Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: In response to Drs Herbert and Bradshaw,
the Massachusetts Department of Public Health received more than 1000 reports
of physically injured residents during the sampling time frame from which
we chose cases. Many were reported as accidents, while the etiology of others
was reported as unknown. Because we wanted to focus on aggressive behavior
and its physical sequela, we choose "violence" rather than "injury" in the
title and throughout the article.
Shinoda-Tagawa T, Leonard R, Pontikas J, McDonough JE, Allen D, Dreyer PI. Aggressive Behaviors and Injuries Among Nursing Home Residents—Reply. JAMA. 2004;291(17):2074. doi:10.1001/jama.291.17.2075-a