Brendan G Carr

Summary

Affiliation: University of Pennsylvania
Country: USA

Publications

  1. ncbi request reprint A meta-analysis of prehospital care times for trauma
    Brendan G Carr
    Department of Surgery, The Trauma Center at Penn, Hospital of the University of Pennsylvania, Philadelphia 19104, USA
    Prehosp Emerg Care 10:198-206. 2006
  2. doi request reprint Inter-hospital variability in post-cardiac arrest mortality
    Brendan G Carr
    The Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania School of Medicine UPENN SOM, USA
    Resuscitation 80:30-4. 2009
  3. doi request reprint A national analysis of the relationship between hospital factors and post-cardiac arrest mortality
    Brendan G Carr
    The Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
    Intensive Care Med 35:505-11. 2009
  4. ncbi request reprint Emergency department length of stay: a major risk factor for pneumonia in intubated blunt trauma patients
    Brendan G Carr
    Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
    J Trauma 63:9-12. 2007
  5. ncbi request reprint Intensivist bedside ultrasound (INBU) for volume assessment in the intensive care unit: a pilot study
    Brendan G Carr
    Department of Emergency Medicine, and Division of Trauma and Surgical Critical Care, University of Pennsylvania School of MedicinePhiladelphia, Pennsylvania 19104 6021, USA
    J Trauma 63:495-500; discussion 500-2. 2007
  6. doi request reprint Outcomes related to the number and anatomic placement of gunshot wounds
    Brendan G Carr
    Department of Emergency Medicine, Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Trauma 64:197-202; discussion 202-3. 2008
  7. doi request reprint The time cost of prehospital intubation and intravenous access in trauma patients
    Brendan G Carr
    Robert Wood Johnson Clinical Scholars Program, Department of Emergency Medicine, University of Pennsylvania School of Medicine, and the Center for Outcomes Research at the Children s Hospital of Philadelphia, PA 19104 6021, USA
    Prehosp Emerg Care 12:327-32. 2008
  8. pmc Variability in case-mix adjusted in-hospital cardiac arrest rates
    Raina M Merchant
    Department of Emergency Medicine, The Children s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    Med Care 50:124-30. 2012
  9. doi request reprint Emergency department factors associated with survival after sudden cardiac arrest
    Nicholas J Johnson
    Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, United States
    Resuscitation 84:292-7. 2013
  10. pmc Safety in numbers: are major cities the safest places in the United States?
    Sage R Myers
    Division of Pediatric Emergency Medicine, Children s Hospital of Philadelphia, Philadelphia, PA Department of Pediatrics, University of Pennsylvania s Perelman School of Medicine, Philadelphia, PA Electronic address
    Ann Emerg Med 62:408-418.e3. 2013

Detail Information

Publications51

  1. ncbi request reprint A meta-analysis of prehospital care times for trauma
    Brendan G Carr
    Department of Surgery, The Trauma Center at Penn, Hospital of the University of Pennsylvania, Philadelphia 19104, USA
    Prehosp Emerg Care 10:198-206. 2006
    ..We sought to determine national averages for prehospital times based on a systematic review of published literature...
  2. doi request reprint Inter-hospital variability in post-cardiac arrest mortality
    Brendan G Carr
    The Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania School of Medicine UPENN SOM, USA
    Resuscitation 80:30-4. 2009
    ..We examined hospital-level variation in mortality of patients admitted to United States intensive care units (ICUs) with a diagnosis of cardiac arrest...
  3. doi request reprint A national analysis of the relationship between hospital factors and post-cardiac arrest mortality
    Brendan G Carr
    The Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
    Intensive Care Med 35:505-11. 2009
    ..We sought to generate national estimates for post-cardiac arrest mortality, to assess trends, and to identify hospital factors associated with survival...
  4. ncbi request reprint Emergency department length of stay: a major risk factor for pneumonia in intubated blunt trauma patients
    Brendan G Carr
    Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
    J Trauma 63:9-12. 2007
    ..Nationwide, hospital crowding has resulted in prolonged ED length of stay (LOS). We sought to study the association between prolonged ED LOS and rates of pneumonia...
