Research Topics
| R Sean MorrisonSummaryAffiliation: Mount Sinai School of Medicine Country: USA Publications
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Publications
Relationship between pain and opioid analgesics on the development of delirium following hip fractureR Sean Morrison
Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, New York 10029, USA
J Gerontol A Biol Sci Med Sci 58:76-81. 2003..This study was performed to examine the relationship among pain, analgesics, and other factors on delirium in hip fracture patients...
Impact of hospice disenrollment on health care use and medicare expenditures for patients with cancerMelissa D A Carlson
Department of Geriatrics and Palliative Medicine, Mount Sinai School of Medicine, One Gustave L Levy Pl, Box 1070, New York, NY 10029, USA
J Clin Oncol 28:4371-5. 2010..However, 11% to 15% of hospice users disenroll from hospice, and little is known about their health care use and Medicare expenditures...
Preoperative status and risk of complications in patients with hip fractureMary Ann McLaughlin
Mount Sinai School of Medicine, New York, NY, USA
J Gen Intern Med 21:219-25. 2006..Our objective was to identify potentially modifiable clinical findings that should be considered in decisions about the timing of surgery...
Disability and decline in physical function associated with hospital use at end of lifeAmy S Kelley
Brookdale Department of Geriatrics and Palliative Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA
J Gen Intern Med 27:794-800. 2012..Hospital use near the end of life is often undesirable to patients, represents considerable Medicare cost, and varies widely across regions...
"That's like an act of suicide" patients' attitudes toward deactivation of implantable defibrillatorsNathan E Goldstein
Department of Geriatrics, Mount Sinai School of Medicine, Box 1070, One Gustave Levy Place, New York, NY 10029, USA
J Gen Intern Med 23:7-12. 2008..To understand potential patient barriers to discussions about implantable cardioverter defibrillator (ICD) deactivation in patients with advanced illness...
Determinants of medical expenditures in the last 6 months of lifeAmy S Kelley
Mount Sinai School of Medicine, New York, New York 10029, USA
Ann Intern Med 154:235-42. 2011..End-of-life medical expenditures exceed costs of care during other years, vary across regions, and are likely to be unsustainable. Identifying determinants of expenditure variation may reveal opportunities for reducing costs...
Communication about chronic critical illnessJudith E Nelson
Mount Sinai School of Medicine, New York, NY 10029, USA
Arch Intern Med 167:2509-15. 2007..Our objective was to investigate the informational needs of patients with chronic critical illness and their families and the extent to which these needs are met...
Quality of palliative care at US hospices: results of a national surveyMelissa D A Carlson
Department of Geriatrics and Palliative Medicine, Mount Sinai School of Medicine, One Gustave L Levy Place, New York, NY 10029, USA
Med Care 49:803-9. 2011..This study reports the first national data regarding hospices' self-reported implementation of the NQF preferred practices and identifies hospice characteristics associated with more comprehensive implementation...
Effect of inpatient quality of care on functional outcomes in patients with hip fractureAlbert L Siu
Mount Sinai School of Medicine, New York, New York 10029, USA
Med Care 44:862-9. 2006..RESEARCH DESIGN AND PARTICIPANTS: We undertook a prospective cohort study in 4 hospitals of 554 patients treated with surgery for hip fracture...
Does palliative care improve quality? A survey of bereaved family membersLaura P Gelfman
Hertzberg Palliative Care Institute of the Brookdale Department of Geriatrics, Mount Sinai School of Medicine, New York, NY, USA
J Pain Symptom Manage 36:22-8. 2008..Palliative care offers a unique approach by integrating the needs of the family into the care of the patient...
Association of age with analgesic use for back and joint disorders in outpatient settingsAlex D Federman
Division of General Internal Medicine, Mount Sinai School of Medicine, New York, New York 10029, USA
Am J Geriatr Pharmacother 4:306-15. 2006..Elderly patients, in particular, have disproportionately low rates of adequate pain control compared with younger patients...
Improving the management of pain in hospitalized adultsR Sean Morrison
Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, NY 10029, USA
Arch Intern Med 166:1033-9. 2006..Pain is a major quality issue. The objective of this study was to evaluate the effectiveness of a series of interventions on pain management...
