Evidence map›Paper›PMID 31912909›Full record

ArticleFundamental & clinical pharmacology2020

Off-label use of midazolam in older inpatients: analysis of prescribing practices in a French hospital (MIDnight study).

Hugues Michelon, Cécile Pons-Peyneau, Mathilde Gourdon, Bruno Le Dastumer, Laurent Teillet, Marie Herr

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In one paragraph

Article in Fundamental & clinical pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Hugues MichelonService de Pharmacie, Hôpitaux Universitaires Paris Ile-de-France Ouest, site Hôpital Sainte-Périne, AP-HP, Paris, France.ORCID https://orcid.org/0000-0002-3760-7178
Cécile Pons-PeyneauService de Gériatrie, Hôpitaux Universitaires Paris Ile-de-France Ouest, site Hôpital Sainte-Périne, AP-HP, Paris, France.
Mathilde GourdonService de Gériatrie, Hôpitaux Universitaires Paris Ile-de-France Ouest, site Hôpital Sainte-Périne, AP-HP, Paris, France.
Bruno Le DastumerService de Gériatrie, Hôpitaux Universitaires Paris Ile-de-France Ouest, site Hôpital Sainte-Périne, AP-HP, Paris, France.
Laurent TeilletService de Gériatrie, Hôpitaux Universitaires Paris Ile-de-France Ouest, site Hôpital Sainte-Périne, AP-HP, Paris, France.
Marie HerrINSERM, U1168, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, Villejuif, France.
Hôpital Sainte-Périne · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Midazolam is a short-acting benzodiazepine approved for sedation and anesthesia induction. Recent data suggested that midazolam may also be used in off-label indications such as treatment of behavioral and psychological disturbances in older people. Given the scarcity of published data and a lack of evidence in older people in such indications, midazolam raises concern because it may also cause serious-related adverse events. To provide a better understanding of its real-life use in geriatrics, we examined the prescribing practices of midazolam in French older inpatients. Of the 460 patients aged 65 years and over hospitalized at the time of the study, 21 had a prescription of midazolam (5%) which was mainly prescribed for anxiolysis (n = 12), premedication before painful procedures (n = 5), and agitation (n = 4). Midazolam was often prescribed "as required," and the median duration of prescription was 6 months. This work results in a better knowledge and information about the use of midazolam in older people. These prescribing practices, which are not anecdotal, also plead for age-specific guidelines for the treatment of behavioral and psychological disturbances.

Indexed as

GeriatricsInpatientsOff-Label UseAgedAged, 80 and overAnalgesicsAnestheticsAnti-Anxiety AgentsDrug PrescriptionsDrug UtilizationFemaleFranceHumansHypnotics and SedativesMaleMidazolamAnalgesicsAnestheticsAnti-Anxiety AgentsHypnotics and SedativesMidazolambehavioral disturbancesbenzodiazepinegeriatric medicinemidazolam

Identifiers

PMID31912909
OpenAlexW3000168834

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.