Evidence map›Paper›PMID 34958677›Full record

Observational studyJournal of the American Geriatrics Society2022

Factors associated with resident-to-resident elder mistreatment in nursing homes.

Karl Pillemer, Stephanie Silver, Mildred Ramirez, Jian Kong, Joseph P Eimicke, Gabriel D Boratgis, Rhoda Meador, Leslie Schultz, Mark S Lachs, Julia Nolte and 2 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Observational
  4. Article
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.

Karl PillemerDepartment of Human Development, Cornell University, Ithaca, New York, USA.
Stephanie SilverResearch Division, Hebrew Home at Riverdale, RiverSpring Health, Bronx, New York, USA.
Mildred RamirezDivision of Geriatrics and Palliative Medicine, Weill Cornell Medical College, New York, New York, USA.
Jian KongResearch Division, Hebrew Home at Riverdale, RiverSpring Health, Bronx, New York, USA.
Joseph P EimickeResearch Division, Hebrew Home at Riverdale, RiverSpring Health, Bronx, New York, USA.
Gabriel D BoratgisResearch Division, Hebrew Home at Riverdale, RiverSpring Health, Bronx, New York, USA.
Rhoda MeadorBronfenbrenner Center for Translational Research, College of Human Ecology, Cornell University, Ithaca, New York, USA.
Leslie SchultzBronfenbrenner Center for Translational Research, College of Human Ecology, Cornell University, Ithaca, New York, USA.
Mark S LachsDivision of Geriatric Medicine and Gerontology, Weill Cornell Medical College, New York, New York, USA.
Julia NolteDepartment of Human Development, Cornell University, Ithaca, New York, USA.
Emily K ChenRand Corporation, Washington, District of Columbia, USA.
Jeanne A TeresiResearch Division, Hebrew Home at Riverdale, RiverSpring Health, Bronx, New York, USA.

Funding

Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid · 2003 to 2026
$15.2M
Research Education CoreP30AG059303 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Jennifer Jaie Manly · 2018 to 2026
$6.0M
Resident-to-Resident Elder Mistreatment Intervention for Dementia Care in Assisted LivingR01AG057389 · NIA · HEBREW HOME FOR THE AGED AT RIVERDALE · PI LACHS, MARK STEVEN, PILLEMER, KARL A · 2017 to 2021
$3.7M
Resident To Resident Elder Mistreatment (RREM) in Long Term CareR01AG014299 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI LACHS, MARK STEVEN · 1997 to 2011
$3.2M
Resident-to-Resident Elder MistreatmentR03AG049266 · NIA · HEBREW HOME FOR THE AGED AT RIVERDALE · PI TERESI, JEANNE A. · 2015 to 2016
$155k
Columbia UniversityNational Institute of Justice FYO42USC3721New York State Department of Health C-022657NIA NIH HHS P30 AG022845NIA NIH HHS P30 AG059303NIA NIH HHS R01 AG014299NIA NIH HHS R01 AG057389NIA NIH HHS R03 AG049266
6 · The paper itself

Abstract

backgroundResident-to-resident elder mistreatment (RREM) in nursing homes has serious physical and psychological consequences, but factors related to RREM occurrence remain unclear. This study identifies individual and environmental characteristics associated with involvement in RREM episodes.

methodsThe design was an observational study carried out in five urban and five suburban New York state nursing homes randomly selected on the basis of size and location. The sample consisted of 2011 residents in 10 facilities; 83% of facilities and 84% of eligible residents participated. RREM and potential correlates were identified through resident interviews, staff interviews, shift coupons, observation, chart review, and accident or incident reports.

resultsA multivariate analysis controlling for relevant covariates found that individuals involved in RREM incidents exhibit milder dementia, show behavioral symptoms, and are less functionally impaired. Although special care units (SCU) for dementia have benefits for residents, one potential hazard for SCU residents is elevated risk for RREM.

conclusionsInterventions to prevent and intervene in RREM incidents are greatly needed. The correlates identified in this research point to the need for targeted interventions, specifically for residents with milder impairment and with behavioral symptoms and individuals in SCUs.

Indexed as

DementiaElder AbuseAgedHumansNew YorkNursing Homesbehavioral symptomsdementiaelder mistreatmentnursing home

Identifiers

PMID34958677
PMCPMC8986567

What OpenQuestion holds

Textmetadata
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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.