A novel interdisciplinary analgesic program reduces pain and improves function in older adults after orthopedic surgeryR Sean Morrison
Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York 10029, USA
J Am Geriatr Soc 57:1-10. 2009..To examine the effect of a multicomponent intervention on pain and function after orthopedic surgery...
Brain dysfunction: another burden for the chronically critically illJudith E Nelson
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mount Sinai School of Medicine, One Gustave L Levy Place, New York, NY 10029, USA
Arch Intern Med 166:1993-9. 2006..To our knowledge, no previous research has addressed brain dysfunction in the chronically critically ill, although this topic is important for medical decision making...
The impact of post-operative pain on outcomes following hip fractureR Sean Morrison
Department of Geriatrics and Adult Development, Box 1070, Mount Sinai School of Medicine, One Gustave L Levy Place, New York, NY 10029, USA
Pain 103:303-11. 2003....
The geriatric emergency departmentUla Hwang
Department of Emergency Medicine, and Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, New York, USA
J Am Geriatr Soc 55:1873-6. 2007..The use of Geriatric Emergency Department Interventions, structural and process of care modifications addressing the special care needs of older patients, may help to address these challenges...
Characteristics of emergency department patients who receive a palliative care consultationCorita R Grudzen
Department of Emergency Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA
J Palliat Med 15:396-9. 2012....
Titrating guidance: a model to guide physicians in assisting patients and family members who are facing complex decisionsNathan E Goldstein
Hertzberg Palliative Care Institute of the Brookdale, Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York City, USA
Arch Intern Med 168:1733-9. 2008..This model can help improve patient-physician communication and decision making so that complex and difficult decisions can be turned into ones that yield to medical expertise, good communication, and personal caring...
The National Palliative Care Research Center and the Center to Advance Palliative Care: a partnership to improve care for persons with serious illness and their familiesR Sean Morrison
Brookdale Department of Geriatrics and Palliative Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA
J Pediatr Hematol Oncol 33:S126-31. 2011....
Association of timing of surgery for hip fracture and patient outcomesGretchen M Orosz
Department of Geriatrics, Mount Sinai School of Medicine, New York, NY, USA
JAMA 291:1738-43. 2004..Additional research is needed on whether functional outcomes may be improved. In the meantime, patients with hip fracture who are medically stable should receive early surgery when possible...
Factors associated with reductions in patients' analgesia at hospital dischargeCarlton Moore
Division of General Internal Medicine, Department of Medicine, Mount Sinai School of Medicine, New York, New York 10029, USA
J Palliat Med 9:41-9. 2006..To describe the patterns of opioid prescribing and the factors associated with reductions in the potency of patients' analgesic medications at the time of hospital discharge...
Palliative care consultation teams cut hospital costs for Medicaid beneficiariesR Sean Morrison
Department of Geriatrics and Palliative Medicine, Mount Sinai School of Medicine, New York City, NY, USA
Health Aff (Millwood) 30:454-63. 2011....
Palliative care for patients with head and neck cancer: "I would like a quick return to a normal lifestyle"Nathan E Goldstein
Hertzberg Palliative Care Institute of the Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York 10029, USA
JAMA 299:1818-25. 2008..By providing comprehensive care to patients with malignancies of the head and neck, clinicians can increase the likelihood that patients and their families will be able to obtain the best possible outcomes and quality of life...
"It's like crossing a bridge" complexities preventing physicians from discussing deactivation of implantable defibrillators at the end of lifeNathan E Goldstein
Department of Geriatrics, Mount Sinai School of Medicine, One Gustave Levy Place, Box 1070, New York, NY 10029, USA
J Gen Intern Med 23:2-6. 2008..To understand potential barriers to physician-initiated discussions about Implantable Cardioverter Defibrillator (ICD) deactivation in patients with advanced illness...
The quality of emergency department pain care for older adult patientsUla Hwang
Department of Emergency Medicine, Mount Sinai School of Medicine, New York, New York 10029, USA
J Am Geriatr Soc 58:2122-8. 2010..To determine whether there are differences in emergency department (ED) pain assessment and treatment for older and younger adults...
Hospice care: what services do patients and their families receive?Melissa D A Carlson
Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, One Gustave L Levy Place, Box 1070, New York, NY 10029, USA
Health Serv Res 42:1672-90. 2007....
