Research Topics
Species | A F ShorrSummaryAffiliation: Southern Iron Disorders Center Country: USA Publications
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Publications
Anidulafungin compared with fluconazole in severely ill patients with candidemia and other forms of invasive candidiasis: support for the 2009 IDSA treatment guidelines for candidiasisDaniel H Kett
The Miller School of Medicine at the University of Miami, Jackson Memorial Hospital, 1611 NW 12th Avenue, Miami, FL 33136, USA
Crit Care 15:R253. 2011..To validate these guidelines, clinical trial data were reviewed...
Validation of a clinical score for assessing the risk of resistant pathogens in patients with pneumonia presenting to the emergency departmentAndrew F Shorr
Department of Medicine, Pulmonary and Critical Care Medicine Division, Washington Hospital Center, Washington, District of Columbia 20010, USA
Clin Infect Dis 54:193-8. 2012..We sought to validate a previously developed score for determining the risk for an RO and to compare it with the HCAP definition...
Anemia, transfusions and hospital outcomes among critically ill patients on prolonged acute mechanical ventilation: a retrospective cohort studyMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, North Pleasant Street, Amherst, Massachusetts 01003, USA
Crit Care 12:R60. 2008..We hypothesized that transfusions among patients receiving PAMV are common and associated with worsened clinical and economic outcomes...
Cost-effectiveness of micafungin as an alternative to fluconazole empiric treatment of suspected ICU-acquired candidemia among patients with sepsis: a model simulationMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Arnold House, Amherst, MA 01003, USA
Crit Care 13:R94. 2009..400 mg daily fluconazole (FLU) for suspected intensive care unit-acquired candidemia (ICU-AC) among septic patients...
Red blood cell transfusions and the risk of acute respiratory distress syndrome among the critically ill: a cohort studyMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, P, O, Box 303, Goshen, MA 01032, USA
Crit Care 11:R63. 2007..Uncertainty remains regarding the strength of this relationship...
Hyponatremia and hospital outcomes among patients with pneumonia: a retrospective cohort studyMarya D Zilberberg
Evi Med Research Group, LLC, Goshen, Massachusetts, USA
BMC Pulm Med 8:16. 2008..Hyponatremia, occurring in >1/4 of patients with CAP, is associated with greater disease severity and worsened outcomes...
Imipenem resistance of Pseudomonas in pneumonia: a systematic literature reviewMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA
BMC Pulm Med 10:45. 2010..NPs in particular are likely to be caused by Pseudomonas aeruginosa (PA), ~20% of which in observational studies are resistant to imipenem. We sought to identify the burden of PA imipenem resistance in pneumonia...
Inappropriate empiric antifungal therapy for candidemia in the ICU and hospital resource utilization: a retrospective cohort studyMarya D Zilberberg
EviMed Research Group, LLC, PO Box 303, Goshen, MA 01032, USA
BMC Infect Dis 10:150. 2010..Inappropriate antifungal therapy (IAT) is known to increase a patient's risk for death. We hypothesized that in an ICU cohort it would also adversely affect resource utilization...
Effect of a restrictive transfusion strategy on transfusion-attributable severe acute complications and costs in the US ICUs: a model simulationMarya D Zilberberg
University of Massachusetts, 715 North Pleasant Street, Amherst, MA 01003, USA
BMC Health Serv Res 7:138. 2007..We estimated the potential annual reduction in transfusion-attributable severe acute complications (TSACs) and costs across the US ICUs with the adoption of restrictive strategy...
Prolonged acute mechanical ventilation and hospital bed utilization in 2020 in the United States: implications for budgets, plant and personnel planningMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA
BMC Health Serv Res 8:242. 2008..Their numbers are projected to double by year 2020. To aid in planning for this growth, we projected their annualized days and costs of hospital use and SNF discharges in year 2020 in the US...
Pulmonary hypertension in patients with pulmonary fibrosis awaiting lung transplantA F Shorr
Pulmonary and Critical Care Medicine Section, Washington Hospital Center, Washington DC 20010, USA
Eur Respir J 30:715-21. 2007..Given the prevalence of pulmonary hypertension and its relationship with surrogate markers for quality of life (e.g. activities of daily living), future trials of therapies for this may be warranted...
