Evidence map›Paper›PMID 28712685›Full record

ArticleThe Journal of emergency medicine2017

Emergency Medical Services Perspectives on Identifying and Reporting Victims of Elder Abuse, Neglect, and Self-Neglect.

Tony Rosen, Cynthia Lien, Michael E Stern, Elizabeth M Bloemen, Regina Mysliwiec, Thomas J McCarthy, Sunday Clark, Mary R Mulcare, Daniel S Ribaudo, Mark S Lachs and 2 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
16.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Screening and Interventions for Elder Mistreatment: Geriatric Emergency Department Guidelines 2.0 Systematic Review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Pooled it
  2. Responding to Older Adult Maltreatment: Interdisciplinary Geriatric Care Provider Experiences and Training Needs.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026
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  15. Associations among Elder Abuse, Depression and PTSD in South Korean Older Adults.International journal of environmental research and public health · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Tony RosenDivision of Emergency Medicine, Weill Cornell Medical College, New York, New York.
Cynthia LienDivision of Geriatric and Palliative Medicine, Weill Cornell Medical College, New York, New York.
Michael E SternDivision of Emergency Medicine, Weill Cornell Medical College, New York, New York.
Elizabeth M BloemenUniversity of Colorado Medical School, Aurora, Colorado.
Regina MysliwiecDepartment of Emergency Medicine, Oregon Health Sciences University, Astoria, Oregon.
Thomas J McCarthyDivision of Emergency Medicine, Weill Cornell Medical College, New York, New York.
Sunday ClarkDivision of Emergency Medicine, Weill Cornell Medical College, New York, New York.
Mary R MulcareDivision of Emergency Medicine, Weill Cornell Medical College, New York, New York.
Daniel S RibaudoEmergency Medical Services, New York-Presbyterian Hospital, New York, New York.
Mark S LachsDivision of Geriatric and Palliative Medicine, Weill Cornell Medical College, New York, New York.
Karl PillemerDepartment of Human Development, Cornell University, Ithaca, New York.
Neal E FlomenbaumDivision of Emergency Medicine, Weill Cornell Medical College, New York, New York; Emergency Medical Services, New York-Presbyterian Hospital, New York, New York.
Cornell University · USNewYork–Presbyterian Hospital · USOregon Health & Science University · USUniversity of Colorado Denver · US

Funding

Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid · 2003 to 2026
$15.2M
Mid Career Mentoring Award In Patient-Oriented ResearchK24AG022399 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI LACHS, MARK STEVEN · 2003 to 2015
$1.4M
Improving Recognition of Elder Abuse through Analysis of Highly Adjudicated CasesR03AG048109 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI ROSEN, ANTHONY · 2014 to 2015
$250k
NIA NIH HHS K24 AG022399NIA NIH HHS P30 AG022845NIA NIH HHS R03 AG048109
6 · The paper itself

Abstract

backgroundEmergency Medical Services (EMS) providers, who perform initial assessments of ill and injured patients, often in a patient's home, are uniquely positioned to identify potential victims of elder abuse, neglect, or self-neglect. Despite this, few organized programs exist to ensure that EMS concerns are communicated to or further investigated by other health care providers, social workers, or the authorities.

objectiveTo explore attitudes and self-reported practices of EMS providers surrounding identification and reporting of elder mistreatment.

methodsFive semi-structured focus groups with 27 EMS providers.

resultsParticipants reported believing they frequently encountered and were able to identify potential elder mistreatment victims. Many reported infrequently discussing their concerns with other health care providers or social workers and not reporting them to the authorities due to barriers: 1) lack of EMS protocols or training specific to vulnerable elders; 2) challenges in communication with emergency department providers, including social workers, who are often unavailable or not receptive; 3) time limitations; and 4) lack of follow-up when EMS providers do report concerns. Many participants reported interest in adopting protocols to assist in elder protection. Additional strategies included photographically documenting the home environment, additional training, improved direct communication with social workers, a dedicated location on existing forms or new form to document concerns, a reporting hotline, a system to provide feedback to EMS, and community paramedicine.

conclusionsEMS providers frequently identify potential victims of elder abuse, neglect, and self-neglect, but significant barriers to reporting exist. Strategies to empower EMS providers and improve reporting were identified.

Indexed as

Emergency Medical ServicesPerceptionAdultAged, 80 and overAttitude of Health PersonnelElder AbuseEmergency Medical TechniciansFemaleFocus GroupsHumansMaleMandatory ReportingMiddle AgedQualitative ResearchRisk FactorsSelf Reportelder abuseelder neglectemergency medical servicesself-neglect

Identifiers

PMID28712685
PMCPMC5660658
OpenAlexW2734894338

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.