The Life Cycle of Bruises in Older Adults

Mosqueda, Laura; Burnight, Kerry; Liao, Solomon

doi:10.1111/j.1532-5415.2005.53406.x

Cited by 57 publications

(54 citation statements)

References 13 publications

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“…In addition, a further confounding factor is the marked inter-and intra-observer variability that occurs in describing the color of bruises [7,8]. It has been suggested that the only statement that can be reliably made about the color of bruises is that a yellow bruise is at least 18 h old [9], although even this has been challenged [5,7,[10][11][12]. While it is possible that spectrophotometry may provide a useful technique in the future for standardizing the evaluation of hemoglobin breakdown products in the skin, this is not routinely used [13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Histologic dating of bruises in moribund infants and young children

Byard

Wick

Gilbert

et al. 2008

Forensic Sci Med Pathol

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It is generally held that leukocytes are found within bruised subcutaneous tissues within 4-12 h of injury as part of a standard cellular response to trauma. As a corollary, the absence of leukocytes is often cited as evidence of more recent injury. To investigate how long after injury it may be before a leukocyte response occurs selected bruises from three children aged 27, 11, and 3 months, respectively, were examined microscopically. All of the children had sustained lethal head trauma, with survival on life-support equipment for some time in hospital, and with bruises of at least 24-h duration confirmed by medical evaluation (at 30, 44, and 79 h from the time of initial medical evaluation to death). Histologic examination of selected lesions in all three cases revealed extravasation of red blood cells within subcutaneous tissues, but no leukocyte infiltration or other cellular reaction. Other bruises in these children exhibited a standard inflammatory response. This study has shown that selected bruises in three children were present for at least 30 h without a leukocyte infiltrate. Caution should, therefore, be exercised in assigning too rigid a time course to bruising in infants and young children based on a lack of a vital reaction, as the absence of leukocytes within soft tissues of bruised skin in these cases may not necessarily indicate that the injuries are recent. Variability in tissue response may also occur in different bruises in the same individual. Whether severe craniocerebral trauma played a role in delaying the cellular response in these particular injuries is unclear.

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Section: Discussionmentioning

confidence: 99%

Histologic dating of bruises in moribund infants and young children

Byard

Wick

Gilbert

et al. 2008

Forensic Sci Med Pathol

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“…Research has confirmed a relation between elderly abuse and ill health in studies concerning, for instance, domestic violence 8,13 limited populations such as primary care settings 14 and independent living settings 15,16 . Physical abuse may have both physical and psychological consequences [16][17][18][19] .…”

Section: Introductionmentioning

confidence: 93%

Fear of crime and psychological and physical abuse associated with ill health in a Swedish population aged 65–84 years

2012

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ObjectivesThe objective of the paper was to assess the association between experiencing fear of crime and/or psychological and/or physical abuse in relation to self-reported physical and psychological health, using a large representative sample of elderly women and men in Sweden. Study designCross-sectional national survey MethodsData were taken from a nationwide representative public health survey (2006). Men and women between the ages of 65 and 84 were selected for the analyses in the study, which comprised 4,386 men and 4,974 women. The response rate for this age group was 59% for men and 70% for women. ResultsPsychological and physical abuse against elderly women and men produced raised odd ratios for negative health outcomes, independently of socio-economic status. Strong correlation between psychological abuse and negative health outcomes was found in both men and women, while physical abuse showed less significantly raised odds ratios, especially among women. The men in particular had high odds ratios for suicidal thoughts and even for attempted suicide in connection with physical and psychological abuse and fear of crime. ConclusionsThe study provides representative results addressing an extensive negative health outcome panorama caused by fear of crime and exposure to abuse.

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“…Over the course of several years, two grants were obtained in sequence from the National Institute of Justice to study noninflicted and inflicted bruises in older adults. The results of both of these studies were eventually published in the Journal of the American Geriatrics Society (Mosqueda, Burnight, & Liao, 2005;Wiglesworth et al, 2009).…”

Section: How the Center Workmentioning

confidence: 95%

The Center of Excellence on Elder Abuse and Neglect at the University of California, Irvine

Chen

Twomey

Mosqueda

2010

Journal of Elder Abuse & Neglect

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The Center of Excellence on Elder Abuse and Neglect at the University of California, Irvine, integrates the work of five discrete but interacting domains related to elder mistreatment. These domains are local projects, research, training and education, technical assistance, and policy and advocacy. The Center is structured in such a way as to maximize information sharing and cross-pollination between the domains, build on lessons learned, and explore new ideas. This article describes the history of the Center, offers examples that highlight how the Center works, and considers the future of this model for the field of elder mistreatment.

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The Life Cycle of Bruises in Older Adults

Abstract: Accidental bruises occur in a predictable location pattern in older adults. One cannot reliably predict the age of a bruise by its color.

Cited by 57 publications

References 13 publications

Histologic dating of bruises in moribund infants and young children

Histologic dating of bruises in moribund infants and young children

Fear of crime and psychological and physical abuse associated with ill health in a Swedish population aged 65–84 years

The Center of Excellence on Elder Abuse and Neglect at the University of California, Irvine

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