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Centre for Policy on Ageing | |
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Mapping the elder mistreatment iceberg
— US hospitalizations with elder abuse and neglect diagnoses | | Author(s) | Sue Rovi, Ping-Hsin Chen, Marielos Vega |
| Journal title | Journal of Elder Abuse & Neglect, vol 21, no 4, 2009 |
| Publisher | Routledge, 2009 |
| Pages | pp 346-359 |
| Source | http://www.tandfonline.com |
| Keywords | Elder abuse ; Neglect [care] ; Diagnosis ; Admission [hospitals] ; Quantitative studies ; United States of America. |
| Annotation | This study describes US hospitalisations with diagnostic codes indicating elder mistreatment (EM). Using the 2003 Nationwide Inpatient Sample (NIS) of the Healthcare Costs and Utilization Project (HCUP), inpatient stays coded with diagnoses of adult abuse and/or neglect are compared with stays of other hospitalised adults age 60 and older. Few hospitalisations were coded with EM diagnoses in 2003. Compared to other hospitalisations of older adults, patients with EM codes were twice as likely to be women (OR = 2.12, 95% CI = 1.63-2.75), significantly more likely to be emergency department admissions (78.0% vs. 56.8%, p < .0001), and, on average, more likely to have longer stays (7.0 vs. 5.6 days, p = 0.01). Patients with EM codes were also three to four times more likely to be discharged to a facility such as a nursing home rather than "routinely" discharged (i.e., to home or self-care) (OR = 3.66, 95% CI = 2.92-4.59). Elder mistreatment-coded hospitalisations compared to all other hospitalisations had on average lower total charges ($21,479 vs $25,127, p < .001), with neglect cases having the highest charges in 2003 ($29,389). Knowledge about EM is often likened to the "tip of the iceberg." This study contributes to "mapping the EM iceberg"; however, findings based on diagnostic codes are limited and should not be used to minimise the problem of EM. With the so-called greying of America, training is needed in recognizing EM along with research to improve the nation's response to the mistreatment of its older population. (KJ/RH). |
| Accession Number | CPA-100226213 A |
| Classmark | QNT: QNR: LK7: LD:QKH: 3DQ: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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