S S Carson

Summary

Affiliation: University of North Carolina
Country: USA

Publications

  1. ncbi request reprint The epidemiology and costs of chronic critical illness
    Shannon S Carson
    Division of Pulmonary and Critical Care Medicine, University of North Carolina, 420 Burnett Womack Building, CB 7020, Chapel Hill, NC 27599, USA
    Crit Care Clin 18:461-76. 2002
  2. ncbi request reprint A randomized trial of intermittent lorazepam versus propofol with daily interruption in mechanically ventilated patients
    Shannon S Carson
    Division of Pulmonary and Critical Care, Department of Medicine, University of North Carolina at Chapel Hill, 4134 Bioinformatics Building, Chapel Hill, NC 27599 7020, USA
    Crit Care Med 34:1326-32. 2006
  3. ncbi request reprint The changing epidemiology of mechanical ventilation: a population-based study
    Shannon S Carson
    Department of Medicine and the Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599 7020, USA
    J Intensive Care Med 21:173-82. 2006
  4. ncbi request reprint Outcomes of prolonged mechanical ventilation
    Shannon S Carson
    Division of Pulmonary and Critical Care, University of North Carolina, USA
    Curr Opin Crit Care 12:405-11. 2006
  5. ncbi request reprint Know your long-term care hospital
    Shannon S Carson
    Chest 131:2-5. 2007
  6. doi request reprint Research needs and strategies to establish best practices and cost effective models for chronic critical illness
    Shannon S Carson
    Division of Pulmonary and Critical Care Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599, USA
    Respir Care 57:1014-8, discussion 1019-20. 2012
  7. doi request reprint Definitions and epidemiology of the chronically critically ill
    Shannon S Carson
    Division of Pulmonary and Critical Care Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599, USA
    Respir Care 57:848-56; discussion 856-8. 2012
  8. pmc A multicenter mortality prediction model for patients receiving prolonged mechanical ventilation
    Shannon S Carson
    Division of Pulmonary and Critical Care Medicine, Cecil B Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC, USA
    Crit Care Med 40:1171-6. 2012
  9. pmc Differences in one-year health outcomes and resource utilization by definition of prolonged mechanical ventilation: a prospective cohort study
    Christopher E Cox
    Department of Medicine, Division of Pulmonary and Critical Care Medicine, Duke University, Durham, North Carolina 27710, USA
    Crit Care 11:R9. 2007
  10. pmc Development of a triage protocol for patients presenting with gastrointestinal hemorrhage: a prospective cohort study
    Aneesa M Das
    Sleep Institute of Augusta, 3685 Wheeler Road, Suite 101, Augusta, GA 30909, USA
    Crit Care 12:R57. 2008

