Evidence map›Paper›PMID 28936700›Full record

ArticleDrugs - real world outcomes2017

Prescription of Sedative Drugs During Hospital Stay: A Swiss Prospective Study.

Laurence Schumacher, Maria Dobrinas, Damien Tagan, Annelore Sautebin, Anne-Laure Blanc, Nicolas Widmer

Open access · goldAbstract read
In one paragraph

Article in Drugs - real world outcomes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Laurence SchumacherClinical Pharmacy Services, Pharmacie des Hôpitaux de l'Est Lémanique, Boulevard Paderewski 3, 1800, Vevey, Switzerland.
Maria DobrinasClinical Pharmacy Services, Pharmacie des Hôpitaux de l'Est Lémanique, Boulevard Paderewski 3, 1800, Vevey, Switzerland.
Damien TaganInternal Medicine Department, Hôpital Riviera-Chablais, Vaud-Valais, Vevey, Switzerland.
Annelore SautebinInternal Medicine Department, Hôpital Riviera-Chablais, Vaud-Valais, Vevey, Switzerland.
Anne-Laure BlancClinical Pharmacy Services, Pharmacie des Hôpitaux de l'Est Lémanique, Boulevard Paderewski 3, 1800, Vevey, Switzerland. annelaure.blanc@phel.ch.
Nicolas WidmerClinical Pharmacy Services, Pharmacie des Hôpitaux de l'Est Lémanique, Boulevard Paderewski 3, 1800, Vevey, Switzerland.
Pharmacy of the Eastern Vaud Hospitals · CHHôpital Riviera-Chablais · CHUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, the number of prescriptions for sedative drugs has increased significantly, as has their long-term use. Moreover, sedative use is frequently initiated during hospital stays.

objectivesThis study aimed to describe new prescriptions of sedative drugs during hospital stays and evaluate their maintenance as discharge medication.

methodsThis observational prospective study took place in an internal medicine ward of a Swiss hospital over a period of 3 months in 2014. Demographic (age, sex, diagnosis, comorbidities) and medication data [long-term use of sedative drugs, new regular or pro re nata ('as needed') prescriptions of sedative drugs, drug-related problems] were collected. Sedative medications included: benzodiazepines, Z-drugs, antihistamines, antidepressants, neuroleptics, herbal drugs, and clomethiazole. McNemar's test was used for comparison.

resultsOf 290 patients included, 212 (73%) were over 65 years old and 169 (58%) were women; 34% (n = 98) were using sedative drugs long term before their hospital stay, and 44% (n = 128) had a prescription for sedative drugs at discharge-a 10% increase (p < 0.05). Sedative drugs were newly prescribed to 37% (n = 108) of patients during their stay. Among these, 37% (n = 40) received a repeat prescription at discharge. Over half of the sedative drugs were prescribed within 24 h of admission. Drug-related problems were detected in 76% of new prescriptions, of which 90% were drug-drug interactions.

conclusionThis study showed that hospital stays increased the proportion of patients who were prescribed a sedative drug at discharge by 10% (absolute increase). These prescriptions may generate long-term use and expose patients to drug-related problems. Promoting alternative approaches for managing insomnia are recommended.

Identifiers

PMID28936700
PMCPMC5684046
OpenAlexW2759546261

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.