Use of benzodiazepines in the elderly in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/25820 |
Resumo: | During the aging process results from physiological changes in the nervous and endocrine system that propitiate the onset of insomnia, it is estimated that sleep disorders affect around 50% of the elderly. The first-line treatment for insomnia are benzodiazepines, this class should be avoided by the elderly because they increase the risk of fall. This study is a systematic bibliographic review of quantitative nature, which used the pubmed, scientific electronic library online (SciELO) and Google Scholar platforms as a database for the research of scientific articles, published between 2016 and 2021, in Portuguese and English. Of the 200 results obtained, 189 were excluded, leaving only 11 articles. Among the articles analyzed, it was observed that even if contraindicated for this age group, the rate of benzodiazepine use by the elderly in Brazil is still high, and its main indication is currently the control of insomnia. In addition, there were strong indications of a relationship between prolonged bzd use and the development of dementia in the long term. As there is knowledge of side effects by the medical population, this should instruct patients on the risks and avoid iatrogenic. |
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Use of benzodiazepines in the elderly in BrazilUso de benzodiazepinas en ancianos en BrasilUso de benzodiazepínicos em idosos no BrasilBenzodiazepinasAncianosInsomnio.BenzodiazepinesElderlyInsomniaBenzodiazepínicosIdosoInsônia. During the aging process results from physiological changes in the nervous and endocrine system that propitiate the onset of insomnia, it is estimated that sleep disorders affect around 50% of the elderly. The first-line treatment for insomnia are benzodiazepines, this class should be avoided by the elderly because they increase the risk of fall. This study is a systematic bibliographic review of quantitative nature, which used the pubmed, scientific electronic library online (SciELO) and Google Scholar platforms as a database for the research of scientific articles, published between 2016 and 2021, in Portuguese and English. Of the 200 results obtained, 189 were excluded, leaving only 11 articles. Among the articles analyzed, it was observed that even if contraindicated for this age group, the rate of benzodiazepine use by the elderly in Brazil is still high, and its main indication is currently the control of insomnia. In addition, there were strong indications of a relationship between prolonged bzd use and the development of dementia in the long term. As there is knowledge of side effects by the medical population, this should instruct patients on the risks and avoid iatrogenic.Durante el proceso de envejecimiento como resultado de los cambios fisiológicos en el sistema nervioso y endocrino que propician la aparición del insomnio, se estima que los trastornos del sueño afectan a alrededor del 50% de los ancianos. El tratamiento de primera línea para el insomnio son las benzodiazepinas, esta clase debe ser evitada por los ancianos porque aumentan el riesgo de caídas. Este estudio es una revisión bibliográfica sistemática de carácter cuantitativo, que utilizó las plataformas pubmed, scientific electronic library online (SciELO) y Google Scholar como base de datos para la investigación de artículos científicos, publicada entre 2016 y 2021, en portugués e inglés. De los 200 resultados obtenidos, se excluyeron 189, quedando sólo 11 artículos. Entre los artículos analizados, se observó que incluso si está contraindicado para este grupo de edad, la tasa de uso de benzodiazepinas por parte de los ancianos en Brasil sigue siendo alta, y su principal indicación es actualmente el control del insomnio. Además, hubo fuertes indicios de una relación entre el uso prolongado de bzd y el desarrollo de demencia a largo plazo. Como hay conocimiento de los efectos secundarios por parte de la población médica, esto debe instruir a los pacientes sobre los riesgos y evitar los iatrogénicos.Durante o processo de envelhecimento decorre de alterações fisiológicas no sistema nervoso e endócrino que propiciam o aparecimento da insônia, estima-se que os transtornos do sono afetam em torno de 50% dos