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首页> 外文期刊>Journal of Elder Abuse & Neglect >Mapping the Elder Mistreatment Iceberg: U.S. Hospitalizations With Elder Abuse and Neglect Diagnoses
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Mapping the Elder Mistreatment Iceberg: U.S. Hospitalizations With Elder Abuse and Neglect Diagnoses

机译：绘制虐待老人的冰山地图：美国因虐待老人和忽视诊断而住院的医院

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摘要

Purpose: This study describes U.S. hospitalizations with diagnostic codes indicating elder mistreatment (EM). Method: Using the 2003 Nationwide Inpatient Sample (NIS) of the Healthcare Costs and Utilization Project (HCUP), inpatient stays coded with diagnoses of adult abuse and/or neglect are compared with stays of other hospitalized adults age 60 and older. Results: Few hospitalizations (< 0.02%) were coded with EM diagnoses in 2003. Compared to other hospitalizations of older adults, patients with EM codes were twice as likely to be women (OR = 2.12, 95% CI = 1.63-2.75), significantly more likely to be emergency department admissions (78.0% vs. 56.8%, p < .0001), and, on average, more likely to have longer stays (7.0 vs. 5.6 days, p = 0.01). Patients with EM codes were also three to four times more likely to be discharged to a facility such as a nursing home rather than “routinely” discharged (i.e., to home or self-care) (OR = 3.66, 95% CI = 2.92-4.59). Elder mistreatment-coded hospitalizations compared to all other hospitalizations had on average lower total charges ($21,479 vs. $25,127, p < .001), with neglect cases having the highest charges in 2003 ($29,389). Implications: Knowledge about EM is often likened to the “tip of the iceberg.” Our study contributes to “mapping the EM iceberg”; however, findings based on diagnostic codes are limited and should not be used to minimize the problem of EM. With the so-called graying of America, training is needed in recognizing EM along with research to improve our nation''s response to the mistreatment of our elderly population.
机译：目的：本研究描述了美国的住院情况，并附有表明老年人虐待（EM）的诊断代码。方法：使用2003年全国医疗费用和利用项目（HCUP）的全国住院患者样本（NIS），将编码有成人虐待和/或忽视诊断的住院天数与其他60岁及以上的成人住院天数进行比较。结果：2003年，很少有因EM诊断而住院的患者（<0.02％）。与其他老年人住院相比，具有EM患者的患者是女性的两倍（OR = 2.12，95％CI = 1.63-2.75），急诊入院的可能性明显更高（78.0％vs. 56.8％，p <.0001），平均而言，住院时间更长（7.0 vs. 5.6天，p = 0.01）。具有EM代码的患者出院的可能性也比“常规”出院（即出院或自理）高出三到四倍（OR = 3.66，95％CI = 2.92- 4.59）。与其他所有住院治疗相比，使用老年人虐待编码的住院治疗的平均总费用更低（21,479美元对25,127美元，p <.001），而被忽视的病例在2003年的费用最高（29,389美元）。启示：关于EM的知识通常被比作“冰山一角”。我们的研究有助于“映射新兴市场的冰山”；但是，基于诊断代码的发现是有限的，不应用于最大程度地减少EM问题。随着所谓的美国变老，需要培训以识别新兴市场，同时开展研究以改善我们国家对虐待老年人的反应。

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  • 来源
    《Journal of Elder Abuse & Neglect》 |2009年第4期|346-359|共14页
  • 作者

    Sue Rovi; Ping-Hsin Chen; Marielos Vega; Mark S. Johnson; Charles P. Mouton;

  • 作者单位

    Department of Family Medicine, New Jersey Medical School, at the University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA;

    Department of Family Medicine, New Jersey Medical School, at the University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA;

    Department of Family Medicine, New Jersey Medical School, at the University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA;

    Department of Family Medicine, New Jersey Medical School, at the University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA;

    Department of Community and Family Medicine, Howard University College of Medicine, Washington, DC, USA;

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  • 正文语种 eng
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  • 关键词

    elder abuse and neglect; elder mistreatment; diagnoses; health care costs and utilization;

    机译：虐待和忽视老年人;虐待老人诊断;医疗费用和利用;

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