Research Topics
| Thomas L HigginsSummaryAffiliation: Baystate Medical Center Country: USA Publications
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Detail Information
Publications
Prospective validation of the intensive care unit admission Mortality Probability Model (MPM0-III)Thomas L Higgins
Department of Medicine, Critical Care Division, Springfield, MA, USA
Crit Care Med 37:1619-23. 2009..This data set was external from the MPM0-III developmental and internal validation data collected between 2001 and 2004...- Outcome prediction in critical care: the Mortality Probability ModelsThomas L Higgins
Baystate Medical Center, Critical Care Division, Springfield, MA, USA
Curr Opin Crit Care 14:498-505. 2008..These models must be periodically updated to reflect current medical practices. This article will review the history of the Mortality Probability Model (MPM), discuss why and how it was recently updated, and outline examples of MPM use... 
Invited commentaryThomas L Higgins
Critical Care Services, Baystate Medical Center, Springfield, MA 01199, USA
Ann Thorac Surg 79:1908. 2005- Quantifying risk and benchmarking performance in the adult intensive care unitThomas L Higgins
Baystate Medical Center, Critical Care Division, 759 Chestnut St, Springfield, MA 01199, USA
J Intensive Care Med 22:141-56. 2007..It is important for clinicians to understand how these scores are derived and how they are properly applied to quantify patient severity of illness and benchmark intensive care unit performance... - Subgroup mortality probability models: are they necessary for specialized intensive care units?Brian H Nathanson
OptiStatim LLC, Longmeadow, MA, USA
Crit Care Med 37:2375-86. 2009..MPM0-III is an important benchmarking tool for intensive care units in Project IMPACT. Overall, MPM0-III has excellent discrimination and calibration but its performance varies on six common patient subsets... - Assessing contemporary intensive care unit outcome: an updated Mortality Probability Admission Model (MPM0-III)Thomas L Higgins
Critical Care Division, Baystate Medical Center, Springfield, MA, USA
Crit Care Med 35:827-35. 2007..To update the Mortality Probability Model at intensive care unit (ICU) admission (MPM0-II) using contemporary data... - A revised method to assess intensive care unit clinical performance and resource utilizationBrian H Nathanson
OptiStatim LLC, Longmeadow, MA, USA
Crit Care Med 35:1853-62. 2007..MPM0-II was recently updated (MPM0-III) but not the model for predicting resource utilization. The objective was to develop a new WHD model and revised Rapoport-Teres graph... - Early indicators of prolonged intensive care unit stay: impact of illness severity, physician staffing, and pre-intensive care unit length of stayThomas L Higgins
Department of Medicine, Baystate Medical Center, Springfield, MA, USA
Crit Care Med 31:45-51. 2003..Both long ward stays before ICU admission and lack of full-time ICU physician involvement in care increase the probability of long ICU stays. These latter two factors are potentially modifiable and deserve prospective study... - Development and validation of a model that uses enhanced administrative data to predict mortality in patients with sepsisTara Lagu
Center for Quality of Care Research, Division of General Internal Medicine and Geriatrics, Baystate Medical Center, Springfield, MA, USA
Crit Care Med 39:2425-30. 2011..We aimed to determine whether a sepsis risk-adjustment model that uses only administrative data could be used when other intensive care unit risk-adjustment methods are unavailable... - Hemodynamic consequences of heart-lung interactionsJay S Steingrub
Critical Care Division, Baystate Medical Center, Springfield, MA 01199, USA
J Intensive Care Med 18:92-9. 2003..These effects will aid in understanding the complex interactions between ventilation and right and left ventricular pressures and volumes, as well as the influence of lung inflation pressure on ventricular interdependence... - Drotrecogin alfa (activated) in sepsis: initial experience with patient selection, cost, and clinical outcomesThomas L Higgins
Critical Care Division, Department of Medicine, Baystate Medical Center/Tufts University School of Medicine, Springfield, MA 01199, USA
J Intensive Care Med 20:339-45. 2005..Total cost of hospital care, including mean drotrecogin alfa, activated drug cost of 7,312 US dollars, exceeded reimbursement by a mean of 18,227 US dollars... - The association between ICU readmission rate and patient outcomesAndrew A Kramer
Cerner Corporation, Vienna, VA, USA
Crit Care Med 41:24-33. 2013..To examine the association between ICU readmission rates and case-mix-adjusted outcomes... - Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomesAndrew A Kramer
Cerner Corporation, Vienna, VA, USA
Crit Care Med 40:3-10. 2012..To examine which patient characteristics increase the risk for intensive care unit readmission and assess the association of readmission with case-mix adjusted mortality and resource use... - New-generation pulse oximetry in the care of critically ill patientsKaren K Giuliano
The Boston College William F. Connell School of Nursing, Chestnut Hill, MA, USA
Am J Crit Care 14:26-37; quiz 38-9. 2005..However, the clinical performance of all the new-generation pulse oximetry devices was better than that of earlier devices... - Who's on first?Thomas L Higgins
Crit Care Med 35:2650-1. 2007 - Placing bets with a full houseThomas L Higgins
Crit Care Med 36:1008-9. 2008 - Timing is everythingThomas L Higgins
Chest 126:4-6. 2004 - An exploratory study using data envelopment analysis to assess neurotrauma patients in the intensive care unitBrian Harris Nathanson
Department of Mechanical and Industrial Engineering, University of Massachusetts Amherst, USA
Health Care Manag Sci 6:43-55. 2003....