Skip to Main content Skip to Navigation
Master Thesis

Bronchopneumopathie chronique obstructive et prescription de benzodiazépines : une approche réelle a travers les dossiers médicaux électroniques des médecins généralistes

Abstract : Introduction: Chronic obstructive pulmonary disease (COPD) is a frequent, serious and expensive chronic respiratory disease. 82% of patients have comorbidities, especially psychiatric ones, leading to a decreased quality of life and an increased morbidity and mortality. Currently, there are no specific recommendations. These patients often receive a benzodiazepines prescription despite a significant iatrogenic risk. The use of Electronic medical records (EMRs) from the Plateforme Régionale d’Information en MEdecine GEnérale Provence Alpes Côte d’Azur (PRIMEGE-PACA) database collected information from the consultations of 12 general practitioners. This study’s objectives are to describe the population with COPD from the PRIMEGE-PACA database, their psychiatric comorbidities and their benzodiazepines prescription, and to identify the determinants of benzodiazepines prescription in this population.
Method: we did a descriptive, retrospective and cross-sectional study using the Electronic medical records (EMRs) of general practitioners from the PRIMEGE-PACA database. Patients with COPD were identified in the database directly or by an algoritm that we built. Consultations’ data were then extracted for analysis.
Results: 346 patients with COPD were included. The prevalence of COPD among the population aged 40 and over was 0.97%. 49.1% of patients with COPD had at least one psychiatric comorbidity and 43% had a prescription for benzodiazepines. A significant part of benzodiazepines’ prescriptions didn’t respect the guidelines. Patients with COPD likely to receive a prescription for benzodiazepines were rather women, with at least once more than 4 GP consultations per year, at least one psychiatric comorbidity, and at least one psychotropic treatment other than benzodiazepines.
Conclusion: multidisciplinary and alternative therapeutic approaches should continue to be encouraged in primary care for the diagnosis and management of COPD and psychiatric comorbidities. EMRs’ analysis is relevant to study practices in general medicine.
Document type :
Master Thesis
Complete list of metadata

https://dumas.ccsd.cnrs.fr/dumas-03113974
Contributor : Bibliothèque Universitaire de Médecine Nice Connect in order to contact the contributor
Submitted on : Monday, January 18, 2021 - 4:47:15 PM
Last modification on : Saturday, July 17, 2021 - 3:19:50 AM

File

2020NICEM154.pdf
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-03113974, version 1

Citation

Marie Rousset-Bourdier. Bronchopneumopathie chronique obstructive et prescription de benzodiazépines : une approche réelle a travers les dossiers médicaux électroniques des médecins généralistes. Médecine humaine et pathologie. 2020. ⟨dumas-03113974⟩

Share

Metrics

Record views

11

Files downloads

11