Quality

Hospitalization Rates Higher Among Abused Elderly


 

A study published online in JAMA Internal Medicine finds a clear association between elder abuse and hospitalization rates.4

Unadjusted mean annual rate of hospitalization was 1.97% for those with reported elder abuse to social service agencies among 6,674 participants in the Chicago Health and Aging Project between 1993 and 2010.4 That rate was more than three times the rate for those without reported abuse.

The authors define elder abuse to include physical, sexual, or psychological abuse, caregiver neglect, and financial exploitation. Its identification as a risk factor for increased hospitalizations poses important policy implications for the need to identify elder abuse and caregiver neglect, says lead author XinQi Dong, MD, a researcher and geriatrician at Rush University in Chicago. Hospitalists, according to Dr. Dong, should consider screening patients who present with dehydration, malnutrition, delirium, and skin ulcers.


Larry Beresford is a freelance writer in San Francisco

References

  1. Weigel C, Suen W, Gupta G. Using Lean methodology to teach quality improvement to internal medicine residents at a safety net hospital. Am J Med Qual. 2013 Feb 4 [Epub ahead of print].
  2. Morganti KG, Lovejoy S, Beckjord EB, Haviland AM, Haas AC, Farley DO. A retrospective evaluation of the Perfecting Patient Care University training program for health care organizations. Am J Med Qual. 2013 Apr 9 [Epub ahead of print].
  3. Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators’ Academy: fulfilling an unmet need for faculty development. Am J Med Qual. 2013 Apr 11 [Epub ahead of print].
  4. Dong XQ, Simon MA. Elder abuse as a risk factor for hospitalization in older persons. JAMA Intern Med. 2013 Apr 8:1-7. doi: 10.1001/jamainternmed.2013.238 [Epub ahead of print].
  5. Cisco mConcierge. 90% American workers use their own smartphones for work. Cisco mConcierge website. Available at: http://www.ciscomcon.com/sw/swchannel/registration/internet/registrationcfm?SWAPPID=91&RegPageID=350200&SWTHEMEID=12949. Accessed

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