Geographic access to hospice in the United StatesMelissa D A Carlson
Brookdale Department of Geriatrics and Palliative Medicine, Mount Sinai School of Medicine, New York, New York, USA
J Palliat Med 13:1331-8. 2010..We estimated the proportion of the population living in communities within 30 and 60 minutes driving time of a hospice...
Cost savings associated with US hospital palliative care consultation programsR Sean Morrison
Hertzberg Palliative Care Institute, Brookdale Department of Geriatrics, Mount Sinai School of Medicine, Box 1070, One Gustave L Levy Place, New York, NY 10029, USA
Arch Intern Med 168:1783-90. 2008..Hospital palliative care consultation teams have been shown to improve care for adults with serious illness. This study examined the effect of palliative care teams on hospital costs...
Variability in access to hospital palliative care in the United StatesBenjamin Goldsmith
Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York New York 10029, USA
J Palliat Med 11:1094-102. 2008..Hospital palliative care programs provide high-quality, comprehensive care for seriously ill patients and their families...
Regulating palliative care: the case of hospiceMelissa D A Carlson
Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, New York 10029, USA
J Pain Symptom Manage 36:107-16. 2008..It provides valuable insights regarding the potential role of regulation in standardizing the quality of palliative care across the increasingly diverse palliative care programs developing outside of hospice...
When critical illness becomes chronic: informational needs of patients and familiesJudith E Nelson
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA
J Crit Care 20:79-89. 2005..In this qualitative study, we investigated what information is relevant and important for clinician-patient/family communication when critical illness becomes chronic, as indicated by tracheotomy for prolonged mechanical ventilation...
Hospice characteristics and the disenrollment of patients with cancerMelissa D A Carlson
Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, One Gustave L Levy Place, New York, NY 10029, USA
Health Serv Res 44:2004-21. 2009..To characterize the types of hospices with higher rates of patient disenrollment from the Medicare Hospice Benefit and the markets in which these hospices operate...
Early ambulation after hip fracture: effects on function and mortalityAlbert L Siu
Mount Sinai School of Medicine, New York, NY, USA
Arch Intern Med 166:766-71. 2006..Few studies have examined the relationship between inpatient bed rest and functional outcomes. We examined how immobility is associated with function and mortality in patients with hip fracture...
Does palliative care have a future in the emergency department? Discussions with attending emergency physiciansCorita R Grudzen
Department of Emergency Medicine, Mount Sinai School of Medicine, New York, New York, USA
J Pain Symptom Manage 43:1-9. 2012..Although traditionally delivered in the inpatient setting, emergency departments (EDs) are a new focus for palliative care consultation teams...
Resident perceptions of palliative care training in the emergency departmentNicholas Meo
Brookdale Department of Geriatrics and Palliative Care, Mount Sinai School of Medicine, New York, New York, USA
J Palliat Med 14:548-55. 2011..To characterize the level of formal training and perceived educational needs in palliative care of emergency medicine (EM) residents...
Palliative care needs of seriously ill, older adults presenting to the emergency departmentCorita R Grudzen
Department of Emergency Medicine, Mount Sinai School of Medicine, New York, NY, USA
Acad Emerg Med 17:1253-7. 2010..The objective was to identify the palliative care needs of seriously ill, older adults in the emergency department (ED)...
Determinants of treatment intensity for patients with serious illness: a new conceptual frameworkAmy S Kelley
Brookdale Department of Geriatrics and Palliative Medicine, Mount Sinai School of Medicine, New York, New York 10029, USA
J Palliat Med 13:807-13. 2010..Specifically, end-of-life policy initiatives face the challenges of political feasibility, inaccurate prognostication, and gaps in the existing literature...
The symptom burden of chronic critical illnessJudith E Nelson
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA
Crit Care Med 32:1527-34. 2004..To assess self-reported symptom burden of chronic critical illness...
Acceptability of severe pain among hospitalized adultsCatherine L Maroney
Hertzberg Palliative Care Institute of the Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, New York 10029, USA
J Palliat Med 7:443-50. 2004..Given recent research linking high intensity pain to adverse outcomes, future studies directed at improving the management of pain need to target both pain intensity and patients' beliefs about the acceptability of severe pain...