Low-molecular weight heparin for deep vein thrombosis prophylaxis in hospitalized medical patients: results from a cost-effectiveness analysisAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Washington Hospital Center, 110 Irving Street NW, Washington, DC 20010, USA
Blood Coagul Fibrinolysis 18:309-16. 2007..We conclude that, despite their higher cost, LMWHs for thromboprophylaxis in medical patients result in savings...
A multicenter, randomized, double-blind, retrospective comparison of 5- and 10-day regimens of levofloxacin in a subgroup of patients aged > or =65 years with community-acquired pneumoniaAndrew F Shorr
Pulmonary, Critical Care, and Sleep Medicine Service, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
Clin Ther 27:1251-9. 2005....
Inappropriate therapy for methicillin-resistant Staphylococcus aureus: resource utilization and cost implicationsAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Washington Hospital Center and Georgetown University, Washington, DC, USA
Crit Care Med 36:2335-40. 2008..Initially inappropriate antibiotic therapy for methicillin-resistant S. aureus increases the risk for mortality. The impact of initially inappropriate antibiotic therapy on hospital length of stay and costs remains unknown...
Transfusion practice and nosocomial infection: assessing the evidenceAndrew F Shorr
Pulmonary and Critical Care Medicine Section, Washington Hospital Center, Washington, DC 20010, USA
Curr Opin Crit Care 11:468-72. 2005..To evaluate recent literature describing the potential relation between transfusion practice in the intensive care unit and the subsequent risk for nosocomial infection...
Fluconazole prophylaxis in critically ill surgical patients: a meta-analysisAndrew F Shorr
Washington Hospital Center, Medstar, Potomac, MD, USA
Crit Care Med 33:1928-35; quiz 1936. 2005..To evaluate the impact of fluconazole prophylaxis on the incidence of fungal infections and on mortality among critically ill surgical patients...
Transfusion practice and blood stream infections in critically ill patientsAndrew F Shorr
Pulmonary, Critical Care, and Sleep Medicine Service, Department of Surgery, Walter Reed Army Medical Center, Washington, DC 20307, USA
Chest 127:1722-8. 2005..To examine the relationship between packed RBC (pRBC) transfusion and the development of ICU-acquired bloodstream infections (BSIs)..
Pulmonary hypertension in advanced sarcoidosis: epidemiology and clinical characteristicsA F Shorr
The Pulomonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC, USA
Eur Respir J 25:783-8. 2005..Since pulmonary hypertension is associated with poor outcomes and because simple clinical criteria fail to identify patients with sarcoidosis and pulmonary hypertension, more aggressive screening for this should be considered...
Preventing pneumonia: the role for pneumococcal and influenza vaccinesAndrew F Shorr
Pulmonary and Critical Care Medicine, Walter Reed Army Medical Center, 6900 Georgia Avenue, NW, Washington, DC 20307, USA
Clin Chest Med 26:123-34. 2005..The pneumococcal and influenza vaccines are considered cost-effective options for pneumonia prevention...
Do clinical features allow for accurate prediction of fungal pathogenesis in bloodstream infections? Potential implications of the increasing prevalence of non-albicans candidemiaAndrew F Shorr
Pulmonary and Critical Care Medicine, Washington Hospital Center, Washington, DC, USA
Crit Care Med 35:1077-83. 2007..To describe the evolving epidemiology of fungal bloodstream infections in critically ill and noncritically ill patients and to identify predictors of infection with non-albicans yeast species...
Venous thromboembolism after orthopedic surgery: implications of the choice for prophylaxisAndrew F Shorr
Pulmonary and Critical Care Medicine Section, Washington Hospital Center, Washington, DC 20010, USA
Thromb Res 121:17-24. 2007..We retrospectively analyzed a large hospital discharge database to assess the occurrence of clinically detected VTE as a function of the injectable antithrombotic agent used for VTE prophylaxis in orthopedic surgery...
Minimizing costs for treating deep vein thrombosis: the role for fondaparinuxAndrew F Shorr
Pulmonary and Critical Care Medicine, Washington Hospital Center, 110 Irving St, NW, Washington, DC 20010, USA
J Thromb Thrombolysis 23:229-36. 2007....
The pharmacoeconomics of deep vein thrombosis treatmentAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Washington Hospital Center, Washington, DC 20010, USA
Am J Med 120:S35-41. 2007..A recent cost-effective analysis demonstrated that fondaparinux use offers an attractive economic alternative to other agents for initial DVT therapy that could yield cost savings without compromising clinical outcomes or patient safety...
