{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:00:50Z","timestamp":1792803650975,"version":"4.5.0"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,10,18]],"date-time":"2016-10-18T00:00:00Z","timestamp":1476748800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K23AG038548"],"award-info":[{"award-number":["K23AG038548"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005289","name":"National Institute of Justice","doi-asserted-by":"publisher","award":["2015\u2010IJ\u2010CX\u20100022"],"award-info":[{"award-number":["2015\u2010IJ\u2010CX\u20100022"]}],"id":[{"id":"10.13039\/100005289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R03 AG048109"],"award-info":[{"award-number":["R03 AG048109"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2017,1]]},"abstract":"\n Objectives<\/jats:title>\n \n To estimate the proportion of visits to U.S. emergency departments (\n ED<\/jats:styled-content>\n s) in which a diagnosis of elder abuse is reached using two nationally representative datasets.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective cross\u2010sectional analysis.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n \n U.S.\n ED<\/jats:styled-content>\n visits recorded in the 2012 Nationwide Emergency Department Sample (\n NEDS<\/jats:styled-content>\n ) or the 2011 National Hospital Ambulatory Medical Care Survey (\n NHAMCS<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n All\n ED<\/jats:styled-content>\n visits of individuals aged 60 and older.\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n The primary outcome was elder abuse defined according to\n International Classification of Diseases, Ninth Revision, Clinical Modification<\/jats:italic>\n diagnosis codes. The proportion of visits with elder abuse was estimated using survey weights. Odds ratios (\n OR<\/jats:styled-content>\n s) were calculated to identify demographic characteristics and common\n ED<\/jats:styled-content>\n diagnoses associated with elder abuse.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In 2012,\n NEDS<\/jats:styled-content>\n contained information on 6,723,667\n ED<\/jats:styled-content>\n visits of older adults, representing an estimated 29,056,673\n ED<\/jats:styled-content>\n visits. Elder abuse was diagnosed in an estimated 3,846 visits, corresponding to a weighted diagnosis period prevalence of elder abuse in U.S.\n ED<\/jats:styled-content>\n s of 0.013% (95% confidence interval (\n CI<\/jats:styled-content>\n ) = 0.012\u20130.015%). Neglect and physical abuse were the most common types diagnosed, accounting for 32.9% and 32.2% of cases, respectively. Multivariable analysis showed greater weighted odds of elder abuse diagnosis in women (odds ratio (\n OR<\/jats:styled-content>\n ) = 1.95, 95%\n CI<\/jats:styled-content>\n = 1.68\u20132.26) and individuals with contusions (\n OR<\/jats:styled-content>\n = 2.91, 95%\n CI<\/jats:styled-content>\n = 2.36\u20133.57), urinary tract infection (\n OR<\/jats:styled-content>\n = 2.21, 95%\n CI<\/jats:styled-content>\n = 1.84\u20132.65), and septicemia (\n OR<\/jats:styled-content>\n = 1.92, 95%\n CI<\/jats:styled-content>\n = 1.44\u20132.55). In the 2011\n NHAMCS<\/jats:styled-content>\n dataset, no cases of elder abuse were recorded for the 5,965 older adult\n ED<\/jats:styled-content>\n visits.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n The proportion of U.S.\n ED<\/jats:styled-content>\n visits by older adults receiving a diagnosis of elder abuse is at least two orders of magnitude lower than the estimated prevalence in the population. Efforts to improve the identification of elder abuse in\n ED<\/jats:styled-content>\n s may be warranted.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.14480","type":"journal-article","created":{"date-parts":[[2016,10,18]],"date-time":"2016-10-18T01:05:08Z","timestamp":1476752708000},"page":"91-97","source":"Crossref","is-referenced-by-count":78,"title":["Diagnosis of Elder Abuse in U.S. Emergency Departments"],"prefix":"10.1111","volume":"65","author":[{"given":"Christopher S.","family":"Evans","sequence":"first","affiliation":[{"name":"School of Medicine University of California San Diego California"},{"name":"Gillings School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine M.","family":"Hunold","sequence":"additional","affiliation":[{"name":"School of Medicine University of Virgina Charlottesville Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tony","family":"Rosen","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine Weill Cornell Medical College New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy F.","family":"Platts\u2010Mills","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina"},{"name":"Division of Geriatrics Department of Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,10,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12212"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1109"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.280.5.428"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03821.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.238"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01629.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.4.605"},{"key":"e_1_2_7_9_1","unstructured":"National Center for Elder Abuse.The Elder Justice Roadmap: A Stakeholder Initiative to Respond to an Emerging Health Justice Financial and Social Crisis [on\u2010line]. 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