Research Topics
| S R EachempatiSummaryAffiliation: Cornell University Country: USA Publications
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Publications
Factors influencing DNR decision-making in a surgical ICUMatthew D Bacchetta
Department of Surgery, Weill Medical College of Cornell University, New York, NY, USA
J Am Coll Surg 202:995-1000. 2006..Additional prospective studies need to be performed to determine the relative influences of physiologic, demographic, and sociologic factors on the creation of DNR orders in critically ill surgical patients...
The impact of the 2003 blackout on a level 1 trauma center: lessons learned and implications for injury preventionSoumitra R Eachempati
Department of Surgery, Weill Medical College of Cornell University, New York-Presbyterian Hospital, New York, New York 10021, USA
J Trauma 57:1127-31. 2004
Serum bicarbonate concentration correlates with arterial base deficit in critically ill patientsSoumitra R Eachempati
Department of Surgery, Weill Medical College of Cornell University, New York, New York, USA
Surg Infect (Larchmt) 4:193-7. 2003..We evaluated retrospectively the correlation of SB with BD in a cohort of surgical intensive care unit patients...
Does de-escalation of antibiotic therapy for ventilator-associated pneumonia affect the likelihood of recurrent pneumonia or mortality in critically ill surgical patients?Soumitra R Eachempati
Department of Surgery and Public Health, Weill Cornell Medical College, New York, New York, USA
J Trauma 66:1343-8. 2009..We hypothesized that DT for VAP was not associated with an increased rate of recurrent pneumonia (RP) or mortality in a high acuity cohort of critically ill surgical patients...
Severity scoring for prognostication in patients with severe acute pancreatitis: comparative analysis of the Ranson score and the APACHE III scoreSoumitra R Eachempati
Department of Surgery, Weill Medical College of Cornell University and Anne and Max A Cohen Surgical Intensive Care Unit, New York Presbyterian Hospital, New York, NY 10021, USA
Arch Surg 137:730-6. 2002..Despite a paucity of validation, the Ranson score is still the most popular method for gauging the severity of pancreatitis...
Sex differences in creation of do-not-resuscitate orders for critically ill elderly patients following emergency surgerySoumitra R Eachempati
Department of Surgery, Weill Medical College, Cornell University, 515 East 68th Street, New York, NY 10021, USA
J Trauma 60:193-7; discussion 197-8. 2006..We studied factors associated with issuance of a do-not-resuscitate (DNR) order and impact on morbidity and mortality in emergency surgery patients...
Outcomes of acute respiratory distress syndrome (ARDS) in elderly patientsSoumitra R Eachempati
Division of Trauma and Critical Care, Department of Surgery, Weill Medical College of Cornell University, New York, New York, USA
J Trauma 63:344-50. 2007..We reviewed our experience with ARDS to determine whether outcomes were improving over time, and in particular whether outcomes were equally favorable among our elderly patients aged 65 years or older...
Implementation of tight glucose control for critically ill surgical patients: a process improvement analysisSoumitra R Eachempati
Department of Surgery, Weill Cornell Medical College, New York, New York, USA
Surg Infect (Larchmt) 10:523-31. 2009..We examined our performance in instituting a protocol for tight glucose control in our surgical intensive care unit (ICU)...
Biological warfare: current concerns for the health care providerSoumitra R Eachempati
Department of Surgery, New York-Presbyterian Hospital, Weill Medical College of Cornell University, New York, New York 10021, USA
J Trauma 52:179-86. 2002
Acute renal failure in critically ill surgical patients: persistent lethality despite new modes of renal replacement therapySoumitra R Eachempati
Division of Critical Care and Trauma, Department of Surgery, Weill Medical College of Cornell University, New York, NY, USA
J Trauma 63:987-93. 2007..Consequently, we determined whether outcomes were improved with CRRT in SICU patients, and hypothesized that CRRT lowers mortality for patients with ARF...
Factors influencing the development of decubitus ulcers in critically ill surgical patientsS R Eachempati
Department of Surgery, Weill Medical College of Cornell University, New York, NY, USA
Crit Care Med 29:1678-82. 2001....