Comparison of cost, effectiveness, and safety of injectable anticoagulants used for thromboprophylaxis after orthopedic surgeryAndrew F Shorr
Pulmonary and Critical Care, Washington Hospital Center, Washington, DC 20010, USA
Am J Health Syst Pharm 64:2349-55. 2007..The cost, effectiveness, and safety of injectable anticoagulants used for thromboprophylaxis after orthopedic surgery were compared...
Impact of antibiotic guideline compliance on duration of mechanical ventilation in critically ill patients with community-acquired pneumoniaAndrew F Shorr
Pulmonary and Critical Care Section, Department of Medicine, Room 2A 38D, Washington Hospital Center, Washington, DC 20010, USA
Chest 130:93-100. 2006..Our goal was to assess the impact of following these guidelines, such as those from the Infectious Disease Society of America (IDSA), on the duration of mechanical ventilation (MV)...
Morbidity and cost burden of methicillin-resistant Staphylococcus aureus in early onset ventilator-associated pneumoniaAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Washington Hospital Center, Washington, District of Columbia, USA
Crit Care 10:R97. 2006....
Protein C concentrations in severe sepsis: an early directional change in plasma levels predicts outcomeAndrew F Shorr
Department of Medicine, Section of Pulmonary and Critical Care Medicine, Washington Hospital Center, Washington, DC, USA
Crit Care 10:R92. 2006..The objective of this study was to determine whether early directional changes in protein C levels correlate with outcome...
Economic implications of an evidence-based sepsis protocol: can we improve outcomes and lower costs?Andrew F Shorr
Pulmonary and Critical Care Medicine Section, Washington Hospital Center, USA
Crit Care Med 35:1257-62. 2007..To determine the financial impact of a sepsis protocol designed for use in the emergency department...
Anemia in chronic obstructive pulmonary disease: epidemiology and economic implicationsAndrew F Shorr
Washington Hospital Center, Washington, DC 20010, USA
Curr Med Res Opin 24:1123-30. 2008..Because no data studies have been performed either in a single center or a subpopulation of COPD patients, anemia's influence on the outcomes is not fully understood...
Protein C: a potential biomarker in severe sepsis and a possible tool for monitoring treatment with drotrecogin alfa (activated)Andrew F Shorr
Department of Medicine, Section of Pulmonary and Critical Care Medicine, Washington Hospital Center, Irving Street, Washington, District of Columbia 20010, USA
Crit Care 12:R45. 2008..The goal of this study was to identify a dependable, sensitive measure with which to monitor disease progression and response in patients during DrotAA treatment...
Levofloxacin 750-mg for 5 days for the treatment of hospitalized Fine Risk Class III/IV community-acquired pneumonia patientsAndrew F Shorr
Department of Medicine, Pulmonary and Critical Care Medicine, Room 2A 38D, Washington Hospital Center, 110 Irving St NW, Washington, DC 20010, USA
Respir Med 100:2129-36. 2006..This subgroup analysis attempted to compare the safety and efficacy of a short-course levofloxacin regimen with traditional levofloxacin dosing for PSI Class III/IV patients...
Levofloxacin for treatment of ventilator-associated pneumonia: a subgroup analysis from a randomized trialAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC 20307, USA
Clin Infect Dis 40:S123-9. 2005..imipenem-cilastatin) was not predictive of outcomes, thus suggesting that the treatment regimens were equivalent. Both levofloxacin and imipenem-cilastatin regimens were well tolerated and had similar adverse event profiles...
Outcomes with micafungin in patients with candidaemia or invasive candidiasis due to Candida glabrata and Candida kruseiAndrew F Shorr
Pulmonary and Critical Care, Washington Hospital Center, 110 Irving St NW, Washington, DC 20010, USA
J Antimicrob Chemother 66:375-80. 2011..Infection with Candida glabrata and Candida krusei represents a major challenge. We sought to describe outcomes for patients with candidaemia/invasive candidiasis (C/IC) due to these pathogens who were treated with micafungin...
An update on cost-effectiveness analysis in critical careAndrew F Shorr
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307, USA
Curr Opin Crit Care 8:337-43. 2002..With a framework for evaluating these studies, clinicians can better apply their findings to their own institutions...
Randomized trial evaluating serial protein C levels in severe sepsis patients treated with variable doses of drotrecogin alfa (activated)Andrew F Shorr
Washington Hospital Center, 110 Irving Street NW, Washington DC 20010, USA
Crit Care 14:R229. 2010..The purpose of this study was to evaluate the dose and duration of drotrecogin alfa (activated) treatment using serial measurements of protein C compared to standard therapy in patients with severe sepsis...
