PRE-Screening for Elder Abuse in Sanglah General Hospital, Denpasar, Bali
Shakthy Thewi Pillai
Shakthy Thewi Pillai, Udayana University, Indonesia.
Manuscript received on 20 August 2019 | Revised Manuscript received on 27 August 2019 | Manuscript Published on 31 August 2019 | PP: 863-866 | Volume-8 Issue-9S2 August 2019 | Retrieval Number: I11770789S219/19©BEIESP DOI: 10.35940/ijitee.I1177.0789S219
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© The Authors. Blue Eyes Intelligence Engineering and Sciences Publication (BEIESP). This is an open-access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Abstract: To identify clinically elderly individuals with elevated risk of being abused based on risk factors and potential forensic markers present. Methods : The design was a cross-sectional analysis of deidentified data taken from the medical database of Sanglah General Hospital, Denpasar. Participants were individuals aged 60 and above with specific ICD-10 coding indicating potential correlates of abuse reported in Sanglah General Hospital over a 6 year period (N = 898). Measured were participant characteristics include demographic characteristics, management and method of payment. The presence of four risk factors and seven potential forensic markers identified using ICD-10 codes were taken and summed. Analytic statistics was used for analysis. Results : Approximately two-thirds of participants were between ages 60-74, 51% were male, 87% received out-patient treatment and 85% used state insurance. 13% had multiple potential correlates of abuse. Five elders were coded with history of assault, with a further 5 coded for abuse. In logistic regression, four predictors, cognitive impairment, functional dependency, fracture and multiple injuries were identified. However only multiple injuries (P=0.008) was significantly associated with multiple risk factors and potential forensic markers of elder abuse. Conclusion : Given the ability of forensic markers to identify elder abuse strongly, it is important to further screen elderly patients who present with multiple injuries. More research is needed to further identify forensic markers of elder abuse valid within the Indonesian clinical context.
Keywords: Elder abuse, Elder mistreatment, Neglect Forensic Marker
Scope of the Article: Data Management, Exploration, and Mining