Review Article

Is Long-Term Benzodiazepine Use a Risk Factor for Cognitive Decline? Results of a Systematic Review

Table 2

Study attributes, subject characteristics, pattern of benzodiazepine use, and risk of bias score of the studies.

StudyCountry recruitmentParticipants (N)Age (years)Men (%)Chronic BZD users (n/%)Frequency and duration of BZD useTotal % risk of bias score

Dealberto et al. [18]USA, random selection120065–84 (97%)3431/2.5%Frequency unclear 6 years54.5
Hanlon et al. [19]USA, random selection276565–10536168/6.0%Regular or as needed use 3 years54.5
Paterniti et al. [20]France, electoral rolls117660–704180/6.8%Regular use 4 years54.5
Allard et al. [21]France, regional GP network37276 (mean)ND27/7.2%Frequency unclear 3 years36.3
Bierman et al. [10]The Netherlands, random selection135162–854737/2.7%Regular use 9 years63.3
van Vliet et al. [22]The Netherlands, all the town inhabitants4868533140/28.8%Daily use 1 year54.5
Puustinen et al. [23]Finland, all the town inhabitants56564–894084/14.8%Regular or irregular use 6 years54.5
Boeuf-Cazou et al. [24]France, random selection101932–625276/7.4%Frequency unclear 1 year63.3
Desplenter et al. [25]Finland, random selection44981 (mean)31139/30.9%Regular or as needed use 1 year54.5
Gallacher et al. [26]Wales, random selection113445–64100103/9.0%Regular use 4 years63.3
Mura et al. [7]France, all the town inhabitants519573 (mean)40969/18.6%At least once a week use 2 years63.3
Gray et al. [27]USA, random selection343470–8040267/7.7%Daily use 1 year (median)63.3
Chung et al. [28]USA, Canada, databases3055–902615/50.0%Frequency unclear 6.4 years (mean)72.7
Zhang et al. [29]USA, databases542373 (mean)34177/3.2%Frequency unclear 3 years54.5

BZD = benzodiazepine; GP = general practitioner. Participants who completed the follow-up.