Diagnostics and epidemiology in ventilator-associated pneumoniaAndrew F Shorr
Pulmonary and Critical Care Medicine, Room 2A 68D, Washington Hospital Center, 110 Irving Street NW, Washington, DC 20010, USA
Ther Adv Respir Dis 5:121-30. 2011..Second, select cohorts of patients are at high risk for VAP, and patient case-mix clearly influences the epidemiology of VAP. Third, rates of VAP appear higher outside the US, irrespective of the diagnostic paradigm utilized...
D-dimer correlates with proinflammatory cytokine levels and outcomes in critically ill patientsAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC, USA
Chest 121:1262-8. 2002..To determine the relationship between d-dimer (DD) and both proinflammatory and anti-inflammatory cytokine levels, and to confirm the association between DD status and outcomes in critically ill patients...
Endobronchial involvement and airway hyperreactivity in patients with sarcoidosisA F Shorr
Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC 20307, USA
Chest 120:881-6. 2001..To determine the relationship between airway hyperreactivity (AHR) and endobronchial involvement in patients with sarcoidosis...
Endobronchial biopsy for sarcoidosis: a prospective studyA F Shorr
Pulmonary and Critical Care Medicine Service, Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307, USA
Chest 120:109-14. 2001..To determine the yield of endobronchial biopsy (EBB) for suspected sarcoidosis, and to evaluate if EBB increases the diagnostic value of fiberoptic bronchoscopy (FOB) when added to transbronchial biopsy (TBB)...
Continuous subglottic suctioning for the prevention of ventilator-associated pneumonia : potential economic implicationsA F Shorr
Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC 20307, USA
Chest 119:228-35. 2001..To determine the cost-effectiveness of continuous subglottic suctioning (CSS) as a strategy to decrease the incidence of ventilator-associated pneumonia (VAP)...
Circulating D dimer in patients with sarcoidosisA F Shorr
Pulmonary and Critical Care Medicine Service, Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307, USA
Chest 117:1012-6. 2000..To determine the relationship between D dimer (DD) status and markers of disease activity in patients with sarcoidosis...
New choices for central venous catheters: potential financial implicationsAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Department of Medicine, Walter Reed Army Medical Center, Washington, DC, USA
Chest 124:275-84. 2003..To determine the cost-effectiveness of the newer antiseptic and antibiotic-impregnated central venous catheters (CVCs) relative to uncoated CVCs and to each other...
Predicting mortality in patients with sarcoidosis awaiting lung transplantationAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, 6900 Georgia Avenue NW, Washington, DC 20307, USA
Chest 124:922-8. 2003..To identify factors associated with mortality in patients with sarcoidosis listed for lung transplantation, and to create a model for predicting intermediate-term mortality in these individuals...
Ventilator-associated pneumonia: the clinical pulmonary infection score as a surrogate for diagnostics and outcomeMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, DC, USA
Clin Infect Dis 51:S131-5. 2010..At present, the CPIS has a limited role both clinically and as a research tool...
Quinolones for treatment of nosocomial pneumonia: a meta-analysisAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC 20307, USA
Clin Infect Dis 40:S115-22. 2005..12 (95% confidence interval, 0.80-1.55). Neither microbiological eradication rates nor mortality rates varied on the basis of antimicrobial selection...
Prediction of infection due to antibiotic-resistant bacteria by select risk factors for health care-associated pneumoniaAndrew F Shorr
Pulmonary and Critical Care Section, Room 2A 38D, Washington Hospital Center, 110 Irving St NW, Washington, DC 20010, USA
Arch Intern Med 168:2205-10. 2008..The concept of health care-associated pneumonia (HCAP) attempts to capture this, but its predictive value is unclear...
Acute eosinophilic pneumonia among US Military personnel deployed in or near IraqAndrew F Shorr
Pulmonary, Critical Care, and Sleep Medicine Service, Walter Reed Army Medical Center, Washington, DC 20307, USA
JAMA 292:2997-3005. 2004..Acute eosinophilic pneumonia (AEP) is a rare disease of unknown etiology characterized by respiratory failure, radiographic infiltrates, and eosinophilic infiltration of the lung...
