Elder Abuse in the Out-of-Hospital and Emergency Department Settings: A Scoping Review

Mercier, Éric; Nadeau, Alexandra; Brousseau, Audrey-Anne; Émond, Marcel; Lowthian, Judy; Berthelot, Simon; Costa, Andrew P.; Mowbray, Fabrice; Melady, Don; Yadav, Krishan; Nickel, Christian H.; Cameron, Peter

doi:10.1016/j.annemergmed.2019.12.011

Cited by 33 publications

(36 citation statements)

References 77 publications

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“…We identified 31 relevant publications: 16 observational studies 185 – 215 ; three review publications 187 , 212 , 214 ; and 12 commentary publications. 185 , 186 , 192 , 195 , 197 , 198 , 200 , 201 , 205 , 210 , 211 , 215 Common objectives among the observational studies included the following: developing and testing screening tools (N = 5, 31%) 194 , 196 , 202 , 204 , 206 ; ED utilization by abused patients (N = 2, 13%) 190 , 207 ; injury patterns among abused patients (13%) 191 , 208 , 213 ; patient characteristics (N = 2, 13%) 202 , 209 ; provider awareness and perspectives on elder abuse (N = 2, 13%) 188 , 203 ; and prevalence of elder abuse (N = 1, 6%).…”

Section: Resultsmentioning

confidence: 99%

A Scoping Review of Current Social Emergency Medicine Research

Shah

Porta

Leung

et al. 2021

WestJEM

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Introduction: Social emergency medicine (EM) is an emerging field that examines the intersection of emergency care and social factors that influence health outcomes. We conducted a scoping review to explore the breadth and content of existing research pertaining to social EM to identify potential areas where future social EM research efforts should be directed. Methods: We conducted a comprehensive PubMed search using Medical Subject Heading terms and phrases pertaining to social EM topic areas (e.g., “homelessness,” “housing instability”) based on previously published expert consensus. For searches that yielded fewer than 100 total publications, we used the PubMed “similar publications” tool to expand the search and ensure no relevant publications were missed. Studies were independently abstracted by two investigators and classified as relevant if they were conducted in US or Canadian emergency departments (ED). We classified relevant publications by study design type (observational or interventional research, systematic review, or commentary), publication site, and year. Discrepancies in relevant publications or classification were reviewed by a third investigator. Results: Our search strategy yielded 1,571 publications, of which 590 (38%) were relevant to social EM; among relevant publications, 58 (10%) were interventional studies, 410 (69%) were observational studies, 26 (4%) were systematic reviews, and 96 (16%) were commentaries. The majority (68%) of studies were published between 2010–2020. Firearm research and lesbian, gay, bisexual, transgender, and queer (LGBTQ) health research in particular grew rapidly over the last five years. The human trafficking topic area had the highest percentage (21%) of interventional studies. A significant portion of publications -- as high as 42% in the firearm violence topic area – included observational data or interventions related to children or the pediatric ED. Areas with more search results often included many publications describing disparities known to predispose ED patients to adverse outcomes (e.g., socioeconomic or racial disparities), or the influence of social determinants on ED utilization. Conclusion: Social emergency medicine research has been growing over the past 10 years, although areas such as firearm violence and LGBTQ health have had more research activity than other topics. The field would benefit from a consensus-driven research agenda.

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Section: Resultsmentioning

confidence: 99%

A Scoping Review of Current Social Emergency Medicine Research

Shah

Porta

Leung

et al. 2021

WestJEM

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“…The ED provides a unique opportunity for screening and early intervention for behaviours such as alcohol and substance use [10]. It is often the interface between the traditional health care system and vulnerable populations such as homeless persons [14], domestic violence victims [15] and older adults who are known to be at risk of violence-related events and substance abuse [16]. Various studies support the implementation of substance use screening tools for trauma patients in the ED [1,10] and our results suggest that patients with deliberate physical injuries could potentially deserve greater screening.…”

Section: Discussionmentioning

confidence: 99%

Contribution of Substance Use in Acute Injuries With Regards to the Intent, Nature and Context of Injury: A CHIRPP Database Study

Michaud-Germain¹,

Tardif²,

Nadeau³

et al. 2020

Cureus

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“…Risk factors for mistreatment include cognitive impairment, poor health, increased dependency on others for care, a lower level of education, and a history of psychiatric disease or alcohol and drug use [3]. Caregiver factors include substance use, financial dependence, and high caregiver burden [2]. As older adults use in-home emergency medical services more often than younger individuals, paramedics might serve as a source of information as well [8].…”

mentioning

confidence: 99%

“…providers who interact with a patient such as paramedics, nurses, and social work). Screening tools suited for the ED setting may help increase awareness but have not yet been validated in the European ED setting [2][3][4]. Other barriers to identifying (and reporting) potential cases are the lack of training for diagnosis, intervention, and documentation [2,11,12].…”

mentioning

confidence: 99%