Evidence map›Paper›PMID 30093378›Full record

ArticleEmergency medicine journal : EMJ2018

Emergency department provider perspectives on elder abuse and development of a novel ED-based multidisciplinary intervention team.

Tony Rosen, Michael E Stern, Mary R Mulcare, Alyssa Elman, Thomas J McCarthy, Veronica M LoFaso, Elizabeth M Bloemen, Sunday Clark, Rahul Sharma, Risa Breckman and 1 more

Abstract read
In one paragraph

Article in Emergency medicine journal : EMJ, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
11.9field-weighted citation impact, top 2% 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

17 citing papers in PubMed, 36 citations in OpenAlex.

  1. Caregiver Neglect in Older Adults With Cognitive Impairment: Characteristics and Themes From a Large Registry of Cases.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  2. Article
  3. Article
  4. Increasing disclosures of older adult maltreatment: a review of best practices for interviewing older adult eyewitnesses and victims.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. A Scoping Review of Current Social Emergency Medicine Research.The western journal of emergency medicine · 2021
    Article
  9. Article
  10. Can diagnostic imaging help improve elder abuse detection?The British journal of radiology · 2020
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
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

11 authors at 5 institutions in 1 country.

Tony RosenDepartment of Emergency Medicine, Weill Cornell Medical College / NewYork-Presbyterian Hospital, New York City, New York, USA.
Michael E SternDepartment of Emergency Medicine, Weill Cornell Medical College / NewYork-Presbyterian Hospital, New York City, New York, USA.
Mary R MulcareDepartment of Emergency Medicine, Weill Cornell Medical College / NewYork-Presbyterian Hospital, New York City, New York, USA.
Alyssa ElmanDepartment of Emergency Medicine, Weill Cornell Medical College / NewYork-Presbyterian Hospital, New York City, New York, USA.
Thomas J McCarthyTulane University School of Medicine, New Orleans, Louisiana, USA.
Veronica M LoFasoDivision of Geriatrics and Palliative Medicine, Weill Cornell Medical College, New York City, New York, USA.
Elizabeth M BloemenUniversity of Colorado School of Medicine, Aurora, Colorado, USA.
Sunday ClarkDepartment of Emergency Medicine, Weill Cornell Medical College / NewYork-Presbyterian Hospital, New York City, New York, USA.
Rahul SharmaDepartment of Emergency Medicine, Weill Cornell Medical College / NewYork-Presbyterian Hospital, New York City, New York, USA.
Risa BreckmanDivision of Geriatrics and Palliative Medicine, Weill Cornell Medical College, New York City, New York, USA.
Mark S LachsDivision of Geriatrics and Palliative Medicine, Weill Cornell Medical College, New York City, New York, USA.
Cornell University · USNew York Hospital Queens · USNewYork–Presbyterian Hospital · USTulane University · USUniversity of Colorado Denver · US

Funding

Mid Career Mentoring Award In Patient-Oriented ResearchK24AG022399 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI LACHS, MARK STEVEN · 2003 to 2015
$1.4M
Identifying Injury Patterns and Forensic Biomarkers Diagnostic of Physical Elder AbuseK76AG054866 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI ROSEN, ANTHONY · 2016 to 2021
$1.1M
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 K76 AG054866NIA NIH HHS R03 AG048109
6 · The paper itself

Abstract

backgroundAn ED visit provides a unique opportunity to identify elder abuse, which is common and has serious medical consequences. Despite this, emergency providers rarely recognise or report it. We have begun the design of an ED-based multidisciplinary consultation service to improve identification and provide comprehensive medical and forensic assessment and treatment for potential victims.

methodsWe qualitatively explored provider perspectives to inform intervention development. We conducted 15 semistructured focus groups with 101 providers, including emergency physicians, social workers, nurses, technologists, security, radiologists and psychiatrists at a large, urban academic medical centre. Focus groups were transcribed, and data were analysed to identify themes.

resultsProviders reported not routinely assessing for elder mistreatment and believed that they commonly missed it. They reported 10 reasons for this, including lack of knowledge or training, no time to conduct an evaluation, concern that identifying elder abuse would lead to additional work, and absence of a standardised response. Providers believed an ED-based consultation service would be frequently used and would increase identification, improve care and help ensure safety. They made 21 recommendations for a multidisciplinary team, including the importance of 24/7 availability, the value of a positive attitude in a consulting service and the importance of feedback to referring ED providers. Participants also highlighted that geriatric nurse practitioners may have ideal clinical and personal care training to contribute to the team.

conclusionsAn ED-based multidisciplinary consultation service has potential to impact care for elder abuse victims. Insights from providers will inform intervention development.

Indexed as

AgedAged, 80 and overAttitude of Health PersonnelElder AbuseEmergency MedicineEmergency Service, HospitalFemaleFocus GroupsHumansMalePhysiciansQualitative Researchemergency departmentgeriatricsqualitative researchviolence, domestic

Identifiers

PMID30093378
PMCPMC6589031
OpenAlexW2886795898

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.