{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:47:03Z","timestamp":1790844423711,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T00:00:00Z","timestamp":1678060800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2023,6]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Elder abuse is a major cause of injury, morbidity, and death. We aimed to identify the factors associated with interventions against suspected physical abuse in older adults.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Analysis of the 2017\u20132018 ACS TQIP. All trauma patients \u226560\u2009years with an abuse report for suspected physical abuse were included. Patients with missing information on abuse interventions were excluded. Outcomes were rates of abuse investigation initiation following an abuse report and change of caregiver at discharge among survivors with an abuse investigation initiated. Multivariable regression analyses were performed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of 727,975 patients, 1405 (0.2%) had an abuse report. Patients with an abuse report were younger (mean, 72 vs 75,\n p<\/jats:italic>\n \u2009<\u20090.001), and more likely to be females (57% vs 53%,\n p<\/jats:italic>\n \u00a0=\u00a00.007), Hispanic (11% vs 6%,\n p<\/jats:italic>\n \u2009<\u20090.001), Black (15% vs 7%,\n p<\/jats:italic>\n \u2009<\u20090.001), suffer from dementia (18% vs 11%,\n p<\/jats:italic>\n \u2009<\u20090.001), functional disability (19% vs 15%,\n p<\/jats:italic>\n \u2009<\u20090.001), have a positive admission drug screen (9% vs 5%,\n p<\/jats:italic>\n \u2009<\u20090.001) and had a higher ISS (median [IQR], 9 [4\u201316] vs 6 [3\u201310],\n p<\/jats:italic>\n \u2009<\u20090.001). Perpetrators were members of the immediate\/step\/extended family in 91% of cases. Among patients with an abuse report, 1060 (75%) had abuse investigations initiated. Of these, 227 (23%) resulted in a change of caregiver at discharge. On multivariate analysis for abuse investigation initiation, male gender, private insurance, and management at non\u2010level I trauma centers were associated with lower adjusted odds (\n p<\/jats:italic>\n \u2009<\u20090.05), while Hispanic ethnicity, positive admission drug screen, and penetrating injury were associated with higher adjusted odds (\n p<\/jats:italic>\n \u2009<\u20090.05). On multivariate analysis for change of caregiver, male gender, and private insurance were associated with lower adjusted odds (\n p<\/jats:italic>\n \u2009<\u20090.05), while functional disability and dementia were associated with higher adjusted odds (\n p<\/jats:italic>\n \u2009<\u20090.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Significant gender, ethnic, and socioeconomic disparities exist in the management of physical abuse of older adults. Further studies are warranted to expand on and address the contributing factors underlying these disparities.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n III.<\/jats:p>\n <\/jats:sec>\n \n Study Type<\/jats:title>\n Therapeutic\/Care Management.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.18286","type":"journal-article","created":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T08:24:20Z","timestamp":1678091060000},"page":"1735-1748","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Dealing with the elder abuse epidemic: Disparities in interventions against elder abuse in trauma centers"],"prefix":"10.1111","volume":"71","author":[{"given":"Khaled","family":"El\u2010Qawaqzeh","sequence":"first","affiliation":[{"name":"Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine University of Arizona Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamidreza","family":"Hosseinpour","sequence":"additional","affiliation":[{"name":"Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine University of Arizona Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Gries","sequence":"additional","affiliation":[{"name":"Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine University of Arizona Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis J.","family":"Magnotti","sequence":"additional","affiliation":[{"name":"Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine University of Arizona Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sai Krishna","family":"Bhogadi","sequence":"additional","affiliation":[{"name":"Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine University of Arizona Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Anand","sequence":"additional","affiliation":[{"name":"Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine University of Arizona Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Ditillo","sequence":"additional","affiliation":[{"name":"Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine University of Arizona Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3440-6191","authenticated-orcid":false,"given":"Collin","family":"Stewart","sequence":"additional","affiliation":[{"name":"Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine University of Arizona Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zara","family":"Cooper","sequence":"additional","affiliation":[{"name":"Brigham and Woman's Hospital Center for Surgery and Public Health Boston Massachusetts USA"},{"name":"Department of Surgery Brigham and Woman's Hospital Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bellal","family":"Joseph","sequence":"additional","affiliation":[{"name":"Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine University of Arizona Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,6]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Centers for Disease Control and Prevention. 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