Development of the Emergency Department Senior Abuse Identification (ED Senior AID) tool |
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| Authors: | Timothy F. Platts-Mills Joseph A. Dayaa Bryce B. Reeve Kayla Krajick Laura Mosqueda Jason S. Haukoos |
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| Affiliation: | 1. Department of Emergency Medicine, University of North Carolina, Chapel Hill, NC, USA;2. Department of Population Health Sciences, Duke University Durham, NC, USA;3. School of Medicine, University of North Carolina, Chapel Hill, NC, USA;4. Department of Family Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA;5. Department of Emergency Medicine, University of Colorado Denver School of Medicine, Denver, CO, USA |
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| Abstract: | Emergency departments (EDs) are an important health care setting for the identification of elder abuse (EA). Our objective 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. We calculated the inter-rater reliability, sensitivity, and specificity of individual EA questions. Among ED patients age≥65 (N = 259), 17 (7%) screened positive for suspicion of EA. We identified a combination of six questions that cover the included domains of EA, demonstrated good or excellent inter-rater reliability, and had a sensitivity and specificity of 94% (95% confidence interval (CI) 71–100%) and 90% (95% CI 85–93%), respectively. These results inform a proposed screening tool for multisite validation testing. |
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| Keywords: | Elder abuse emergency medicine geriatrics screening tool |
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