  5. ncbi request reprint Intensivist bedside ultrasound (INBU) for volume assessment in the intensive care unit: a pilot study
    Brendan G Carr
    Department of Emergency Medicine, and Division of Trauma and Surgical Critical Care, University of Pennsylvania School of MedicinePhiladelphia, Pennsylvania 19104 6021, USA
    J Trauma 63:495-500; discussion 500-2. 2007
    ..The use of intensivist bedside ultrasound (INBU) to rapidly assess volume status in the surgical intensive care unit (SICU) was hypothesized to be feasible and as accurate as invasive measures...
  6. doi request reprint Outcomes related to the number and anatomic placement of gunshot wounds
    Brendan G Carr
    Department of Emergency Medicine, Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Trauma 64:197-202; discussion 202-3. 2008
    ..Firearm wounding patterns have changed, and patients more commonly present with multiple gunshot wounds (GSWs). We hypothesized that multiple GSW are associated with increased mortality risk and increased hospital length of stay (LOS)...
  7. doi request reprint The time cost of prehospital intubation and intravenous access in trauma patients
    Brendan G Carr
    Robert Wood Johnson Clinical Scholars Program, Department of Emergency Medicine, University of Pennsylvania School of Medicine, and the Center for Outcomes Research at the Children s Hospital of Philadelphia, PA 19104 6021, USA
    Prehosp Emerg Care 12:327-32. 2008
    ..We sought to estimate the contribution of procedures to on-scene duration focusing on intubation and establishment of intravenous (IV) access...
  8. pmc Variability in case-mix adjusted in-hospital cardiac arrest rates
    Raina M Merchant
    Department of Emergency Medicine, The Children s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    Med Care 50:124-30. 2012
    ..It is unknown how in-hospital cardiac arrest (IHCA) rates vary across hospitals and predictors of variability...
  9. doi request reprint Emergency department factors associated with survival after sudden cardiac arrest
    Nicholas J Johnson
    Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, United States
    Resuscitation 84:292-7. 2013
    ..However, little is known about the impact of emergency department (ED) and hospital characteristics on survival to hospital admission and ultimate outcome...
  10. pmc Safety in numbers: are major cities the safest places in the United States?
    Sage R Myers
    Division of Pediatric Emergency Medicine, Children s Hospital of Philadelphia, Philadelphia, PA Department of Pediatrics, University of Pennsylvania s Perelman School of Medicine, Philadelphia, PA Electronic address
    Ann Emerg Med 62:408-418.e3. 2013
    ..We begin to investigate this evidence gap by looking specifically at injury-related mortality risk, determining the risk of all injury death across the rural-urban continuum...
  11. doi request reprint Does the trauma system protect against the weekend effect?
    Brendan G Carr
    Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
    J Trauma 69:1042-7; discussion 1047-8. 2010
    ..We sought to determine whether the "weekend effect" exists for injured patients at our trauma center...
  12. doi request reprint Characteristics and outcomes of injured patients presenting by private vehicle in a state trauma system
    Nicholas J Johnson
    Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    Am J Emerg Med 31:275-81. 2013
    ..We sought to describe the characteristics and outcomes of injured patients transported by PV in a state trauma system compared to patients transported by EMS...
  13. doi request reprint Unintentional firearm death across the urban-rural landscape in the United States
    Brendan G Carr
    Department of Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Trauma Acute Care Surg 73:1006-10. 2012
    ..Many of these injuries are preventable, and unintentional firearm injuries, in particular, may be responsive to prevention efforts. We investigated the relationship between unintentional firearm death and urbanicity among adults...
  14. doi request reprint Weekend and night outcomes in a statewide trauma system
    Brendan G Carr
    Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
    Arch Surg 146:810-7. 2011
    ..To evaluate whether mortality and clinical outcomes vary for injured patients in a mature trauma system on weeknights and weekends compared with weekdays...
  15. doi request reprint Transfer status: a risk factor for mortality in patients with necrotizing fasciitis
    Daniel N Holena
    Department of Surgery, Division of Traumatology, Surgical Critical Care, and Emergency Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Surgery 150:363-70. 2011
    ..We hypothesized that mortality would be higher in patients undergoing surgical debridement for necrotizing fasciitis after IT compared to Emergency Department (ED) admission...
