Radiological appearance of physical elder abuse

Kavak, Rasime Pelin; Özdemir, Meltem

doi:10.1007/s41999-019-00246-5

Cited by 4 publications

(11 citation statements)

References 20 publications

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“…Most of the descriptive studies ( n = 8) showed moderate to good quality [ 13 , 21 , 24 , 26 , 27 ].…”

Section: Resultsmentioning

confidence: 99%

“…The design of the included studies concerned eight descriptive studies [13,[21][22][23][24][25][26][27], three case studies [28][29][30], five narrative reviews [11,[31][32][33][34], six mixed methods studies [12,[35][36][37][38][39] and two books [40,41]. See Tables 1, 2, 3 and 4 for characteristics studies.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Most of the descriptive studies (n = 8) showed moderate to good quality [13,21,24,26,27]. Most of the mixed methods studies (n = 6) showed low quality [12,[35][36][37].…”

Section: Quality Assessmentmentioning

confidence: 99%

“…Furthermore studies described that the distribution of physical signs in a stocking or glove distribution (e.g., due to immersion of the extremities in hot water), the presence of a cutaneous casal necklace (dermatitis around the neck due to vitamin B3 deficiency in case of neglect), and injuries in multiple stages of healing or multifocal fractures to be caused by elder abuse [30,36]. No description of characteristics of physical signs were given in six out of eight descriptive studies [21,[23][24][25][26][27], two out of nine case report studies (primary case report studies) [28,29], and two out of six mixed methods studies [38,39].…”

Section: Characteristics Of Physical Signsmentioning

confidence: 99%

“…Other anatomic locations mentioned to be associated with elder abuse included the lower extremities, abdomen, lumbar area and gluteal/genital/rectal area, the latter location often mentioned as being associated with the presence of sexual elder abuse or neglect (e.g., decubitus ulcers) [12, 13, 21-27, 29, 30, 35-39]. Some studies described physical signs due to elder abuse to be specifically located on the left respectively right side of the body [13,24,26,27,30,38,39]. Furthermore Rosen et al [26] described that physical abuse victims were more likely to have visible injuries in the maxillofacial, dental or neck area without the presence of injuries to the upper or lower extremities.…”

Section: Anatomic Location Of Physical Signsmentioning

confidence: 99%

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Types, characteristics and anatomic location of physical signs in elder abuse: a systematic review

et al. 2021

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Purpose Elder abuse is a worldwide problem with serious consequences for individuals and society. The recognition of elder abuse is complex due to a lack of awareness and knowledge. In this systematic review, types, characteristics and anatomic location of physical signs in elder abuse were identified. Methods Databases of MEDLINE, COCHRANE, EMBASE and CINAHL were searched. The publication dates ranged from March 2005 to July 2020. In addition to the electronic searches, the reference lists and citing of included articles were hand-searched to identify additional relevant studies. The quality of descriptive and mixed-methods studies was assessed. Results The most commonly described physical signs in elder abuse were bruises. The characteristics of physical signs can be categorized into size, shape and distribution. Physical signs were anatomically predominantly located on the head, face/maxillofacial area (including eyes, ears and dental area), neck, upper extremities and torso (especially posterior). Physical signs related to sexual elder abuse were mostly located in the genital and perianal area and often accompanied by a significant amount of injury to non-genital parts of the body, especially the area of the head, arms and medial aspect of the thigh. Conclusions Most common types, characteristics and anatomic location of physical signs in elder abuse were identified. To enhance (early) detection of physical signs in elder abuse, it is necessary to invest in (more) in-depth education and to include expertise from a forensic physician or forensic nurse in multidisciplinary team consultations.

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“…Most of the descriptive studies ( n = 8) showed moderate to good quality [ 13 , 21 , 24 , 26 , 27 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

“…Most of the descriptive studies (n = 8) showed moderate to good quality [13,21,24,26,27]. Most of the mixed methods studies (n = 6) showed low quality [12,[35][36][37].…”

Section: Quality Assessmentmentioning

confidence: 99%