [Trends] | Female | Health Care Surveys | Humans | Logistic Models | Male | Retrospective Studies | Sex Factors | Sleep Wake Disorders/dt [Drug Therapy] | United States/ep [Epidemiology]Year: 2015 Local holdings: Available online from MWHC library: 1995 - 2000, then 2006-present, Available in print through MWHC library: 1999 - 2006ISSN:

0002-8614

Name of journal: Journal of the American Geriatrics SocietyAbstract: CONCLUSION: Despite safety concerns, benzodiazepine use in older adults in U.S. ambulatory clinics and EDs did not change from 2001 to 2010. In the oldest individuals, who are at higher risk of adverse events, a greater increase was seen than in those aged 65 to 84. Additional measures may be needed to promote alternatives to benzodiazepines.© 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society.DESIGN: Retrospective analysis.MEASUREMENTS: The NAMCS and NHAMCS were used to evaluate U.S. ambulatory clinic and ED visits. Encounters involving individuals aged 65 and older for whom a benzodiazepine might be prescribed were analyzed. Trends in benzodiazepine use in these visits were explored, and predictors of use were assessed using survey-weighted chi-square tests and logistic regression.OBJECTIVES: To assess trends in benzodiazepine use from 2001 to 2010 in older adults in U.S. ambulatory clinics and emergency departments (EDs).PARTICIPANTS: Individuals aged 65 and older for whom the reason for visit might prompt a physician to use a benzodiazepine (e.g., anxiety, detoxification, back sprain).RESULTS: From 2001 to 2010, benzodiazepines were used in 16.6 million of 133.3 million ambulatory clinic visits and 1.9 million of 18.1 million ED visits with the selected reasons for the visits. There was no change in benzodiazepine use in either setting over the study period, although benzodiazepine use for those aged 85 and older increased from 8.9% to 19.3% in ambulatory clinics and 10.1% to 17.2% in EDs. Individuals visiting clinics with anxiety were five times as likely to receive benzodiazepines (odds ratio (OR) = 4.8), and those in EDs were twice as likely (OR = 2.3).SETTING: 2001 to 2010 National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS).All authors: Brooks G, Marra EM, May L, Mazer-Amirshahi M, Pines JM, van den Anker JFiscal year: FY2016Digital Object Identifier:

http://dx.doi.org/10.1111/jgs.13666

Date added to catalog: 2016-05-24

Holdings ( 1 )
Title notes ( 9 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	26415836	Available		26415836

Available online from MWHC library: 1995 - 2000, then 2006-present, Available in print through MWHC library: 1999 - 2006

CONCLUSION: Despite safety concerns, benzodiazepine use in older adults in U.S. ambulatory clinics and EDs did not change from 2001 to 2010. In the oldest individuals, who are at higher risk of adverse events, a greater increase was seen than in those aged 65 to 84. Additional measures may be needed to promote alternatives to benzodiazepines.© 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society.

DESIGN: Retrospective analysis.

MEASUREMENTS: The NAMCS and NHAMCS were used to evaluate U.S. ambulatory clinic and ED visits. Encounters involving individuals aged 65 and older for whom a benzodiazepine might be prescribed were analyzed. Trends in benzodiazepine use in these visits were explored, and predictors of use were assessed using survey-weighted chi-square tests and logistic regression.

OBJECTIVES: To assess trends in benzodiazepine use from 2001 to 2010 in older adults in U.S. ambulatory clinics and emergency departments (EDs).

PARTICIPANTS: Individuals aged 65 and older for whom the reason for visit might prompt a physician to use a benzodiazepine (e.g., anxiety, detoxification, back sprain).

RESULTS: From 2001 to 2010, benzodiazepines were used in 16.6 million of 133.3 million ambulatory clinic visits and 1.9 million of 18.1 million ED visits with the selected reasons for the visits. There was no change in benzodiazepine use in either setting over the study period, although benzodiazepine use for those aged 85 and older increased from 8.9% to 19.3% in ambulatory clinics and 10.1% to 17.2% in EDs. Individuals visiting clinics with anxiety were five times as likely to receive benzodiazepines (odds ratio (OR) = 4.8), and those in EDs were twice as likely (OR = 2.3).

SETTING: 2001 to 2010 National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS).

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