Selected Findings

Lachs et al. (1997a)

Design: Prospective cohort study

Method: Case matching with adult protective services database

Sample: 184 cohort members

Analysis: Pooled logistic regression

47 cohort members were seen for elder mistreatment (prevalence 1.6%).

Age, race, poverty, functional disability, and cognitive impairment were identified as risk factors for reported elder mistreatment, with ORs reported.

The onset of new cognitive impairment was also associated with abuse and neglect.

The influence of race and poverty is likely to be overestimated due to reporting bias.

Lachs et al. (1997b)

Design: Prospective cohort study

Method: 7-year longitudinal database with identification of 182 victims of elder abuse

Sample: 114 elders seen in 2 emergency departments

114 individuals accounted for 628 visits (median 3, range 1-46).

30.6% resulted in hospital admission.

66% had at least one visit that resulted in an injury-related chief complaint.

Lachs et al. (1998)

Design: Prospective cohort study

Measure: mortality among elders for whom protective services were used to corroborate mistreatment and elderly persons for whom protective services were used for self-neglect

Sample: 176 adult protective services elders

Cohort members seen for elder mistreatment at any time during follow up had poorer survival (9%) than others.

Reported and corroborated elder mistreatment and self-neglect are associated with shorter survival after adjusting for other factors associated with increased mortality in older adults.

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