Evidence map›Paper›PMID 37296012›Full record

ArticleInjury2023

Mechanisms and weapons in physical elder abuse injuries: Findings from legally adjudicated cases.

Tony Rosen, Brady Rippon, Alyssa Elman, Kriti Gogia, Aisara Chansakul, E-Shien Chang, David W Hancock, Elizabeth M Bloemen, Sunday Clark, Veronica M LoFaso

Open access · greenAbstract read
In one paragraph

Article in Injury, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
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

10 authors at 3 institutions in 1 country.

Tony RosenDepartment of Emergency Medicine, Weill Cornell Medical College / NewYork-Presbyterian Hospital, 525 East 68th Street, Room M130, New York, NY, 10065, USA. Electronic address: aer2006@med.cornell.edu.
Brady RipponDepartment of Population Health Sciences, Weill Cornell Medicine, 402 E 67th Street, New York, NY, USA.
Alyssa ElmanDepartment of Emergency Medicine, Weill Cornell Medical College / NewYork-Presbyterian Hospital, 525 East 68th Street, Room M130, New York, NY, 10065, USA.
Kriti GogiaDepartment of Emergency Medicine, Weill Cornell Medical College / NewYork-Presbyterian Hospital, 525 East 68th Street, Room M130, New York, NY, 10065, USA.
Aisara ChansakulDepartment of Emergency Medicine, Weill Cornell Medical College / NewYork-Presbyterian Hospital, 525 East 68th Street, Room M130, New York, NY, 10065, USA.
E-Shien ChangDivision of Geriatrics and Palliative Medicine, 525 East 68th Street, Baker 14, Weill Cornell Medical College / NewYork-Presbyterian Hospital, New York, NY, USA.
David W HancockDepartment of Emergency Medicine, Weill Cornell Medical College / NewYork-Presbyterian Hospital, 525 East 68th Street, Room M130, New York, NY, 10065, USA.
Elizabeth M BloemenDivision of Geriatric Medicine, University of Colorado School of Medicine, 12631 East 17th Avenue, Aurora, CO, 80045, USA.
Sunday ClarkDepartment of Emergency Medicine, Weill Cornell Medical College / NewYork-Presbyterian Hospital, 525 East 68th Street, Room M130, New York, NY, 10065, USA.
Veronica M LoFasoDivision of Geriatrics and Palliative Medicine, 525 East 68th Street, Baker 14, Weill Cornell Medical College / NewYork-Presbyterian Hospital, New York, NY, USA.
NewYork–Presbyterian Hospital · USCornell University · USUniversity of Colorado Denver · US

Funding

The Weill Cornell Medicine Research Training Program in Behavioral GeriatricsT32AG049666 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI SARA J CZAJA, Manney Carrington Reid · 2016 to 2026
$3.2M
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
The Impact of Differences in Backgrounds and Life Experiences on Resident-to-Resident Aggression in Long-Term Care Residents with DementiaK01AG081540 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI E-Shien Chang · 2023 to 2026
$554k
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 K01 AG081540NIA NIH HHS K76 AG054866NIA NIH HHS R03 AG048109NIA NIH HHS T32 AG049666
6 · The paper itself

Abstract

introductionElder abuse is common, but many characteristics have not been well-described, including injury mechanisms and weapons in physical abuse. Better understanding of these may improve identification of elder abuse among purportedly unintentional injuries. Our goal was to describe mechanisms of injury and weapons used and their relation to injury patterns.

methodsWe partnered with District Attorney's offices in 3 counties and systematically examined medical, police, and legal records from 164 successfully prosecuted physical abuse cases of victims aged ≥60 from 2001 to 2014.

resultsVictims sustained 680 injuries (mean 4.1, median 2.0, range 1-35). Most common mechanisms were: blunt assault with hand/fist (44.5%), push/shove, fall during altercation (27.4%), and blunt assault with object (15.2%). Perpetrators more commonly used body parts as weapons (72.6%) than objects (23.8%). Most commonly used body parts were: open hands (55.5% of victims sustaining injuries from body parts), closed fists (53.8%), and feet (16.0%). Most commonly used objects were: knives (35.9% of victims sustaining injuries from objects) and telephones (10.3%). The most frequent mechanism/injury location pair was maxillofacial/dental/neck injury by blunt assault with hand/fist (20.0% of all injuries). The most frequent mechanism/injury type pair was bruising by blunt assault with hand/fist (15.1% of all injuries). Blunt assault with hand/fist injury was positively associated with victim female sex (OR: 2.27, CI: [1.08 - 4.95]; p = 0.031), while blunt assault with object mechanisms was inversely associated with victim female sex (OR: 0.32, CI: [0.12 - 0.81]; p = 0.017).

conclusionPhysical elder abuse victims are more commonly assaulted with an abuser's body part than an object, and the mechanisms and weapons used impact patterns of injury.

Indexed as

ContusionsCrime VictimsElder AbuseAgedChildFemaleHumansNeckPhysical AbuseElder abuseInjury patternsMechanisms of injury

Identifiers

PMID37296012
PMCPMC10527085
OpenAlexW4377969032

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.