Development of an indicator to identify inappropriate use of benzodiazepines in elderly medical in-patients

TY - JOUR

T1 - Development of an indicator to identify inappropriate use of benzodiazepines in elderly medical in-patients

AU - Batty, G M

AU - Oborne, C A

AU - Swift, C G

AU - Jackson, S H D

PY - 2000

Y1 - 2000

N2 - Studies reporting the quantity of benzodiazepines used are purely descriptive and cannot comment on the quality or appropriateness of prescribing benzodiazepines. An indicator to assess the appropriateness of prescribing benzodiazepines was developed from published literature. The applicability of the indicator was discussed in a multidisciplinary forum. The indicator uses clinical data currently available to the prescriber. The indicator, in the form of an algorithm, was applied to assess the appropriateness of prescribing of benzodiazepines to medical in-patients aged greater than or equal to 65 years at 17 hospitals in England and Wales. Prescribing data were collected on 1391 patients. Appropriateness of prescribing of 311 benzodiazepines were assessed. Benzodiazepines were prescribed appropriately for 110/311 (35%) prescriptions and inappropriately for 201/311 (65%) prescriptions. Initiation of benzodiazepine for no acceptable indication was the commonest reason for inappropriate prescribing. The: instrument identifies the appropriateness of prescribing of benzodiazepines and can be utilised by non-physicians. Copyright (C) 2000 John Wiley & Sons, Ltd.

AB - Studies reporting the quantity of benzodiazepines used are purely descriptive and cannot comment on the quality or appropriateness of prescribing benzodiazepines. An indicator to assess the appropriateness of prescribing benzodiazepines was developed from published literature. The applicability of the indicator was discussed in a multidisciplinary forum. The indicator uses clinical data currently available to the prescriber. The indicator, in the form of an algorithm, was applied to assess the appropriateness of prescribing of benzodiazepines to medical in-patients aged greater than or equal to 65 years at 17 hospitals in England and Wales. Prescribing data were collected on 1391 patients. Appropriateness of prescribing of 311 benzodiazepines were assessed. Benzodiazepines were prescribed appropriately for 110/311 (35%) prescriptions and inappropriately for 201/311 (65%) prescriptions. Initiation of benzodiazepine for no acceptable indication was the commonest reason for inappropriate prescribing. The: instrument identifies the appropriateness of prescribing of benzodiazepines and can be utilised by non-physicians. Copyright (C) 2000 John Wiley & Sons, Ltd.

UR - http://www.scopus.com/inward/record.url?scp=0033755153&partnerID=8YFLogxK

U2 - 10.1002/1099-1166(200010)15:10<892::AID-GPS213>3.0.CO;2-X

DO - 10.1002/1099-1166(200010)15:10<892::AID-GPS213>3.0.CO;2-X

M3 - Article

SN - 1099-1166

VL - 15

SP - 892

EP - 896

JO - International Journal of Geriatric Psychiatry

JF - International Journal of Geriatric Psychiatry

IS - 10

ER -