Venous thromboembolism in critically ill patients. Observations from a randomized trial in sepsisAndrew F Shorr
Pulmonary and Critical Care Department, Room 2A 38D, Washington Hospital Center, 110 Irving St, NW, Washington, DC 20010, USA
Thromb Haemost 101:139-44. 2009..Despite multiple guidelines, physicians do not uniformly prescribe VTE prophylaxis. Nonetheless, early VTE occurs even in persons given DAA. Most VTE in critically ill patients are clinically silent...
Guidelines and quality for community-acquired pneumonia: measures from the Joint Commission and the Centers for Medicare and Medicaid ServicesAndrew F Shorr
Department of Medicine, Washington Hospital Center, Washington, DC 20010, USA
Am J Health Syst Pharm 66:S2-7. 2009..The rationales for and recent updates on quality measures for the treatment of community-acquired pneumonia (CAP) are reviewed...
Quality pneumonia care: distinguishing community-acquired from health care-associated pneumoniaAndrew F Shorr
Washington Hospital Center, Washington, DC 20010, USA
Am J Health Syst Pharm 66:S8-14. 2009..Differences in the definition, demographics, risk factors, etiology, and treatment for health care-associated pneumonia (HCAP) versus community-acquired pneumonia (CAP) are discussed...
Sarcoidosis, race, and short-term outcomes following lung transplantationAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307, USA
Chest 125:990-6. 2004..Patients with sarcoidosis, many of whom are African American, may require lung transplantation (LT). Little is known about survival following LT for sarcoidosis...
Candidemia on presentation to the hospital: development and validation of a risk scoreAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Washington Hospital Center, Washington, DC 20010, USA
Crit Care 13:R156. 2009..Candidemia results in substantial morbidity and mortality, especially if initial antifungal therapy is delayed or is inappropriate; however, candidemia is difficult to diagnose because of its nonspecific presentation...
Pulmonary infiltrates in the non-HIV-infected immunocompromised patient: etiologies, diagnostic strategies, and outcomesAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC 20307, USA
Chest 125:260-71. 2004..With the results of invasive testing, these treatments are then narrowed. Frustratingly, outcomes for immunocompromised patients with infiltrates remain poor...
Depreotide scanning in sarcoidosis: a pilot studyAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, 6900 Georgia Avenue NW, Washington, DC 20307, USA
Chest 126:1337-43. 2004..To determine whether sarcoidosis results in uptake on (99m)Tc-labeled depreotide (DP) scintigraphy and to generate preliminary data to guide the development of future trials exploring this imaging modality in sarcoidosis patients...
Impact of stageĀ 3B chronic kidney disease on thrombosis and bleeding outcomes after orthopedic surgery in patients treated with desirudin or enoxaparin: insights from a randomized trialA F Shorr
Pulmonary and Critical Care Medicine, Washington Hospital Center, Washington, DC 20010, USA
J Thromb Haemost 10:1515-20. 2012....
D-dimer assay predicts mortality in critically ill patients without disseminated intravascular coagulation or venous thromboembolic diseaseA F Shorr
Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307, USA
Intensive Care Med 25:207-10. 1999..To determine if D-dimer predicts outcomes in critically ill patients...
Invasive approaches to the diagnosis of ventilator-associated pneumonia: a meta-analysisAndrew F Shorr
Walter Reed Army Medical Center, Washington, DC, USA
Crit Care Med 33:46-53. 2005..Invasive strategies do not alter mortality. Invasive approaches to ventilator-associated pneumonia affect antibiotic use and prescribing...
Practical utility of clinical prediction rules for suspected acute pulmonary embolism in a large academic institutionLisa K Moores
Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Building 2, WD 77, 6900 Georgia Avenue NW, Washington, DC 20307 5001, USA
Thromb Res 113:1-6. 2004..We sought to determine the utility of these algorithms in patients with suspected PE in a large, tertiary, academic medical center...
Linezolid for treatment of ventilator-associated pneumonia: a cost-effective alternative to vancomycinAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC, USA
Crit Care Med 32:137-43. 2004..CONCLUSIONS: Linezolid is a cost-effective alternative to vancomycin for the treatment of ventilator-associated pneumonia...
Evaluating the role for the optical density in the diagnosis of heparin-induced thrombocytopenia following cardiac surgeryC M Chan
Washington Hospital Center, Washington, DC 20010, USA
Thromb Haemost 106:934-8. 2011..A relatively modest elevation in the OD measurement, when it is already known to be greater than 0.4, does not reliably exclude the potential for a positive SRA in this setting...
