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Prescripción de benzodiazepinas en un centro de medicina familiar donde se recetan benzodiazepinas
JAMA
|September 18, 1981
Resumen
Este estudio analizó los patrones de prescripción de benzodiazepinas durante dos años, encontrando que el diazepam es el más frecuente. Las recetas eran comunes para la ansiedad, y la mayoría de los receptores eran mujeres, y se observó un mayor uso en verano.
Área de la Ciencia:
- Farmacología Farmacología.
- Medicina de la familia Medicina de la familia.
- La psiquiatría es la psiquiatría.
Sus antecedentes:
- Las benzodiazepinas se prescriben comúnmente para diversas afecciones.
- Comprender los patrones de prescripción es crucial para optimizar la atención y la seguridad del paciente.
Objetivo del estudio:
- Para analizar las tendencias de prescripción de benzodiazepinas en un entorno de medicina familiar.
- Para identificar la demografía de los pacientes, las indicaciones de diagnóstico y las variaciones de prescripción.
Principales métodos:
- Monitoreo retrospectivo de 1.886 recetas de benzodiazepinas durante dos años.
- Recopilación de datos sobre el tipo de fármaco, el diagnóstico, la edad y el sexo del paciente, el sexo del prescriptor, la temporada y los medicamentos concurrentes.
Principales resultados:
- El diazepam fue la benzodiazepina más frecuentemente prescrita.
- La neurosis de ansiedad, la neurosis histérica y los trastornos de la columna vertebral fueron las principales indicaciones.
- Las mujeres fueron la mayoría de los beneficiarios, a excepción de los casos de abuso de alcohol.
- La prescripción aumentó en verano y en días laborables; los pacientes de edad avanzada recibieron dosis más bajas pero duraciones más largas.
- Los receptores de benzodiazepinas tenían más probabilidades de recibir otros medicamentos al mismo tiempo.
Conclusiones:
- La prescripción de benzodiazepinas muestra patrones distintos relacionados con la demografía del paciente, los diagnósticos y los factores de tiempo.
- Se requiere más investigación sobre las implicaciones a largo plazo y el uso apropiado de las benzodiazepinas en la atención primaria.
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