The pathogen of ventilator-associated pneumonia does not influence the mortality rate of surgical intensive care unit patients treated with a rotational antibiotic systemSoumitra R Eachempati
Department of Surgery, Weill Medical College of Cornell University, 525 E 68th St, New York, NY 10021, USA
Surg Infect (Larchmt) 11:13-20. 2010....
The relationships of hypocholesterolemia to cytokine concentrations and mortality in critically ill patients with systemic inflammatory response syndromeDaniel A Bonville
Department of Surgery, Weill Medical College of Cornell University, New York, New York, USA
Surg Infect (Larchmt) 5:39-49. 2004..CONCLUSIONS: Decreased serum cholesterol concentration is an independent predictor of mortality in critically ill surgical patients. Repletion of serum lipids is a feasible therapeutic approach for the management of critical illness...
The use of computed tomography for the diagnosis of acute appendicitis in children does not influence the overall rate of negative appendectomy or perforationM J Weyant
Department of Surgery, New York-Presbyterian Hospital and Weill Medical College of Cornell University, New York, NY 10021, USA
Surg Infect (Larchmt) 2:19-23. 2001..Results of studies performed in adults may not be extrapolated to the evaluation of children with suspected acute appendicitis...
Gender-based differences in outcome in patients with sepsisS R Eachempati
Department of Surgery, Weill Medical College of Cornell University, New York, NY, USA
Arch Surg 134:1342-7. 1999..This study tested the hypothesis that female patients admitted to the surgical intensive care unit with a documented infection have a lower mortality rate...
Current surgical opinion of computed tomography for acute appendicitisInderpal S Sarkaria
Department of Surgery, Weill Medical College of Cornell University, New York, New York, USA
Surg Infect (Larchmt) 5:243-52. 2004..Incorporation of CTA into practice is not widespread, perhaps because CTA by protocol is unavailable to most surgeons and because it is often obtained in the absence of surgical consultation...
A prospective evaluation of the use of emergency department computed tomography for suspected acute appendicitisM A Maluccio
Department of Surgery, Weill Medical College of Cornell University, New York, New York, USA
Surg Infect (Larchmt) 2:205-11; discussion 211-4. 2001..Widespread use of CT in the evaluation of patients for AA should be implemented with caution until institution-specific protocols are validated...
Is imaging necessary for the diagnosis of acute appendicitis?Michael J Weyant
Department of Surgery, New York Presbyterian Hospital, Weill Medical College, Cornell University, New York, New York, USA
Adv Surg 37:327-45. 2003
Factors associated with mortality in patients with penetrating abdominal vascular traumaS R Eachempati
Weill Medical College of Cornell University, New York, New York 10021, USA
J Surg Res 108:222-6. 2002....
Current opinion regarding indications for emergency department thoracotomyM A Miglietta
Department of Surgery, St. Barnabas Hospital, New York, New York, USA
J Trauma 51:670-6. 2001..We recommend that practice guidelines for EDT be established on the basis of a consensus definition of SOL to allow for a more uniform and selective approach to EDT...
Use of long-term anticoagulation is associated with traumatic intracranial hemorrhage and subsequent mortality in elderly patients hospitalized after falls: analysis of the New York State Administrative DatabaseFredric M Pieracci
Department of Surgery and Public Health, Weill Medical College of Cornell University, New York, New York 10021, USA
J Trauma 63:519-24. 2007..We used a statewide hospital discharge database to test the hypothesis that long-term anticoagulation (LTA) increases the likelihood of traumatic ICH and subsequent mortality in this patient population...
Influence of antibiotic therapy on mortality of critical surgical illness caused or complicated by infectionPhilip S Barie
Department of Surgery, Public Health, Division of Critical Care and Trauma, Weill Medical College of Cornell University, New York, New York 10021, USA
Surg Infect (Larchmt) 6:41-54. 2005..This study was performed to elucidate the role of scheduled, rotating antibiotic therapy in defining mortality among febrile, infected surgical ICU patients...