  16. doi request reprint Early goal-directed hemodynamic optimization combined with therapeutic hypothermia in comatose survivors of out-of-hospital cardiac arrest
    David F Gaieski
    Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
    Resuscitation 80:418-24. 2009
    ..Due to the similarities between the post-cardiac arrest state and severe sepsis, it has been postulated that early goal-directed hemodyamic optimization (EGDHO) combined with TH would improve outcome of comatose cardiac arrest survivors...
  17. ncbi request reprint Severity-adjusted mortality in trauma patients transported by police
    Roger A Band
    Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA Electronic address
    Ann Emerg Med 63:608-614.e3. 2014
    ..We examine the association between mode of out-of-hospital transport (police department versus emergency medical services [EMS]) and mortality among patients with penetrating trauma in Philadelphia...
  18. ncbi request reprint Access to care for patients with time-sensitive conditions in Pennsylvania
    Rama A Salhi
    Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
    Ann Emerg Med 63:572-9. 2014
    ..We seek to describe existing clinical management strategies for time-sensitive conditions in Pennsylvania hospitals...
  19. doi request reprint Simulating changes to emergency care resources to compare system effectiveness
    Charles C Branas
    Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, 423 Guardian Drive, Philadelphia, PA 19104, USA
    J Clin Epidemiol 66:S57-64. 2013
    ..To apply systems optimization methods to simulate and compare the most effective locations for emergency care resources as measured by access to care...
  20. doi request reprint Benchmarking the incidence and mortality of severe sepsis in the United States
    David F Gaieski
    Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, USA
    Crit Care Med 41:1167-74. 2013
    ..Subsequent epidemiologic estimates were collected using administrative data, but ongoing discrepancies in the definition of severe sepsis produced large differences in estimates...
  21. doi request reprint Volume-outcome relationship in neurotrauma care
    R Carter Clement
    Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    J Neurosurg 118:687-93. 2013
    ..The purpose of the present study was to investigate VORs and VCRs in the treatment of common intracranial injuries by testing the hypotheses that outcomes suffer at small-volume centers and costs rise at large-volume centers...
  22. doi request reprint Practical implementation of therapeutic hypothermia after cardiac arrest
    David F Gaieski
    Department of Emergency Medicine, Hospital of the University of Pennsylvania, Ground Ravdin, Philadelphia, PA19104, USA
    Hosp Pract (1995) 37:71-83. 2009
    ..However, clearly delineated instructions for how to induce, maintain, and conclude TH have not been published in a codified format...
  23. ncbi request reprint Directed bedside transthoracic echocardiography: preferred cardiac window for left ventricular ejection fraction estimation in critically ill patients
    Dustin G Mark
    Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
    Am J Emerg Med 25:894-900. 2007
    ..We sought to determine the preferred cardiac window for left ventricular ejection fraction (LVEF) estimation by EP sonographers in a critically ill patient population...
  24. ncbi request reprint Use of intensive care services and associated hospital mortality after Massachusetts healthcare reform*
    Sarah M Lyon
    1Division of Pulmonary, Allergy and Critical Care, Hospital of the University of Pennsylvania, Philadelphia, PA 2Department of Anesthesiology, Columbia University, New York, NY 3Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 4Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, Philadelphia, PA 5Division of Traumatology, Surgical Critical Care and Emergency Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 6Center for Policy Research, Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 7CRISMA Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA 8Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI 9Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI
    Crit Care Med 42:763-70. 2014
    ..To use the natural experiment of health insurance reform in Massachusetts to study the impact of increased insurance coverage on ICU utilization and mortality...
  25. pmc Incidence of treated cardiac arrest in hospitalized patients in the United States
    Raina M Merchant
    Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, USA
    Crit Care Med 39:2401-6. 2011
    ..The incidence and incidence over time of cardiac arrest in hospitalized patients is unknown. We sought to estimate the event rate and temporal trends of adult inhospital cardiac arrest treated with a resuscitation response...
  26. doi request reprint The use of home location to proxy injury location and implications for regionalized trauma system planning
    Sage R Myers
    Department of Pediatrics, Children s Hospital of Philadelphia, PA, USA
    J Trauma 71:1428-34. 2011
    ..We sought to determine the precision of this proxy by evaluating the relationship between the location of injury death and the location of residence...
