Batty G M, Oborne C A, Swift C G, Jackson S H
Care of the Elderly Department, Nunnery Fields Site, Kent & Canterbury Hospital, East Kent NHS Trust, Canterbury, UK.
Int J Geriatr Psychiatry. 2000 Oct;15(10):892-6. doi: 10.1002/1099-1166(200010)15:10<892::aid-gps213>3.0.co;2-x.
Studies reporting the quantity of benzodiazepines used are purely descriptive and cannot comment on the quality or appropriateness of prescribing benzodiazepines. An indicator to assess the appropriateness of prescribing benzodiazepines was developed from published literature. The applicability of the indicator was discussed in a multidisciplinary forum. The indicator uses clinical data currently available to the prescriber. The indicator, in the form of an algorithm, was applied to assess the appropriateness of prescribing of benzodiazepines to medical in-patients aged < or =65 years at 17 hospitals in England and Wales. Prescribing data were collected on 1391 patients. Appropriateness of prescribing of 311 benzodiazepines were assessed. Benzodiazepines were prescribed appropriately for 110/311 (35%) prescriptions and inappropriately for 201/311 (65%) prescriptions. Initiation of benzodiazepine for no acceptable indication was the commonest reason for inappropriate prescribing. The instrument identifies the appropriateness of prescribing of benzodiazepines and can be utilised by non-physicians.
报告苯二氮䓬类药物使用量的研究仅仅是描述性的，无法对苯二氮䓬类药物处方的质量或合理性作出评价。从已发表的文献中开发出一种评估苯二氮䓬类药物处方合理性的指标。该指标的适用性在一个多学科论坛上进行了讨论。该指标使用开处方者目前可获得的临床数据。以算法形式呈现的该指标被应用于评估英格兰和威尔士17家医院中65岁及以下内科住院患者苯二氮䓬类药物处方的合理性。收集了1391名患者的处方数据。对311份苯二氮䓬类药物处方的合理性进行了评估。311份处方中有110份（35%）苯二氮䓬类药物处方开具合理，201份（65%）开具不合理。无可接受指征而开始使用苯二氮䓬类药物是处方不合理的最常见原因。该工具可识别苯二氮䓬类药物处方的合理性，非医生也可使用。
