Abstract:
BACKGROUND:the STOPP criteria advise against the use of long-acting benzodiazepines (LBs). OBJECTIVE:to study whether LBs are associated with a higher fall risk than short-acting benzodiazepines (SBs) (elimination half-life ≤ 10 h). METHODS:we used base-line data and prospective fall follow-up from the Longitudinal Aging Study Amsterdam, a longitudinal cohort study including 1,509 community-dwelling older persons (Study 1) and from a separate fall prevention study with 564 older persons after a fall (Study 2). Time to the first fall after inclusion and number of falls in the first year after inclusion were the primary endpoints. RESULTS:both in Study 1 and Study 2 the use of SBs was associated with time to the first fall, hazard ratio (HR) 1.62 (95% CI: 1.03-2.56) and HR 1.64 (95% CI: 1.19-2.26),respectively. LBs were not significantly associated with time to first fall, HR 1.40 (0.85-2.31) and HR 1.08 (0.72-1.62). In both studies, the use of SBs was also associated with number of falls, odds ratio (OR) 1.28 (95% CI: 1.01-1.61) and OR 1.37 (95% CI: 1.10-1.70). LBs were not significantly associated with number of falls, OR 1.23 (0.96-1.57) and 1.10 (0.82-1.48). CONCLUSIONS:the use of SBs is not associated with a lower fall risk compared with LBs. The use of both SBs and LBs by old persons should be strongly discouraged.
journal_name
Age Ageingjournal_title
Age and ageingauthors
de Vries OJ,Peeters G,Elders P,Sonnenberg C,Muller M,Deeg DJ,Lips Pdoi
10.1093/ageing/aft089subject
Has Abstractpub_date
2013-11-01 00:00:00pages
764-70issue
6eissn
0002-0729issn
1468-2834pii
aft089journal_volume
42pub_type
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