The yield of lumbar puncture to exclude nosocomial meningitis as aetiology for mental status changes in the medical intensive care unitW L Jackson
Critical Care Medicine Service, Department of Surgery and the Pulmonary and Critical Care Medicine Service, Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307-5001, USA
Anaesth Intensive Care 34:21-4. 2006..These findings should not be generalized to patients who have sustained head trauma, have undergone neurosurgical procedures, or may be immunosuppressed...
Mechanical ventilation in hematopoietic stem cell transplantation: can We effectively predict outcomes?A F Shorr
Division of Pulmonary and Critical Care Medicine, Walter Reed Army Medical Center, Washington, DC 20307, USA
Chest 116:1012-8. 1999....
Antimicrobial therapy escalation and hospital mortality among patients with health-care-associated pneumonia: a single-center experienceMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA 01003 9304, USA
Chest 134:963-8. 2008..Initial inappropriate treatment has been shown to increase hospital mortality. It is not known whether escalation in response to culture results mitigates this risk...
Red blood cell transfusion and ventilator-associated pneumonia: A potential link?Andrew F Shorr
Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC, USA
Crit Care Med 32:666-74. 2004..To determine the relationship between packed red blood cell transfusion practice and the development of ventilator-associated pneumonia (VAP)...
Linezolid does not increase the risk of thrombocytopenia in patients with nosocomial pneumonia: comparative analysis of linezolid and vancomycin useStanley A Nasraway
Division of Surgical Critical Care, Department of Surgery, Tufts New England Medical Center, Tufts University School of Medicine, Boston, MA 02111, USA
Clin Infect Dis 37:1609-16. 2003..Clinically significant thrombocytopenia was uncommon in our analysis, and linezolid was not associated with a greater risk of thrombocytopenia in seriously ill patients than was vancomycin...
Epidemiology of healthcare-associated pneumonia (HCAP)Marya D Zilberberg
Department of Health Policy and Management, School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts 01032, USA
Semin Respir Crit Care Med 30:10-5. 2009..More precise instruments are needed to heighten clinicians' index of suspicion for treating probable resistant pathogens with appropriate empirical antibiotic choices...
Healthcare-associated bloodstream infection: A distinct entity? Insights from a large U.S. databaseAndrew F Shorr
Washington Hospital Center, Washington, DC, USA
Crit Care Med 34:2588-95. 2006..To gain a better understanding of the epidemiology, microbiology, and outcomes of early-onset, culture-positive, community-acquired, healthcare-associated, and hospital-acquired bloodstream infections...
Methicillin-resistant Staphylococcus aureus prolongs intensive care unit stay in ventilator-associated pneumonia, despite initially appropriate antibiotic therapyAndrew F Shorr
Pulmonary and Critical Care Medicine, Washington Hospital Center, Washington, DC, USA
Crit Care Med 34:700-6. 2006..Confronting the adverse impact of MRSA will require efforts that address more than the initial antibiotic prescription...
Association between a silver-coated endotracheal tube and reduced mortality in patients with ventilator-associated pneumoniaBekele Afessa
Division of Pulmonary and Critical Care Medicine, Mayo Clinic, 200 1st St SW, Rochester, MN 55905 0001, USA
Chest 137:1015-21. 2010..A silver-coated endotracheal tube (ETT) reduced the incidence of ventilator-associated pneumonia (VAP) compared with an uncoated ETT in the North American Silver-Coated Endotracheal Tube (NASCENT) study...
Resistant pathogens in nonnosocomial pneumonia and respiratory failure: is it time to refine the definition of health-care-associated pneumonia?Matthew P Schreiber
Pulmonary and Critical Care Medicine, Washington Hospital Center, Washington, DC, USA
Chest 137:1283-8. 2010..The concept of health-care-associated pneumonia (HCAP) exists to identify patients infected with highly resistant pathogens. It is unclear how precise this concept is and how well it performs as a screening tool for resistance...
The validation and reproducibility of the pulmonary embolism severity indexC M Chan
Pulmonary and Critical Care Medicine, Washington Hospital Center, Washington, DC 20010, USA
J Thromb Haemost 8:1509-14. 2010..Rapid, accurate risk stratification is paramount in managing patients with acute pulmonary embolism (PE). The PE Severity Index (PESI) is a simple tool that risk stratifies patients with acute PE...
