Evidence map›Paper›PMID 39775663›Full record

ArticleJournal of the American Geriatrics Society2025

Long-Term Trajectories of Older Adults Served by an Emergency Department/Hospital-Based Elder Mistreatment Response Program.

Daniel Baek, Elaine Gottesman, Lena K Makaroun, Alyssa Elman, Michael E Stern, Amy Shaw, Mary R Mulcare, Jennine McAuley, Veronica M LoFaso, Jaclyn Itzkowitz and 8 more

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  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. 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
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

18 authors.

Daniel BaekDepartment of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.
Elaine GottesmanDepartment of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.
Lena K MakarounDepartment of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0003-4312-1016
Alyssa ElmanDepartment of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.
Michael E SternDepartment of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.
Amy ShawDivision of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.
Mary R MulcareDepartment of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.
Jennine McAuleyDepartment of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.
Veronica M LoFasoDivision of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.
Jaclyn ItzkowitzDepartment of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.
E-Shien ChangDivision of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.
David HancockDepartment of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.
Elizabeth M BloemenDepartment of Medicine, Division of Geriatrics, University of Colorado Anschutz Medical Campus, Colorado, Aurora, USA.
Daniel M LindbergDepartment of Emergency Medicine and the Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Rahul SharmaDepartment of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.
Mark S LachsDivision of Geriatrics and Palliative Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.
Karl PillemerCollege of Human Ecology, Cornell University, Ithaca, New York, USA.
Tony RosenDepartment of Emergency Medicine, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, New York, USA.ORCID 0000-0001-6638-4121

Funding

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
HSRD VA IK2 HX003330John A. Hartford FoundationNew York State Office of Victim Services C11113GGNIA NIH HHS K01 AG081540NIA NIH HHS K76 AG054866The Fan Fox and Leslie R. Samuels FoundationU.S. Department of Veteran's Affairs CDA 20-2023 (IK2HX003330)
6 · The paper itself

Abstract

backgroundAn emergency department (ED) visit or hospitalization provides an opportunity to identify elder mistreatment and initiate intervention, but this seldom occurs. To address this, we developed the Vulnerable Elder Protection Team (VEPT), a novel interdisciplinary consultation service. We explored the long-term trajectories of patients receiving VEPT evaluation and intervention.

methodsWe followed up at multiple intervals for 12 months older adults seen by VEPT from 9/1/2020-3/27/2023 with high or moderate concern for mistreatment who were discharged to the community, an elder abuse shelter, or rehabilitation facilities. We collected information through telephone calls to the older adult and others involved. We also analyzed separately cases in which the patient re-presented to the ED/hospital with VEPT consultation during the follow-up period.

resultsA total of 157 older adults met criteria for follow-up, and 30 of these (16.4%) died within 12 months. At 1 month, elder mistreatment was no longer occurring in 47.5% and still occurring but reduced in 20.3%, with 29.7% having no contact with the perpetrator and 17.8% having reduced contact. At 12 months, elder mistreatment was no longer occurring in 60.9% and still occurring but reduced in 14.5%, with 34.8% having no contact with the perpetrator and 17.4% having reduced contact. During the 12-month follow-up period, 16 (10.2%) patients re-presented to the ED with VEPT consultation, with 12 having persistent concern for ongoing elder mistreatment. Reasons included older adults/caregivers not accepting intervention or being willing to separate as well as VEPT reliance on community-based agencies and programs after discharge.

conclusionsWe observed improved post-discharge safety for elder mistreatment victims who engaged with the VEPT program, with this increased safety durable over 1 year. Re-presentations highlighted the complexity of elder mistreatment intervention. Overall, these findings demonstrate the potential value of an ED/hospital-based elder mistreatment response team, a promising new geriatric care model.

Indexed as

Elder AbuseEmergency Service, HospitalAgedAged, 80 and overFemaleHospitalizationHumansMalePatient Care Teamelder abuseelder mistreatmentlong‐term follow‐upprogram evaluation

Identifiers

PMID39775663
PMCPMC12213211

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Registered trials

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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.