The effect of emergency department crowding on the management of pain in older adults with hip fractureUla Hwang
Department of Emergency Medicine, Mount Sinai School of Medicine, New York, New York 10029, USA
J Am Geriatr Soc 54:270-5. 2006..To evaluate the effect of emergency department (ED) crowding on assessment and treatment of pain in older adults...
Cost and utilization outcomes of patients receiving hospital-based palliative care consultationJoan D Penrod
Program of Research in Serious Physical and Mental Illness, James J Peters VA Medical Center, Mount Sinai School of Medicine, New York, New York 10029, USA
J Palliat Med 9:855-60. 2006....
Clinical practice. Palliative careR Sean Morrison
Hertzberg Palliative Care Institute, Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York 10029, USA
N Engl J Med 350:2582-90. 2004
Improving access to hospice care: informing the debateMelissa D A Carlson
Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, New York 10029, USA
J Palliat Med 11:438-43. 2008....
Pain management in hospitalized cancer patients: a systematic reviewGabrielle R Goldberg
Division of Hematology and Medical Oncology, Samuel Bronfman Department of Medicine, Mount Sinai School of Medicine, New York 10029, USA
J Clin Oncol 25:1792-801. 2007..To assist cancer centers in improving pain management, we conducted a systematic review of institutional interventions designed to improve the assessment and treatment of pain in hospitalized cancer patients...
Physicians' perceptions of procedural pain and discomfortSeth Resnick
Hertzberg Palliative Care Institute of the Brookdale Department of Geriatrics, Mount Sinai School of Medicine, New York, New York 10029, USA
J Palliat Med 7:646-51. 2004....
The intersection between geriatrics and palliative care: a call for a new research agendaNathan E Goldstein
Brookdale Department of Geriatrics and Adult Development, The Mount Sinai Medical Center, New York, New York 10029, USA
J Am Geriatr Soc 53:1593-8. 2005..This article discusses specific methods to improve the current situation within each of these seven areas...
Health care system factors affecting end-of-life careR Sean Morrison
Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, NY 10029, and The Bronx NY Harbor Veterans Affairs Geriatric Research, Education, and Clinical Center, Bronx, New York, USA
J Palliat Med 8:S79-87. 2005....
The growth of palliative care programs in United States hospitalsR Sean Morrison
Hertzberg Palliative Care Institute of the Brookdale Department of Geriatrics and Center to Advance Palliative Care, Mount Sinai School of Medicine New York, New York 10029, USA
J Palliat Med 8:1127-34. 2005..Palliative care programs are becoming increasingly common in U.S. hospitals...
The effect of a social work intervention to enhance advance care planning documentation in the nursing homeR Sean Morrison
Hertzberg Palliative Care Institute, Brookdale Department of Geriatrics, Mount Sinai School of Medicine, New York, New York 10029, USA
J Am Geriatr Soc 53:290-4. 2005..To assess the effect of a multicomponent advance care planning intervention directed at nursing home social workers on identification and documentation of preferences for medical treatments and on patient outcomes...
Update in hospice and palliative care 2003Daniel Fischberg
Hertzberg Palliative Care Institute, Brookdale Department of Geriatrics, Mount Sinai School of Medicine, New York, New York, USA
J Palliat Med 7:574-8. 2004
The palliative care model for emergency department patients with advanced illnessCorita R Grudzen
Department of Emergency Medicine, Mount Sinai School of Medicine, New York, New York 10029, USA
J Palliat Med 14:945-50. 2011..g., intravenous fluids or pain medications) as well as immediate access to advanced diagnostic tests (e.g. computed tomography or magnetic resonance imaging)...
High rates of advance care planning in New York City's elderly populationR Sean Morrison
Hertzberg Palliative Care Institute, Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, NY, USA
Arch Intern Med 164:2421-6. 2004..Previous studies have demonstrated low rates of advance care planning (ACP), particularly among nonwhite populations, raising questions about the generalizability of this decision-making process...
An update: NIH research funding for palliative medicine 2006 to 2010Laura P Gelfman
National Palliative Care Research Center and Hertzberg Palliative Care Institute of Brookdale Department of Geriatrics, Mount Sinai School of Medicine, New York, New York 10029, USA
J Palliat Med 16:125-9. 2013..Palliative care clinical and educational programs are expanding to meet the needs of seriously ill patients and their families. Multiple reports call for an enhanced palliative care evidence base...