Surgical site infectionsPhilip S Barie
Division of Critical Care and Trauma, Department of Surgery P713A, Weill Medical College of Cornell University, 525 East 68 Street, New York, NY 10021, USA
Surg Clin North Am 85:1115-35, viii-ix. 2005..The use of new "active" antibacterial devices may reduce risk further. Surgeons can minimize the risk to the patient of the development of SSI through strict adherence to established surgical guidelines for perioperative care...
Insurance status, but not race, predicts perforation in adult patients with acute appendicitisFredric M Pieracci
Department of Surgery, Weill Medical College of Cornell University, New York, NY, USA
J Am Coll Surg 205:445-52. 2007..In addition, lower socioeconomic status has been linked to impaired access to surgical care. We sought to examine the relationships among race, insurance status, and perforation in a recent, adult population with acute appendicitis...
Efficacy and safety of drotrecogin alfa (activated) for the therapy of surgical patients with severe sepsisPhilip S Barie
Department of Surgery, Division of Critical Care and Trauma, Weill Medical College of Cornell University, New York, New York 10021, USA
Surg Infect (Larchmt) 7:S77-80. 2006..This review was performed to analyze recent data and clinical trends in the management of surgical patients with severe sepsis with respect to the efficacy and safety of therapy with DrotAA...
Acute acalculous cholecystitisPhilip S Barie
Department of Surgery, NewYork Presbyterian Hospital, Weill Medical College of Cornell University, 525 East 68th Street, P 713A, New York, NY 10021, USA
Curr Gastroenterol Rep 5:302-9. 2003....
Degree of anticoagulation, but not warfarin use itself, predicts adverse outcomes after traumatic brain injury in elderly trauma patientsFredric M Pieracci
Department of Surgery and Public Health, Weill Medical College of Cornell University, New York, New York 10021, USA
J Trauma 63:525-30. 2007..We hypothesized that, among elderly warfarin users, the degree of anticoagulation, rather than warfarin therapy itself, would predict the severity of traumatic brain injury...
Longitudinal outcomes of intra-abdominal infection complicated by critical illnessPhilip S Barie
Department of Surgery, Division of Critical Care and Trauma, Weill Medical College of Cornell University, New York, NY 10021, USA
Surg Infect (Larchmt) 5:365-73. 2004..We evaluated the causes and consequences of intra-abdominal infections among critically ill surgical patients in a single tertiary-care intensive care unit (ICU) over a decade...
Multiple organ dysfunction syndrome in critical surgical illnessPhilip S Barie
Department of Surgery, Weill Cornell Medical College, New York, New York, USA
Surg Infect (Larchmt) 10:369-77. 2009..quot; Ensuing observations and investigations, undertaken in large part by surgeon-scientists, have refined our current understanding of MODS, yielding better outcomes...
Decreasing magnitude of multiple organ dysfunction syndrome despite increasingly severe critical surgical illness: a 17-year longitudinal studyPhilip S Barie
Department of Surgery, Division of Critical Care and Trauma, Anne and Max A Cohen Surgical Intensive Care Unit, New York Presbyterian Hospital, Weill Cornell Medical Center, New York, New York 10065, USA
J Trauma 65:1227-35. 2008..g., tight glycemic control, activated protein C, fewer transfusions causing fewer nosocomial infections) may have decreased the incidence, magnitude, and mortality of MODS, as hypothesized in this study...
Prospective analysis of life-sustaining therapy discussions in the surgical intensive care unit: a housestaff perspectiveFredric M Pieracci
Department of Surgery, Weill Cornell Medical College, New York, NY 10021, USA
J Am Coll Surg 207:468-76. 2008..Prospective data addressing end-of-life care in the surgical ICU are lacking. We determined factors surrounding life-sustaining therapy discussions (LSTDs) in our surgical ICU as experienced by housestaff...
Treatment of severe sepsis secondary to mycobacterium avium-intracellulare with recombinant human activated protein CBrant Ullery
Department of Surgery, Weill Medical College of Cornell University, New York, New York, USA
Surg Infect (Larchmt) 9:389-94. 2008....
Acute acalculous cholecystitisPhilip S Barie
Division of Critical Care and Trauma, Department of Surgery, New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY 0065, USA
Gastroenterol Clin North Am 39:343-57, x. 2010..CT is probably of comparable accuracy, but carries both advantages and disadvantages. Rapid improvement may be expected when AAC is diagnosed correctly and cholecystostomy is performed timely...
