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. Author manuscript; available in PMC: 2021 Sep 1.
Published in final edited form as: Ann Emerg Med. 2020 Jun 10;76(3):266–276. doi: 10.1016/j.annemergmed.2020.03.020

Table 2:

Characteristics of injuries in physical elder abuse victims with visible injuries vs. matched unintentional fallers with visible injuries presenting to an urban, academic emergency department

Physical Elder Abuse Cases (n=78) % Unintentional Fall Controls (n=78) % Difference % (95% CI) P value

Injury Severity Score (ISS), median (IQR) 1 (1 – 2) 2 (1 – 3) 0 (0, 1.0) 0.06
Time between injury and evaluation 0.06
 <1 day 92% 83% 9% (−3, 21)
 1–2 days 6% 12% 5% (−16, 5)
 >2 days 0% 5% 5% (−11, 1)
 Unknown 1% 0% 1% (−2, 5)
Number of injuries, median (IQR) 2 (1 – 5) 3 0.0 (−2.0, 1.8) 0.59
Range: 1 – 18 Range 1 – 10
Injury Type(s), frequency (95% CI)
 Bruise 78% 54% 24% (8, 41) 0.003
 Abrasion 32% 46% −14% (−31, 3) 0.08
 Laceration 32% 23% 9% (−5, 23) 0.16
 Fracture 8% 22% −14% (−26, −2) 0.02
 Skin tear 3% 8% −5% (−12, 2) 0.10
 Other 17% 30% −13% (−27, 1) 0.05
 Multiple injury types 47% 59% −12% (−29, 6) 0.18
Body region(s) injured
 Maxillofacial / dental / neck 67% 28% 38% (22, 55) <0.001
 Upper extremity 40% 59% −19% (−35, −3) 0.01
 Skull / brain 22% 13% 9% (−4, 22) 0.14
 Chest / abdomen / back 19% 4% 15% (4, 27) 0.005
 Lower extremity 9% 41% −32% (−45, −19) <0.001
 Pelvis / buttocks 1% 6% −5% (−12, 2) 0.10
Multiple body regions injured 44% 41% −3% (−14, 19) 0.74

Cases and controls were matched by age (5 year intervals), sex, and whether they lived in the community or institution.

ISS denotes injury severity score; IQR, interquartile range.