Medication utilization in an urban homebound populationIan M Kronish
Division of General Internal Medicine, Mount Sinai School of Medicine, New York, New York, USA
J Gerontol A Biol Sci Med Sci 61:411-5. 2006..We sought to characterize the health status and medication utilization of an urban cohort of homebound adults and to identify factors associated with medication use in this population...
Research funding for palliative medicineLaura P Gelfman
Hertzberg Palliative Care Institute of the Brookdale Department of Geriatrics, Mount Sinai School of Medicine, New York, New York 10029, USA
J Palliat Med 11:36-43. 2008..Medical care for seriously ill patients has been acknowledged to be inadequate and multiple reports have called for increased investment in palliative medicine research...
Comparison of the mental health of female adult film performers and other young women in CaliforniaCorita R Grudzen
Department of Emergency Medicine, Mount Sinai School of Medicine, 1 Gustave Levy Pl, Box 1620, New York, NY 10029, USA
Psychiatr Serv 62:639-45. 2011..This study compared self-reported mental health status and current depression of female adult film performers and other young women...
Pain and ethnicity in the United States: A systematic reviewAlexie Cintron
Hertzberg Palliative Care Institute of the Brookdale, Department of Geriatrics, Mount Sinai School of Medicine, New York, New York 10029, USA
J Palliat Med 9:1454-73. 2006..Further research is needed to examine pain treatment outcomes and to determine whether health care system factors lead to these disparities...
Treatment of pain in older patientsNathan E Goldstein
Hertzberg Palliative Care Institute of the Brookdale Department of Geriatrics and Adult Development, The Mount Sinai Medical Center, Box 1070, One Gustave L Levy Place, New York, NY 10029, USA
Crit Rev Oncol Hematol 54:157-64. 2005..This article explores the basic concepts of pain control with a focus on older patients with cancer and highlights issues clinicians should consider when treating these individuals...
Challenges for palliative care researchJoan D Penrod
Program of Research on Serious Physical and Mental Illness, Geriatric Research, Education, and Clinical Center, Bronx VA Medical Center, Bronx, New York, New York, USA
J Palliat Med 7:398-402. 2004
Integrating case management and palliative careDiane E Meier
Hertzberg Palliative Care Institute Department of Geriatrics and Adult Development, and Mount Sinai School of Medicine, New York, New York 10029, USA
J Palliat Med 7:119-34. 2004..Blue Cross Blue Shield of South Carolina has also chosen to sustain this enhanced model of care management for seriously ill patients...
Characteristics of patients requesting and receiving physician-assisted deathDiane E Meier
Hertzberg Palliative Care Institute, Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, NY 10029, USA
Arch Intern Med 163:1537-42. 2003..2; 95% confidence interval, 0.1-0.5). CONCLUSION: Persons requesting and receiving assistance in dying are seriously ill with little time to live and a high burden of physical suffering...
Development of a mobile ultrasound-guided peripheral nerve block and catheter serviceChristina L Jeng
Department of Anesthesiology, Mount Sinai School of Medicine, Box 1010, 1 Gustave L Levy Pl, New York, NY 10029, USA
J Ultrasound Med 30:1139-44. 2011....
Cognitive impairment in hip fracture patients: timing of detection and longitudinal follow-upAnn L Gruber-Baldini
Division of Gerontology, Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA
J Am Geriatr Soc 51:1227-36. 2003..To examine the prevalence, incidence, persistence, predictors, and outcomes of cognitive impairment after hip fracture...
Palliative care and pain managementLaura J Morrison
Department of Medicine, Section of Geriatrics, Baylor College of Medicine, 1709 Dryden, Suite 850, Houston, TX 77030, USA
Med Clin North Am 90:983-1004. 2006....
Patient relocation in the 6 months after hip fracture: risk factors for fragmented careKenneth S Boockvar
Geriatric Research, Education, and Clinical Center, Bronx Veterans Affairs Medical Center, 130 W Kingsbridge Road, Bronx, NY 10468, USA
J Am Geriatr Soc 52:1826-31. 2004..To describe the incidence and patterns of patient relocation after hip fracture, identify factors associated with relocation, and examine effect of relocation on outcomes...
