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. 2011 Oct 11;2011:2302.
Ref (type) Population Outcome, Interventions Results and statistical analysis Effect size Favours
Adverse effects

Systematic review
830 people aged 60 years or over with insomnia Adverse effects
with any sedative

Significance not assessed

Systematic review
712 people aged 60 years or over with insomnia
10 RCTs in this analysis
Cognitive adverse effects
with benzodiazepines, zopiclone, zaleplon, or zolpidem
with placebo
Absolute results not reported

OR 4.78
95% CI 1.47 to 15.47
P <0.01
Moderate effect size placebo

Systematic review
1016 people aged 60 years or over with insomnia
13 RCTs in this analysis
Psychomotor adverse effects
with benzodiazepines, zopiclone, zaleplon, or zolpidem
with placebo
Absolute results not reported

OR 2.25
95% CI 0.93 to 5.41
P = 0.07
Not significant

Systematic review
829 people aged 60 years or over with insomnia
7 RCTs in this analysis
Subjective morning or daytime fatigue
with benzodiazepines, zopiclone, zaleplon, or zolpidem
with placebo
Absolute results not reported

OR 3.82
95% CI 1.88 to 7.80
P <0.001
Moderate effect size placebo

Systematic review
829 people aged 60 years or over with insomnia
7 RCTs in this analysis
Impairment on performance tasks the morning after treatment
with benzodiazepines, zopiclone, zaleplon, or zolpidem
with placebo
Absolute results not reported

Mean difference: 0.14
95% CI 0.11 to 0.16
Reported as significant
P value not reported
Effect size not calculated placebo

RCT
Crossover design
3-armed trial
25 people aged 70 to 89 years with primary insomnia; 20 people completed at least 1 treatment arm Total number of adverse events 14 days
90 with temazepam 15 mg for 14 nights
90 with placebo

P value not reported
Reported as not significant
Not significant