  27. doi request reprint Who needs an orthopedic trauma surgeon? An analysis of US national injury patterns
    R Carter Clement
    From the Department of Orthopaedics R C C, University of North Carolina, Chapel Hill, North Carolina Departments of Emergency Medicine B G C, Surgery P M R, and Orthopaedic Surgery S M, Hospital of the University of Pennsylvania and Center for Clinical Epidemiology and Biostatistics B G C, M J K, and Leonard Davis Institute of Healthcare Economics B G C, University of Pennsylvania, Philadelphia, Pennsylvania
    J Trauma Acute Care Surg 75:687-92. 2013
    ..The purpose of this study was to determine the number of trauma patients nationally who would benefit from subspecialized care by an orthopedic traumatologist...
  28. pmc Cardiac catheterization is underutilized after in-hospital cardiac arrest
    Raina M Merchant
    The Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania, School of Medicine, Philadelphia, PA 19104, United States
    Resuscitation 79:398-403. 2008
    ..We sought to evaluate rates of early catheterization after in-hospital ventricular fibrillation (VF) arrest and the association with survival...
  29. doi request reprint Injury-adjusted mortality of patients transported by police following penetrating trauma
    Roger A Band
    Department of Emergency Medicine, Division of Trauma and Surgical Critical Care, University of Pennsylvania, Philadelphia, PA, USA
    Acad Emerg Med 18:32-7. 2011
    ..More than a decade ago, the city of Philadelphia began allowing police transport of penetrating trauma patients...
  30. pmc Disparities in evaluation at certified primary stroke centers: reasons for geographic and racial differences in stroke
    Michael T Mullen
    Department of Neurology, University of Pennsylvania, Philadelphia, PA 19104
    Stroke 44:1930-5. 2013
    ..We looked for differences in evaluation at Joint Commission certified PSCs by race, education, income, and geography (urban versus nonurban; Southeastern Stroke Belt versus non-Stroke Belt)...
  31. doi request reprint Geographic access to US Neurocritical Care Units registered with the Neurocritical Care Society
    Michael J Ward
    Department of Emergency Medicine, University of Cincinnati, 231 Albert Sabin Way, Room 1654H ML 0769, Cincinnati, OH 45267 0769, USA
    Neurocrit Care 16:232-40. 2012
    ..In addition, we examined how mode of transportation (ground or air ambulance), and prehospital transport times affected population access to NCUs...
  32. ncbi request reprint Time, distance, and access to emergency care in the United States
    Brendan G Carr
    Emergency Medicine and Epidemiology, University of Pennsylvania, USA
    LDI Issue Brief 14:1-4. 2009
    ..This Issue Brief describes the first national study of population access to emergency care, taking into account the locations of emergency departments (EDs), people, and transportation...
  33. ncbi request reprint Variation in pediatric and adolescent firearm mortality rates in rural and urban US counties
    Michael L Nance
    Children s Hospital of Philadelphia, Department of Surgery, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104 4227, USA
    Pediatrics 125:1112-8. 2010
    ..We examined whether firearm mortality rates among children varied across US counties along a rural-urban continuum...
  34. ncbi request reprint Initial clinical predictors of significant coronary lesions after resuscitation from cardiac arrest
    Mariana R Gonzalez
    1 Department of Emergency Medicine, Center for Resuscitation Science, University of Pennsylvania, Philadelphia, Pennsylvania
    Ther Hypothermia Temp Manag 2:73-7. 2012
    ..Normal initial troponin values and younger age did not exclude clinically relevant lesions postarrest. ..
  35. pmc Joint commission primary stroke centers utilize more rt-PA in the nationwide inpatient sample
    Michael T Mullen
    Department of Neurology, University of Pennsylvania, Philadelphia, PA 19104, USA
    J Am Heart Assoc 2:e000071. 2013
    ..It is unknown if PSCs outperform noncertified hospitals. We hypothesized that PSCs would use more recombinant tissue plasminogen activator (rt-PA) for ischemic stroke than would non-PSCs...
  36. doi request reprint Regionalized care for time-critical conditions: lessons learned from existing networks
    Brendan G Carr
    Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, USA
    Acad Emerg Med 17:1354-8. 2010
    ..A primary challenge remaining is for EM to help to integrate the existing and developing disease-based systems of care into a more comprehensive emergency care system...
  37. doi request reprint Access to pediatric trauma care in the United States
    Michael L Nance
    Department of Surgery, The Children s Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104, USA
    Arch Pediatr Adolesc Med 163:512-8. 2009
    ..To catalog trauma center resources and estimate access to age-specific trauma care for children younger than 15 years in the United States...
