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Injury patterns and demographics in older adult abuse and falls: A comparative study in emergency department settings.

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Title: Injury patterns and demographics in older adult abuse and falls: A comparative study in emergency department settings.
Authors: Khurana, Bharti, Bayne, Haley N., Prakash, Jaya, Loder, Randall T.
Source: Journal of the American Geriatrics Society. Apr2024, Vol. 72 Issue 4, p1011-1022. 12p.
Subjects: Wounds & injuries, Accidental falls in old age, Abuse of older people, Research funding, Emergency medical services, Epidemiology, Comparative studies, Demography, Regression analysis, Old age
Abstract: Background: Falls and interpersonal violence pose significant threats to older adults, leading to injuries, hospitalizations, and emergency department (ED) visits. This study investigates the demographics and injury patterns in older adults (aged 60 and above) who sought ED care due to assaults, comparing them with those who experienced falls to gain a deeper understanding of older adult abuse patterns. Method: This study utilizes data from the National Electronic Injury Surveillance System (NEISS) All Injury Program (2005–2019) to examine injuries among older adults aged 60 years and above. Participants were categorized into two groups: older adult abuse and injuries due to falls. The differences between the groups by demographics, injury locations, patterns, and temporal trends were analyzed using statistical methods accounting for the weighted stratified nature of the data. Cosinor analysis and Joinpoint regression were used for temporal analysis. Results: Over 15 years, there were an estimated 307,237 ED visits for older adult abuse and 39,477,217 for falls. Older adults experiencing abuse were younger and had lower hospital admission rates compared to fall patients. Injuries associated with abuse included contusions/abrasions, penetrating injuries, and fractures to the head/neck, fingers, toes, ribs, and lower extremities. In contrast, fall patients had higher admission rates, with more fractures, including cervical spine and hip fractures. Temporal patterns showed a higher rate of assaults during the summer, whereas abuse demonstrated bimodal peaks in the summer and fall. Conclusions: Injuries associated with abuse such as facial, upper trunk, and upper extremity fractures should raise suspicion even in the absence of severe symptoms. These findings emphasize the importance of early identification to connect older adults with support resources, as patients experiencing abuse often get discharged from the ED. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Injury patterns and demographics in older adult abuse and falls: A comparative study in emergency department settings.
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  Data: <searchLink fieldCode="AR" term="%22Khurana%2C+Bharti%22">Khurana, Bharti</searchLink><br /><searchLink fieldCode="AR" term="%22Bayne%2C+Haley+N%2E%22">Bayne, Haley N.</searchLink><br /><searchLink fieldCode="AR" term="%22Prakash%2C+Jaya%22">Prakash, Jaya</searchLink><br /><searchLink fieldCode="AR" term="%22Loder%2C+Randall+T%2E%22">Loder, Randall T.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+the+American+Geriatrics+Society%22">Journal of the American Geriatrics Society</searchLink>. Apr2024, Vol. 72 Issue 4, p1011-1022. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Wounds+%26+injuries%22">Wounds & injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Accidental+falls+in+old+age%22">Accidental falls in old age</searchLink><br /><searchLink fieldCode="DE" term="%22Abuse+of+older+people%22">Abuse of older people</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+medical+services%22">Emergency medical services</searchLink><br /><searchLink fieldCode="DE" term="%22Epidemiology%22">Epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Demography%22">Demography</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Old+age%22">Old age</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Falls and interpersonal violence pose significant threats to older adults, leading to injuries, hospitalizations, and emergency department (ED) visits. This study investigates the demographics and injury patterns in older adults (aged 60 and above) who sought ED care due to assaults, comparing them with those who experienced falls to gain a deeper understanding of older adult abuse patterns. Method: This study utilizes data from the National Electronic Injury Surveillance System (NEISS) All Injury Program (2005–2019) to examine injuries among older adults aged 60 years and above. Participants were categorized into two groups: older adult abuse and injuries due to falls. The differences between the groups by demographics, injury locations, patterns, and temporal trends were analyzed using statistical methods accounting for the weighted stratified nature of the data. Cosinor analysis and Joinpoint regression were used for temporal analysis. Results: Over 15 years, there were an estimated 307,237 ED visits for older adult abuse and 39,477,217 for falls. Older adults experiencing abuse were younger and had lower hospital admission rates compared to fall patients. Injuries associated with abuse included contusions/abrasions, penetrating injuries, and fractures to the head/neck, fingers, toes, ribs, and lower extremities. In contrast, fall patients had higher admission rates, with more fractures, including cervical spine and hip fractures. Temporal patterns showed a higher rate of assaults during the summer, whereas abuse demonstrated bimodal peaks in the summer and fall. Conclusions: Injuries associated with abuse such as facial, upper trunk, and upper extremity fractures should raise suspicion even in the absence of severe symptoms. These findings emphasize the importance of early identification to connect older adults with support resources, as patients experiencing abuse often get discharged from the ED. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=176608244
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/jgs.18801
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 1011
    Subjects:
      – SubjectFull: Wounds & injuries
        Type: general
      – SubjectFull: Accidental falls in old age
        Type: general
      – SubjectFull: Abuse of older people
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Emergency medical services
        Type: general
      – SubjectFull: Epidemiology
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Demography
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Old age
        Type: general
    Titles:
      – TitleFull: Injury patterns and demographics in older adult abuse and falls: A comparative study in emergency department settings.
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            NameFull: Khurana, Bharti
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            NameFull: Bayne, Haley N.
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            NameFull: Prakash, Jaya
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              Text: Apr2024
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              Y: 2024
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