Evidence map›Paper›PMID 39882615›Full record

ArticleAnnals of surgery2026

Prevalence and Incidence of Oral Benzodiazepine Use in Hospitalized Surgical Patients: A Retrospective Cohort Study.

Roos Geensen, Jorrit G Verhoeven, Johanna M Hendriks, Wim J R Rietdijk, Johannes Jeekel, Nicole G M Hunfeld, Markus Klimek

Abstract read
In one paragraph

Article in Annals of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Observational
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

7 authors.

Roos GeensenDepartment of Neuroscience, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0003-3277-0950
Jorrit G VerhoevenDepartment of Neuroscience, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0001-6872-7079
Johanna M HendriksDepartment of Surgery, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.ORCID 0009-0000-8167-9251
Wim J R RietdijkDepartment of Hospital Pharmacy, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.
Johannes JeekelDepartment of Neuroscience, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.
Nicole G M HunfeldDepartment of Hospital Pharmacy, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0001-6856-7028
Markus KlimekDepartment of Anaesthesiology, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0002-0122-9929

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the prevalence of intrahospital oral benzodiazepine use in the surgical population of a tertiary care centre.

backgroundOral benzodiazepines used for treating sleep disturbances and anxiety are widely used in the general population. Information regarding benzodiazepine use during hospitalization is scarce.

methodsA retrospective cohort study was conducted using routinely collected health care data in a university hospital in Rotterdam, The Netherlands. In this cohort, 10,896 patients representing 14,928 admissions were included, corresponding to all adult surgical patients admitted between September 2018 and September 2022. Median age was 62 (50-72) and 8761 out of 14928 (58.9%) were males. The main outcome measures were the prevalence and incidence of oral benzodiazepine usage during hospitalization.

resultsPrevalence of benzodiazepine administrations in the surgical department was 21.6% out of 14,928 admissions. Median number of tablets given during hospital stay was 3 (1-7). Temazepam (33%), oxazepam (24%), and zopiclone (19%) were prescribed most. Female patients were more likely to have been administered a benzodiazepine, with an adjusted odds ratio of 1.09 (95% CI: 1.002-1.19). Benzodiazepine administration during admission was positively associated with higher 30-day surgical readmission, with an adjusted odds ratio of 1.37 (1.22-1.54).

conclusionsIn this study, one-fifth of patients admitted to surgical departments were administered oral benzodiazepines for sleep disturbances and anxiety. Future research and policies should focus on finding and implementing effective non-pharmacological methods for perioperative sleep disturbances and anxiety.

Indexed as

BenzodiazepinesHospitalizationAdministration, OralAgedAnti-Anxiety AgentsFemaleHumansIncidenceMaleMiddle AgedNetherlandsPrevalenceRetrospective StudiesAnti-Anxiety AgentsBenzodiazepinesbenzodiazepinehospitalizationsurgical patients

Identifiers

PMID39882615
PMCPMC13258086

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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.