UMEM Educational Pearls

Category: Geriatrics

Title: Elder Abuse - How Much Are We Missing?

Keywords: physical abuse, neglect, identification (PubMed Search)

Posted: 2/5/2017 by Danya Khoujah, MBBS
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A recent study published in the Journal of American Geriatrics Society aimed to estimate the proportion of visits to US Emergency Departments (EDs) in which a diagnosis of elder abuse is reached.
Results: Elder abuse was diagnosed in 0.013% of the 6.7 million geriatric ED visits that were examined. This is well below the estimated prevalence in the population (which is anywhere from 5-10%).

What That Really Means: There’s a dire need of better identification of elder abuse in the ED, especially neglect, which is the most common and most difficult to identify.


Evans CS, et al. Diagnosis of Elder Abuse in U.S. Emergency Departments. J Am Geriatr Soc 65:91–97, 2017