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Development of the Emergency Department Senior Abuse Identification - ED Senior AID tool

NCJ Number
Journal of Elder Abuse & Neglect Volume: 30 Issue: 4 Dated: April 2018 Pages: 247-270
Timothy F. Platts-Mills; Joseph A. Dayaa; Bryce B. Reeve; Kayla Krajick; Laura Mosqueda; Jason S. Haukoos; Mehul D. Patel; Carrie F. Mulford; Samuel A. McLean; Phil D. Sloane; Debbie Travers; Sheryl Zimmerman
Date Published
April 2018
24 pages
Since hospital emergency departments (EDs) are an important health care setting for the identification of elder abuse (EA), the objective of the project described in this article was to develop an ED-based tool to identify EA.
The initial tool included a brief cognitive assessment, questions to detect multiple domains of EA, and a physical examination. Refinement of the tool was based on input from clinical experts and nurse and patient feedback. The revised tool, which included 15 questions about EA, was then tested in an academic ED. The inter-rater reliability, sensitivity, and specificity of individual EA questions was calculated. Among ED patients age=65 (N = 259), 17 (7 percent) screened positive for suspicion of EA. A combination of six questions that cover the included domains of EA were identified. They demonstrated good or excellent inter-rater reliability and had a sensitivity and specificity of 94 percent (95 percent confidence interval (CI) 71-100 percent) and 90 percent (95 percent CI 85-93 percent), respectively. These results inform a proposed screening tool for multisite validation testing. (Publisher abstract modified)