  38. doi request reprint Improving patient outcomes from acute cardiovascular events through regionalized systems of care
    J Matthew Edwards
    Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    Hosp Pract (1995) 38:54-62. 2010
    ..Evidence suggests that regionalized systems of care for acute cardiovascular events may increase compliance with existing life-saving guidelines and improve patient outcomes...
  39. doi request reprint Access to pediatric trauma care: alignment of providers and health systems
    Brendan G Carr
    Department of Emergency Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    Curr Opin Pediatr 22:326-31. 2010
    ..We seek to describe in this review the current state of pediatric trauma care and suggest next steps required to ensure the efficient delivery of pediatric trauma care...
  40. doi request reprint ACCESS: acute cerebrovascular care in emergency stroke systems
    Karen C Albright
    University of Pennsylvania, Philadelphia, PA 19104, USA
    Arch Neurol 67:1210-8. 2010
    ....
  41. doi request reprint Cervical spine injury in young children: a National Trauma Data Bank review
    Alison Polk-Williams
    Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    J Pediatr Surg 43:1718-21. 2008
    ..Blunt cervical spine injury (CSI) is rare in the pediatric population. The objective of this study was to better characterize the incidence and type of CSI in young children (age <3 years) using a large, trauma center-based data set...
  42. pmc Access to emergency care in the United States
    Brendan G Carr
    Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, USA
    Ann Emerg Med 54:261-9. 2009
    ..Rapid access to emergency services is essential for emergency care-sensitive conditions such as acute myocardial infarction, stroke, sepsis, and major trauma. We seek to determine US population access to an emergency department (ED)...
  43. doi request reprint Trends in boarding of admitted patients in US Emergency Departments 2003-2005
    Brendan G Carr
    Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
    J Emerg Med 39:506-11. 2010
    ..Boarding of admitted patients in the Emergency Department (ED) is common and is associated with poor patient outcomes...
  44. pmc A review of legislation restricting the intersection of firearms and alcohol in the U.S
    Brendan G Carr
    Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
    Public Health Rep 125:674-9. 2010
    ..In the United States, injury is a leading cause of alcohol-related death, and alcohol use is the leading risk factor for injury. We reviewed state and federal legislation regulating the intersection of alcohol and firearms...
  45. pmc Geographic access to high capability severe acute respiratory failure centers in the United States
    David J Wallace
    Clinical Research, Investigation and Systems Modeling of Acute Illness CRISMA Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States of America Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States of America
    PLoS ONE 9:e94057. 2014
    ..Optimal care of adults with severe acute respiratory failure requires specific resources and expertise. We sought to measure geographic access to these centers in the United States...
  46. pmc Use of hospital-based acute care among patients recently discharged from the hospital
    Anita A Vashi
    Robert Wood Johnson Foundation Clinical Scholars Program, Department of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut 06520, USA
    JAMA 309:364-71. 2013
    ..Emergency department (ED) visits are also a marker of hospital-based acute care following discharge but little is known about ED use during this period...
  47. doi request reprint Regionalization and emergency care: the institute of medicine reports and a federal government update
    Brendan G Carr
    Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Acad Emerg Med 17:1351-3. 2010
    ..This article summarizes the content of these presentations. It should be noted that this summary is the perspective of the authors and does not represent the official policy of the U.S. government...
  48. doi request reprint Salmonella meningitis in an immunocompetent adult
    Brendan G Carr
    Department of Emergency Medicine, The Robert Wood Johnson Clinical Scholars Program, Princeton, New Jersey, USA
    J Emerg Med 40:267-70. 2011
    ..This case highlights the need for an unbiased clinical assessment, aggressive management of critical illness, and point-for-point correspondence between clinical data and assigned diagnosis...
  49. ncbi request reprint Survey study estimating surge capacity in trauma centers in the United States
    Brendan G Carr
    J Trauma 62:1067; author reply 1067-8. 2007
  50. ncbi request reprint Emergency department categorization
    Brendan G Carr
    Acad Emerg Med 14:381-2. 2007
  51. ncbi request reprint Multidisciplinary critical care: right care, right now
    Brendan G Carr
    Crit Care Med 34:1579-80; author reply 1580. 2006