Emergency Department and Hospital Utilization Among Older Adults Before and After Identification of Elder Mistreatment
Abstract
Key Points Question Do older adults experiencing elder mistreatment use the emergency department (ED) and hospital more or differently in the period surrounding initial mistreatment identification compared with other older adults? Findings In this case-control study examining Medicare claims for 114 older adults known to be experiencing elder mistreatment compared with 410 matched control participants, those experiencing elder mistreatment had nearly 3 times the odds of receiving care in the ED and nearly twice the odds of being hospitalized. Meaning These findings suggest that older adults experiencing elder mistreatment use EDs and hospitals more frequently and with different patterns during the period surrounding mistreatment identification compared with other older adults.
How strong is the evidence?
Evidence Hub reads this as a case-control, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 410 participants or records.
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