Enoxaparin for thromboprophylaxis after major trauma: potential cost implicationsA F Shorr
Pulmonary and Critical Care Medicine Service, Department of Medicine, Walter Reed Army Medical Center, Washington, DC, USA
Crit Care Med 29:1659-65. 2001..Further studies are warranted to confirm the efficacy of enoxaparin...
Outcomes for patients with sarcoidosis awaiting lung transplantationAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC 20307, USA
Chest 122:233-8. 2002..Nonetheless, patients with sarcoidosis are less likely to undergo OLT. Pulmonary hypertension is a major concern in patients with advanced sarcoidosis awaiting transplantation...
Prolonged acute mechanical ventilation: implications for hospital benchmarkingMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Goshen, MA 01032, USA
Chest 135:1157-62. 2009....
Acute kidney injury and cardiovascular outcomes in acute severe hypertensionLynda A Szczech
Department of Medicine, Division of Nephrology, Duke University Medical Center, Box 3646, Durham, NC 27710, USA
Circulation 121:2183-91. 2010....
Epidemiology and outcomes of clostridium difficile-associated disease among patients on prolonged acute mechanical ventilationMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Goshen, MA 01032, USA
Chest 136:752-8. 2009..We examined the rates and outcomes of CDAD among adult PAMV patients...
Acute respiratory distress syndrome after kidney transplantation: epidemiology, risk factors, and outcomesA F Shorr
Pulmonary and Critical Care Medicine Service, Department of Medicine, Walter Reed Army Medical Center Washington, DC, USA
Crit Care Med 31:1325-30. 2003..Patients who develop ARDS after kidney transplantation face significant mortality...
Ventilator-associated pneumonia: insights from recent clinical trialsAndrew F Shorr
Pulmonary and Critical Care Medicine Service, Department of Medicine, Walter Reed Army Medical Center, Washington, DC, USA
Chest 128:583S-591S. 2005..This review highlights selected areas of new clinical research on VAP treatment and prevention in order to place their significance in context...
Epidemiology and outcomes of hospitalizations with complicated skin and skin-structure infections: implications of healthcare-associated infection risk factorsMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts, USA
Infect Control Hosp Epidemiol 30:1203-10. 2009..Because prompt appropriate treatment is associated with better outcomes, we studied the epidemiology of healthcare-associated complicated skin and skin-structure infections (cSSSIs)...
Cost-effectiveness analysis of a silver-coated endotracheal tube to reduce the incidence of ventilator-associated pneumoniaAndrew F Shorr
Washington Hospital Center, DC 20010, USA
Infect Control Hosp Epidemiol 30:759-63. 2009..To conduct a cost-effectiveness analysis of the economic outcomes of ventilator-associated pneumonia (VAP) prevention associated with silver-coated endotracheal tubes versus uncoated endotracheal tubes...
Epidemiology of staphylococcal resistanceAndrew F Shorr
Pulmonary and Critical Care Medicine and Pulmonary Clinic, Washington Hospital Center, Washington, DC 20010, USA
Clin Infect Dis 45:S171-6. 2007..Improvements in the preparation and dissemination of antibiograms, along with adequate public reporting of MRSA trends, are needed to address the challenge of choosing appropriate initial antibiotic treatment for MRSA infections...
Review of studies of the impact on Gram-negative bacterial resistance on outcomes in the intensive care unitAndrew F Shorr
Department of Pulmonary and Critical Care Medicine, Washington Hospital Center, Washington DC, USA
Crit Care Med 37:1463-9. 2009..To review studies addressing mortality, length of stay (LOS), and cost of resistant Gram-negative bacterial infections in the intensive care unit (ICU)...
Epidemiology and economic impact of meticillin-resistant Staphylococcus aureus: review and analysis of the literatureAndrew F Shorr
Pulmonary and Critical Care Medicine, Washington Hospital Center, Washington, DC 20010, USA
Pharmacoeconomics 25:751-68. 2007..Current opinion favours rational prescribing to maximise therapeutic benefit and minimise the risk of further antibacterial resistance...
Linezolid versus vancomycin for Staphylococcus aureus bacteraemia: pooled analysis of randomized studiesAndrew F Shorr
Pulmonary, Critical Care and Respiratory Services, Washington Hospital Center, 110 Irving Street NW, Room 2A38 D, Washington, DC 20010, USA
J Antimicrob Chemother 56:923-9. 2005..To compare outcomes in patients with Staphylococcus aureus bacteraemia treated with linezolid with those of vancomycin-treated patients...