The relationship between body mass index and postoperative mortality from critical illnessFredric M Pieracci
Department of Surgery, Weill Cornell Medical College, New York, NY, USA
Obes Surg 18:501-7. 2008..Few studies have examined this issue in surgical patients specifically. We tested the hypothesis that BMI is associated with mortality from surgical critical illness...
The effect of an intermediate care unit on the demographics and outcomes of a surgical intensive care unit populationSoumitra R Eachempati
Department of Surgery, NewYork Presbyterian Hospital, New York Weill Cornell Center, and Weill Medical College of Cornell University, New York 10021, USA
Arch Surg 139:315-9. 2004..We hypothesized that the introduction of a new intermediate care or step-down unit (SDU) managed by surgically trained intensivists would allow the admission of more acutely ill patients while maintaining satisfactory outcomes...
Causes and consequences of fever complicating critical surgical illnessPhilip S Barie
Department of Surgery, and Division of Critical Care and Trauma, Weill Medical College of Cornell University, and Anne and Max A Cohen Surgical ICU, New York Presbyterian Hospital, New York, New York, USA
Surg Infect (Larchmt) 5:145-59. 2004..The specific hypothesis tested is that postoperative fever is associated with adverse clinical outcomes, including increased organ dysfunction and risk of death...
Explaining insurance-related and racial disparities in the surgical management of patients with acute appendicitisFredric M Pieracci
Department of Surgery, Weill Medical College of Cornell University, 411 East 69th St, No KB 220, New York, NY 10021, USA
Am J Surg 194:57-62. 2007..We hypothesized that these disparities are caused by presenting hospitals' use of LA...
Treatment of Strongyloides stercoralis hyperinfection-associated septic shock and acute respiratory distress syndrome with drotrecogin alfa (activated) in a renal transplant recipientJ M Huston
Department of Surgery, Division of Critical Care and Trauma, New York Presbyterian Hospital, Weill Cornell Medical College, New York, New York 10065, USA
Transpl Infect Dis 11:277-80. 2009..This outcome suggests that drotrecogin alfa (activated) may be useful therapy for transplant recipients who develop severe sepsis or septic shock secondary to potentially lethal opportunistic infections...
Blunt vascular injuries of the head and neck: is heparinization necessary?S R Eachempati
Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA
J Trauma 45:997-1004. 1998..In particular, the utility of anticoagulation in the treatment of these injuries is examined...
The contemporary surgical intensive care unit. Structure, staffing, and issuesP S Barie
Department of Surgery, Weill Medical College of Cornell University, New York, New York, USA
Surg Clin North Am 80:791-804, vii. 2000..Although all care models may work, the ideal model for a given ICU can be found only through ongoing performance improvement...
Defining the current negative appendectomy rate: for whom is preoperative computed tomography making an impact?Patrick L Wagner
Department of Surgery, New York Presbyterian Hospital and Weill Medical College of Cornell University, New York, NY 10065, USA
Surgery 144:276-82. 2008..Historically, the negative appendectomy rate (NAR) for patients operated on for acute appendicitis (AA) has exceeded 20%. We sought to define the current NAR with increased use of computed tomography (CT) and laparoscopy...
Accuracy of short-duration creatinine clearance determinations in predicting 24-hour creatinine clearance in critically ill and injured patientsRobert A Cherry
Department of Surgery, Lincoln Medical and Mental Health Center, Bronx, New York, USA
J Trauma 53:267-71. 2002..807, 0.946, and 0.649, respectively. CONCLUSION: CrCl2, CrCl6, and CrCl24calc are unreliable for clinical decision making. A minimum collection period of at least 8 hours is recommended for determination of urine creatinine clearance...
Clinical practice guideline: endpoints of resuscitationSamuel A Tisherman
Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
J Trauma 57:898-912. 2004
Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of AmericaJoseph S Solomkin
Department of Surgery, The University of Cincinnati College of Medicine, Cincinnati, Ohio 45267 0558, USA
Clin Infect Dis 50:133-64. 2010....