idosos. O tratamento de primeira linha para a insônia são os benzodiazepínicos, está classe deve ser evitada pelos idosos, pois aumentam os riscos de queda. Este estudo trata-se de uma revisão bibliográfica sistemática de natureza quantitativa, que utilizou as plataformas PubMed, Scientific Eletronic Library On-line (SciELO) e Google Scholar como base de dados para pesquisa dos artigos científicos, publicados entre 2016 – 2021, nas línguas portuguesa e inglesa. Dos 200 resultados obtidos, 189 foram excluídos, restando apenas 11 artigos. Entre os artigos analisados, pôde-se observar que mesmo contraindicados para esta faixa etária, ainda é alta a taxa de uso de benzodiazepínicos por idosos no Brasil, sendo sua principal indicação atualmente o controle da insônia. Além disso, foi identificado haver fortes indícios de relação entre o uso prolongado dos BZD e o desenvolvimento de demências a longo prazo. Como há conhecimento dos efeitos colaterais por parte da população médica, esta deve instruir os pacientes sobre os riscos e evitar a iatrogenia.Research, Society and Development2022-01-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2582010.33448/rsd-v11i2.25820Research, Society and Development; Vol. 11 No. 2; e32511225820Research, Society and Development; Vol. 11 Núm. 2; e32511225820Research, Society and Development; v. 11 n. 2; e325112258202525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/25820/22713Copyright (c) 2022 Ana Karoline de Almeida Mendes ; Izabely Lima Assunção; Giuliana Maria Morais Gonzalez; Victoria Alves do Nascimento; Luciana Sousa Silva; Daniel Geovane Silva Souza ; Lethícia Maria Morais Gonzalez ; Yvilla Cristina Costa; Gabriel Machado Chiacchio; Maria Caroline Leal Borges de Araújo ; Thassia Almeida Matos Viana; Bruna Martins Pereira; Bruna Brito Feitosa ; Luan Carvalho Rosa; Samantha cunha Vieira ; Amanda Mendonça Vieira Cipriano; Iasmin Maria Silva Reis ; Gabriel De Sousa Macedo; Cecília Pessoa Almeida Rego; Clara Simplício Viana de Carvalho; Amanda Caroline dos Santos Matos; Paula Simplicio Viana de Carvalho; Kleber de Jesus Serrão Mendes Filho; Pedro Cunha Mendes Neto; Arlene Gama Matos Machado; Tarcízio Santos Murta Filho; Diego Barbosa Resende; Flávia Carneiro Pereira; Ingrid Maria Silva Reishttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMendes , Ana Karoline de Almeida Assunção, Izabely Lima Gonzalez, Giuliana Maria Morais Nascimento, Victoria Alves do Silva, Luciana Sousa Souza , Daniel Geovane Silva Gonzalez , Lethícia Maria Morais Costa, Yvilla Cristina Chiacchio, Gabriel Machado Araújo , Maria Caroline Leal Borges de Viana, Thassia Almeida Matos Pereira, Bruna Martins Feitosa , Bruna Brito Carvalho Rosa, Luan Vieira , Samantha cunha Cipriano, Amanda Mendonça Vieira Reis , Iasmin Maria Silva Macedo, Gabriel De Sousa Rego, Cecília Pessoa Almeida Carvalho, Clara Simplício Viana de Matos, Amanda Caroline dos Santos Carvalho, Paula Simplicio Viana de Mendes Filho, Kleber de Jesus Serrão Mendes Neto, Pedro Cunha Machado, Arlene Gama Matos Murta Filho, Tarcízio SantosResende, Diego Barbosa Pereira, Flávia Carneiro Reis, Ingrid Maria Silva 2022-02-07T01:42:50Zoai:ojs.pkp.sfu.ca:article/25820Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:44:00.821977Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Use of benzodiazepines in the elderly in Brazil Uso de benzodiazepinas en ancianos en Brasil Uso de benzodiazepínicos em idosos no Brasil |
title |
Use of benzodiazepines in the elderly in Brazil |
spellingShingle |
Use of benzodiazepines in the elderly in Brazil Mendes , Ana Karoline de Almeida Benzodiazepinas Ancianos Insomnio. Benzodiazepines Elderly Insomnia Benzodiazepínicos Idoso Insônia. |
title_short |
Use of benzodiazepines in the elderly in Brazil |
title_full |
Use of benzodiazepines in the elderly in Brazil |
title_fullStr |
Use of benzodiazepines in the elderly in Brazil |
title_full_unstemmed |
Use of benzodiazepines in the elderly in Brazil |
title_sort |
Use of benzodiazepines in the elderly in Brazil |
author |
Mendes , Ana Karoline de Almeida |
author_facet |
