Evidence map›Paper›PMID 38570746›Full record

SynthesisBMC emergency medicine2024

ERASE: a feasible early warning tool for elder abuse, developed for use in the Dutch emergency department.

Miriam E van Houten, Lilian C M Vloet, Marcel G M Olde Rikkert, Brigitte van de Kerkhof-van Bon, Anneriek de Rooij, Marieke Verhoeven, Wilhelmina M E Bil, Jacinta A Lucke, Yvonne Schoon, Sivera A A Berben

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 9% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 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. Article
  3. 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

10 authors at 6 institutions in 1 country.

Miriam E van HoutenDepartment of Geriatric Medicine, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands. miriam.vanhouten@radboudumc.nl.
Lilian C M VloetResearch Department of Emergency and Critical Care, School of Health Studies, Knowledge Centre of Sustainable Healthcare, HAN University of Applied Sciences, PO Box 6960, 6503 GL, Nijmegen, The Netherlands.
Marcel G M Olde RikkertRadboudumc Alzheimer Centre, Donders Insititute of Medical Neuroscience, Department of Geriatrics, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Brigitte van de Kerkhof-van BonCanisius Wilhelmina Hospital, 6532 SZ, Nijmegen, The Netherlands.
Anneriek de RooijJeroen Bosch Hospital, 5223 GZ 's, Hertogenbosch, The Netherlands.
Marieke VerhoevenCanisius Wilhelmina Hospital, 6532 SZ, Nijmegen, The Netherlands.
Wilhelmina M E BilDepartment of Geriatrics, OLVG, Amsterdam, 1061 AE, The Netherlands.
Jacinta A LuckeSpaarne Hospital, 2035 RC, Haarlem, The Netherlands.
Yvonne SchoonDepartment of Geriatrics, Radboud Institute for Health Sciences, Radboud University Medical Center, PO Box 9101, 114, 6500 HB, Nijmegen, The Netherlands.
Sivera A A BerbenResearch Department of Emergency and Critical Care, School of Health Studies, Knowledge Centre of Sustainable Healthcare, HAN University of Applied Sciences, PO Box 6960, 6503 GL, Nijmegen, The Netherlands. Sivera.Berben@han.nl.
Radboud University Medical Center · NLCanisius-Wilhelmina Ziekenhuis · NLJeroen Bosch Ziekenhuis · NLOLVG · NLRadboud University Nijmegen · NLSpaarne Ziekenhuis · NL

Funding

the Dutch Ministry of Health, Welfare and Sport PRJ 00697
6 · The paper itself

Abstract

backgroundElder abuse is a worldwide problem with serious consequences for individuals and society. To effectively deal with elder abuse, a timely identification of signals as well as a systematic approach towards (suspected) elder abuse is necessary. This study aimed to develop and test the acceptability and appropriateness of ERASE (EldeR AbuSE) in the emergency department (ED) setting. ERASE is an early warning tool for elder abuse self-administered by the healthcare professional in patients ≥ 70 years.

methodsA systematic literature review was previously conducted to identify potential available instruments on elder abuse for use in the ED. Furthermore, a field consultation in Dutch hospitals was performed to identify practice tools and potential questions on the recognition of elder abuse that were available in clinical practice. Based on this input, in three subsequent rounds the ERASE tool was developed. The ERASE tool was tested in a pilot feasibility study in healthcare professionals (n = 28) working in the ED in three Dutch hospitals. A semi-structured online questionnaire was used to determine acceptability and appropriateness of the ERASE tool.

resultsThe systematic literature review revealed seven screening instruments developed for use in the hospital and/or ED setting. In total n = 32 (44%) hospitals responded to the field search. No suitable and validated instruments for the detection of elder abuse in the ED were identified. The ERASE tool was developed, with a gut feeling awareness question, that encompassed all forms of elder abuse as starting question. Subsequently six signalling questions were developed to collect information on observed signs and symptoms of elder abuse and neglect. The pilot study showed that the ERASE tool raised the recognition of healthcare professionals for elder abuse. The tool was evaluated acceptable and appropriate for use in the ED setting.

conclusionsERASE as early warning tool is guided by an initial gut feeling awareness question and six signalling questions. The ERASE tool raised the recognition of healthcare professionals for elder abuse, and was feasible to use in the ED setting. The next step will be to investigate the reliability and validity of the ERASE early warning tool.

Indexed as

Elder AbuseEmergency Service, HospitalFeasibility StudiesAgedAged, 80 and overFemaleHumansMaleNetherlandsPilot ProjectsSurveys and QuestionnairesElder abuseEmergency departmentFeasibilityWarning tool

Identifiers

PMID38570746
PMCPMC10988976
OpenAlexW4393867907

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.