The surgical intensivist as mediator of end-of-life issues in the care of critically ill patientsSoumitra R Eachempati
Department of Surgery, Weill Medical College of Cornell University, New York, NY, USA
J Am Coll Surg 197:847-53; discussion 853-4. 2003
The role of laparoscopy in penetrating abdominal stab woundsRobert A Cherry
Department of Surgery, Penn State Milton S Hershey Medical Center, Penn State College of Medicine, Hershey, PA 17033, USA
Surg Laparosc Endosc Percutan Tech 15:14-7. 2005..5%), a 58.3% reduction. Evidence of PP during DL is a reasonable indicator to determine the need for EL and reduce the number of NTLs...
Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of AmericaJoseph S Solomkin
Department of Surgery, The University of Cincinnati College of Medicine, 231 Albert B Sabin Way, Cincinnati, OH 45267 0558, USA
Surg Infect (Larchmt) 11:79-109. 2010....
Use of creatinine clearances to monitor the effect of low-dose dopamine in critically ill surgical patientsSoumitra R Eachempati
Department of Surgery, Weill Medical College of Cornell University, New York, New York, USA
J Surg Res 112:43-8. 2003..Because using LDD in the absence of a discernable improvement in renal function is costly and may harbor risks, we recommend following CC in patients on LDD to determine which patients derive benefit from the intervention...
Surgical Infection Society guideline: prophylactic antibiotic use in open fractures: an evidence-based guidelineCarl J Hauser
Department of Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey, USA
Surg Infect (Larchmt) 7:379-405. 2006..The origins of these recommendations are obscure, however, and multi-drug-resistant systemic infections attributable to antibiotic overuse are common life-threatening problems in current intensive care unit practice...
Survival after a documented 19-story fall: a case reportBritt S Lee
Department of Surgery, New York-Presbyterian Hospital, Weill Medical College of Cornell University, 525 East 68th Street, New York, NY 10021, USA
J Trauma 55:869-72. 2003
Superior mesenteric artery syndrome presenting with acute massive gastric dilatation, gastric wall pneumatosis, and portal venous gasJonathan E Lim
Department of Surgery, New York-Presbyterian Hospital, Weill Medical College of Cornell University, Room F-739, 525 East 68th Street, New York, NY 10021, USA
Surgery 134:840-3. 2003
Randomized, double-blind, placebo-controlled trial of effects of enteral iron supplementation on anemia and risk of infection during surgical critical illnessFredric M Pieracci
Department of Surgery, Weill Cornell Medical College, New York, New York 10021, USA
Surg Infect (Larchmt) 10:9-19. 2009..Critical illness is characterized by hypoferremia, iron-deficient erythropoiesis (IDE), and anemia. The relative risks and benefits of iron supplementation in this setting are unknown...
Severe crushed chest injury with large flail segment: computed tomographic three-dimensional reconstructionMichael J Weyant
Department of Surgery, The New-York-Presbyterian Hospital and Weill Medical College of Cornell University, New York 10021, USA
J Trauma 52:605. 2002
Factors affecting management and outcome in blunt renal injuryRamsay L Kuo
Department of Surgery, Division of Urology, Duke University Medical Center, Durham, North Carolina 27710, USA
World J Surg 26:416-9. 2002..The grade of renal injury, the overall injury severity of the patient, and the requirement of blood transfusion are the primary factors in determining the patient's need for nephrectomy and overall outcome...
Clinical role of noncontrast helical computed tomography in diagnosis of acute appendicitisMichael J Weyant
Am J Surg 183:97-9. 2002
Gender differences after hemorrhagic shock from blunt trauma: what is helping the women?Soumitra R Eachempati
Crit Care Med 36:1976. 2008
Nonpulmonary organ dysfunction and mortality with acute respiratory failurePhilip S Barie
Chest 134:467; author reply 468. 2008
Vancomycin-resistant Enterococcus ventriculo-peritoneal shunt infection cured by monotherapy with chloramphenicolAbdalla E Zarroug
Surg Infect (Larchmt) 4:289-91. 2003
Eliminating pressure ulcers: do specialty beds or specialty nurses matter more?Soumitra R Eachempati
Crit Care Med 35:966-7. 2007