Postdischarge oral versus injectable anticoagulation following major orthopedic surgeryAndrew F Shorr
Pulmonary and Critical Care, Washington Hospital Center, Georgetown University, Washington, DC 34685, USA
Ann Pharmacother 42:1222-8. 2008..Multiple clinical studies have shown postdischarge anticoagulation to be beneficial following major orthopedic surgery (MOS); however, outpatient prophylaxis is not widely practiced...
Cost-minimization analysis of two algorithms for diagnosing acute pulmonary embolismChristopher W Humphreys
Pulmonary and Critical Care Medicine Service, Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307, USA
Thromb Res 113:275-82. 2004..We hypothesized that an algorithmic approach to diagnosis of pulmonary embolism based upon clinical risk stratification and D-dimer testing would be less costly than a standard approach...
Understanding cost-effectivenessM D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA
Clin Microbiol Infect 16:1707-12. 2010..This article provides a primer for understanding the methods and applications of cost-effectiveness and cost-utility analyses...
Transfusion practice in the ICU: when will we apply the evidence?Andrew F Shorr
Chest 127:702-5. 2005
Resistance in the intensive care unit: whose problem is it and how can intensivists help?Andrew F Shorr
Crit Care Med 35:299-301. 2007
Dollars and sense in the intensive care unit: the costs of ventilator-associated pneumoniaAndrew F Shorr
Crit Care Med 31:1582-3. 2003
Not everything that can be counted counts Lee E Morrow
Chest 133:336-7. 2008
The quick and the dead: the importance of rapid evaluation of infiltrates in the immunocompromised patientAndrew F Shorr
Chest 122:9-12. 2002
Making the wrong choice: Consequences for patients with infections due to methicillin-resistant Staphylococcus aureusAndrew F Shorr
Crit Care Med 34:2239-41. 2006
The protein C pathway: implications for the design of the RESPOND studyBurkhard Vangerow
Eli Lilly Critical Care Europe, Air Center, 1214 Vernier Geneva, Switzerland
Crit Care 11:S4. 2007....
Is the implementation of research findings in the critically ill hampered by the lack of universal definitions of illness?Shannon S Carson
Pulmonary and Critical Care Medicine, University of North Carolina, Chapel Hill, North Carolina 27599 7020, USA
Curr Opin Crit Care 9:308-15. 2003..More specific identifiers of critical illnesses using specific biochemical or genetic markers are being explored. This approach may also be useful for staging disease...
There is no "cap" on the importance of community-acquired pneumonia in the ICUAndrew F Shorr
Chest 133:590-2. 2008
Dynamic evolution of coagulopathy in the first day of severe sepsis: relationship with mortality and organ failureJean Francois Dhainaut
Department of Intensive Care, Cochin Hospital, AP HP, Cochin Institute, Cochin Port Royal Medical School, Paris V University, Paris, France
Crit Care Med 33:341-8. 2005..To determine whether changes in coagulation biomarkers during the first day of severe sepsis correlate with progression from single to multiple organ failure and subsequent death...
The value of pretest probability and modified clinical pulmonary infection score to diagnose ventilator-associated pneumoniaFrancois Lauzier
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
J Crit Care 23:50-7. 2008..The aim of the study was to assess the utility of pretest probability and modified clinical pulmonary infection score CPIS in the diagnosis of late-onset ventilator-associated pneumonia (VAP)...
Interferon gamma-1b as therapy for idiopathic pulmonary fibrosis. An intrapatient analysisSteven D Nathan
Inova Transplant Center, Inova Fairfax Hospital, Falls Church, VA 22042, USA
Respiration 71:77-82. 2004..We report our results using this medication in a cohort of patients with a wide range of severity of IPF...
Health care-associated pneumonia: identification and initial management in the EDFredrick M Abrahamian
David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA
Am J Emerg Med 26:1-11. 2008..The aim of this article is to create awareness of the entity known as HCAP and to provide knowledge of its identification and initial management in the emergency department...
Prevalence and outcomes of pulmonary arterial hypertension in advanced idiopathic pulmonary fibrosisChristopher J Lettieri
Walter Reed Army Medical Center, Department of Pulmonary and Critical Care, 6900 Georgia Avenue NW, Washington, DC 20307, USA
Chest 129:746-52. 2006..We sought to characterize the prevalence of PAH and its impact on survival in patients with advanced IPF...
