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Master Thesis

Réévaluation par les médecins traitants des prescriptions de benzodiazépines et hypnotiques introduites en hospitalisation au SSR de Xavier Arnozan

Abstract : Context: the prescription of benzodiazepines and hypnotics (bzd/ Z) is subject to strict prescription rules. It must be limited as much as possible, in particular in geriatrics, because of the dangerous side effects these drugs can have on old patients. The reassessment of bzd / Z treatment by general practitioners has been little studied so far. Objective: studying the reassessment of bzd / Z prescriptions introduced during hospitalization of geriatric patients in SRH, by their general practitioners. Methods: we recruited patients discharged from Xavier Arnozan's SSR and treated with a bzd or a Z introduced during their hospitalization. We then conducted a survey using semi-structured telephone interview with general practitioners 5 months after the patients returned home. Results: 75 patients were recruited at the end of their hospitalization. Then, we received questionnaire responses from medical doctors who followed 49 of those patients. The main reasons for prescribing bzd / Z during hospitalization were in accordance with the recommendations. The overall reassessment rate was 92% (n = 45). When patients returned home, 33% of the bzd / Z prescriptions were stopped, but 37% were kept, according to the patients’ physicians. General practitioners’ decisions do not seem influenced by the instructions written on the prescription. On the contrary, patient characteristics seem to influence the prescriptions. Prescribing Bzd / Z is more popular for women, in the 80-90 age group and for people living in EHPAD. Doctors aged 40-49 stopped these drugs more than others. In our sample, female doctors stopped the use of bzd / Z less often than men. Conclusion: medical doctors prescribe bzd / Z in accordance with the recommendations. The treating physicians do reassess these treatments even if they are not the source of the prescription. Our study shows that patients’ age, gender and type of residence also influence the prescription of bzd / Z.
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Master Thesis
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Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, January 27, 2021 - 12:41:37 PM
Last modification on : Saturday, February 13, 2021 - 3:10:00 AM
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  • HAL Id : dumas-03122914, version 1



Audrey Davant. Réévaluation par les médecins traitants des prescriptions de benzodiazépines et hypnotiques introduites en hospitalisation au SSR de Xavier Arnozan. Médecine humaine et pathologie. 2020. ⟨dumas-03122914⟩



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