Mendes , Ana Karoline de Almeida Assunção, Izabely Lima Gonzalez, Giuliana Maria Morais Nascimento, Victoria Alves do Silva, Luciana Sousa Souza , Daniel Geovane Silva Gonzalez , Lethícia Maria Morais Costa, Yvilla Cristina Chiacchio, Gabriel Machado Araújo , Maria Caroline Leal Borges de Viana, Thassia Almeida Matos Pereira, Bruna Martins Feitosa , Bruna Brito Carvalho Rosa, Luan Vieira , Samantha cunha Cipriano, Amanda Mendonça Vieira Reis , Iasmin Maria Silva Macedo, Gabriel De Sousa Rego, Cecília Pessoa Almeida Carvalho, Clara Simplício Viana de Matos, Amanda Caroline dos Santos Carvalho, Paula Simplicio Viana de Mendes Filho, Kleber de Jesus Serrão Mendes Neto, Pedro Cunha Machado, Arlene Gama Matos Murta Filho, Tarcízio Santos Resende, Diego Barbosa Pereira, Flávia Carneiro Reis, Ingrid Maria Silva |
author_role |
author |
author2 |
Assunção, Izabely Lima Gonzalez, Giuliana Maria Morais Nascimento, Victoria Alves do Silva, Luciana Sousa Souza , Daniel Geovane Silva Gonzalez , Lethícia Maria Morais Costa, Yvilla Cristina Chiacchio, Gabriel Machado Araújo , Maria Caroline Leal Borges de Viana, Thassia Almeida Matos Pereira, Bruna Martins Feitosa , Bruna Brito Carvalho Rosa, Luan Vieira , Samantha cunha Cipriano, Amanda Mendonça Vieira Reis , Iasmin Maria Silva Macedo, Gabriel De Sousa Rego, Cecília Pessoa Almeida Carvalho, Clara Simplício Viana de Matos, Amanda Caroline dos Santos Carvalho, Paula Simplicio Viana de Mendes Filho, Kleber de Jesus Serrão Mendes Neto, Pedro Cunha Machado, Arlene Gama Matos Murta Filho, Tarcízio Santos Resende, Diego Barbosa Pereira, Flávia Carneiro Reis, Ingrid Maria Silva |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Mendes , Ana Karoline de Almeida Assunção, Izabely Lima Gonzalez, Giuliana Maria Morais Nascimento, Victoria Alves do Silva, Luciana Sousa Souza , Daniel Geovane Silva Gonzalez , Lethícia Maria Morais Costa, Yvilla Cristina Chiacchio, Gabriel Machado Araújo , Maria Caroline Leal Borges de Viana, Thassia Almeida Matos Pereira, Bruna Martins Feitosa , Bruna Brito Carvalho Rosa, Luan Vieira , Samantha cunha Cipriano, Amanda Mendonça Vieira Reis , Iasmin Maria Silva Macedo, Gabriel De Sousa Rego, Cecília Pessoa Almeida Carvalho, Clara Simplício Viana de Matos, Amanda Caroline dos Santos Carvalho, Paula Simplicio Viana de Mendes Filho, Kleber de Jesus Serrão Mendes Neto, Pedro Cunha Machado, Arlene Gama Matos Murta Filho, Tarcízio Santos Resende, Diego Barbosa Pereira, Flávia Carneiro Reis, Ingrid Maria Silva |
dc.subject.por.fl_str_mv |
Benzodiazepinas Ancianos Insomnio. Benzodiazepines Elderly Insomnia Benzodiazepínicos Idoso Insônia. |
topic |
Benzodiazepinas Ancianos Insomnio. Benzodiazepines Elderly Insomnia Benzodiazepínicos Idoso Insônia. |
description |
During the aging process results from physiological changes in the nervous and endocrine system that propitiate the onset of insomnia, it is estimated that sleep disorders affect around 50% of the elderly. The first-line treatment for insomnia are benzodiazepines, this class should be avoided by the elderly because they increase the risk of fall. This study is a systematic bibliographic review of quantitative nature, which used the pubmed, scientific electronic library online (SciELO) and Google Scholar platforms as a database for the research of scientific articles, published between 2016 and 2021, in Portuguese and English. Of the 200 results obtained, 189 were excluded, leaving only 11 articles. Among the articles analyzed, it was observed that even if contraindicated for this age group, the rate of benzodiazepine use by the elderly in Brazil is still high, and its main indication is currently the control of insomnia. In addition, there were strong indications of a relationship between prolonged bzd use and the development of dementia in the long term. As there is knowledge of side effects by the medical population, this should instruct patients on the risks and avoid iatrogenic. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-29 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/25820 10.33448/rsd-v11i2.25820 |
url |
https://rsdjournal.org/index.php/rsd/article/view/25820 |
identifier_str_mv |
10.33448/rsd-v11i2.25820 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/25820/22713 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 2; e32511225820 Research, Society and Development; Vol. 11 Núm. 2; e32511225820 Research, Society and Development; v. 11 n. 2; e32511225820 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052703344427008 |