Research Grants

  1. Outcomes of Prolonged Mechanical Ventilation
    Shannon Carson; Fiscal Year: 2006

Detail Information

Publications30

  1. ncbi request reprint The epidemiology and costs of chronic critical illness
    Shannon S Carson
    Division of Pulmonary and Critical Care Medicine, University of North Carolina, 420 Burnett Womack Building, CB 7020, Chapel Hill, NC 27599, USA
    Crit Care Clin 18:461-76. 2002
    ..Efforts should continue to learn how to identify patients at high risk for CCI and poor outcome so that expensive resources can be managed effectively, and patient-provider decision making can be better informed...
  2. ncbi request reprint A randomized trial of intermittent lorazepam versus propofol with daily interruption in mechanically ventilated patients
    Shannon S Carson
    Division of Pulmonary and Critical Care, Department of Medicine, University of North Carolina at Chapel Hill, 4134 Bioinformatics Building, Chapel Hill, NC 27599 7020, USA
    Crit Care Med 34:1326-32. 2006
    ..To compare duration of mechanical ventilation for patients randomized to receive lorazepam by intermittent bolus administration vs. continuous infusions of propofol using protocols that include scheduled daily interruption of sedation...
  3. ncbi request reprint The changing epidemiology of mechanical ventilation: a population-based study
    Shannon S Carson
    Department of Medicine and the Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599 7020, USA
    J Intensive Care Med 21:173-82. 2006
    ..4% to 34.4%, and discharges to nursing homes grew from 7.3% to 10.7%. The incidence of mechanical ventilation is increasing, and the increase is associated with a higher burden of comorbidities and fewer discharges to home...
  4. ncbi request reprint Outcomes of prolonged mechanical ventilation
    Shannon S Carson
    Division of Pulmonary and Critical Care, University of North Carolina, USA
    Curr Opin Crit Care 12:405-11. 2006
    ..Patients requiring prolonged mechanical ventilation consume a disproportionate amount of healthcare resources and clinician time. Measurement and knowledge of their outcomes will guide efforts to improve their care...
  5. ncbi request reprint Know your long-term care hospital
    Shannon S Carson
    Chest 131:2-5. 2007
  6. doi request reprint Research needs and strategies to establish best practices and cost effective models for chronic critical illness
    Shannon S Carson
    Division of Pulmonary and Critical Care Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599, USA
    Respir Care 57:1014-8, discussion 1019-20. 2012
    ..In addition to specific patient management interventions, further comparative effectiveness research on care settings is indicated, considering the expected growth in the patient population and the substantial resource needs...
  7. doi request reprint Definitions and epidemiology of the chronically critically ill
    Shannon S Carson
    Division of Pulmonary and Critical Care Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599, USA
    Respir Care 57:848-56; discussion 856-8. 2012
    ....
  8. pmc A multicenter mortality prediction model for patients receiving prolonged mechanical ventilation
    Shannon S Carson
    Division of Pulmonary and Critical Care Medicine, Cecil B Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC, USA
    Crit Care Med 40:1171-6. 2012
    ..We sought to refine a mortality prediction model for patients requiring prolonged ventilation using a multicentered study design...
  9. pmc Differences in one-year health outcomes and resource utilization by definition of prolonged mechanical ventilation: a prospective cohort study
    Christopher E Cox
    Department of Medicine, Division of Pulmonary and Critical Care Medicine, Duke University, Durham, North Carolina 27710, USA
    Crit Care 11:R9. 2007
    ..To better understand the implications of PMV provision, we compared one-year health outcomes between two common definitions of PMV as well as between PMV patients and those ventilated for shorter periods of time...
  10. pmc Development of a triage protocol for patients presenting with gastrointestinal hemorrhage: a prospective cohort study
    Aneesa M Das
    Sleep Institute of Augusta, 3685 Wheeler Road, Suite 101, Augusta, GA 30909, USA
    Crit Care 12:R57. 2008
    ..Many patients presenting with acute gastrointestinal hemorrhage (GIH) are admitted to the intensive care unit (ICU) for monitoring. A simple triage protocol based upon validated risk factors could decrease ICU utilization...
  11. ncbi request reprint 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...
  12. pmc A prognostic model for one-year mortality in patients requiring prolonged mechanical ventilation
    Shannon S Carson
    Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA
    Crit Care Med 36:2061-9. 2008
    ..Our objective was to develop and validate a prognostic model for 1-yr mortality in patients ventilated for 21 days or more...
  13. ncbi request reprint Predicting mortality in patients suffering from prolonged critical illness: an assessment of four severity-of-illness measures
    S S Carson
    Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of North Carolina, Chapel Hill, NC 27599, USA
    Chest 120:928-33. 2001
    ..However, little is known about the utility of these indexes for this patient population. We evaluated the ability of four severity-of-illness indexes to predict mortality rates in 182 patients with prolonged critical illness...
  14. doi request reprint The prevalence of clinically relevant incidental findings on chest computed tomographic angiograms ordered to diagnose pulmonary embolism
    William B Hall
    Division of Pulmonary and Critical Care Medicine, University of North Carolina at Chapel Hill, Campus Box 7020, 130 Mason Farm Rd, Chapel Hill, NC 27514
    Arch Intern Med 169:1961-5. 2009
    ..Our objective was to determine the prevalence and management implications of incidental findings on chest CTAs ordered to assess for PE...
  15. doi request reprint Outcomes research: methods and implications
    Shannon S Carson
    Pulmonary and Critical Care Medicine, University of North Carolina School of Medicine, Chapel Hill, NC 27599, USA
    Semin Respir Crit Care Med 31:3-12. 2010
    ..Resources should be made available to enhance the training of new investigators and provide sufficient expertise for the design and analysis of influential studies...
  16. pmc Development and validation of a printed information brochure for families of chronically critically ill patients
    Shannon S Carson
    Departments of Medicine, University of North Carolina, Chapel Hill, NC, USA
    Crit Care Med 40:73-8. 2012
    ....
  17. ncbi request reprint The epidemiology of critical illness in the elderly
    Shannon S Carson
    Division of Pulmonary and Critical Care Medicine, University of North Carolina, 4134 Bioinformatics Building, CB 7020, Chapel Hill, NC 27599, USA
    Crit Care Clin 19:605-17, v. 2003
    ..Elderly patients frequently receive less aggressive care in the ICU and probably consume a lower relative proportion of ICU resources than younger patients. However, this does not necessarily result in worse outcomes...
  18. ncbi request reprint Outcomes after long-term acute care. An analysis of 133 mechanically ventilated patients
    S S Carson
    Departments of Medicine, Robert Wood Johnson Clinical Scholars Program, University of Chicago, Chicago, Illinois, USA
    Am J Respir Crit Care Med 159:1568-73. 1999
    ..001). We demonstrate characteristics predicting the poorest prognoses for patients requiring prolonged mechanical ventilation. These characteristics may be identifiable before transfer to an LTAC hospital...
  19. ncbi request reprint Increase in tracheostomy for prolonged mechanical ventilation in North Carolina, 1993-2002
    Christopher E Cox
    Department of Medicine, Duke University Medical Center, University of North Carolina at Chapel Hill, Durham, NC, USA
    Crit Care Med 32:2219-26. 2004
    ..We aimed to describe trends in the annual incidence and timing of tracheostomy for prolonged mechanical ventilation, as well as prolonged mechanical ventilation patient resource utilization and overall in-hospital mortality...
  20. pmc Economic evaluation of propofol and lorazepam for critically ill patients undergoing mechanical ventilation
    Christopher E Cox
    Duke University, Chapel Hill, NC, USA
    Crit Care Med 36:706-14. 2008
    ..Therefore, we aimed to determine the cost-effectiveness of the most commonly used sedatives prescribed for mechanically ventilated critically ill patients...
  21. pmc Efficacy and safety of inhaled corticosteroids in patients with COPD: a systematic review and meta-analysis of health outcomes
    Gerald Gartlehner
    Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
    Ann Fam Med 4:253-62. 2006
    ..We wanted to review systematically the efficacy, effectiveness, and safety of inhaled corticosteroids with respect to health outcomes in patients with chronic obstructive pulmonary disease (COPD)...
  22. doi request reprint Randomized, controlled trials of interventions to improve communication in intensive care: a systematic review
    Leslie P Scheunemann
    Division of Geriatric Medicine, Center for Aging and Health, The Medical Intensive Care Unit, CB 7550, University of North Carolina Hospitals, and the Cecil B Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599 7550, USA
    Chest 139:543-54. 2011
    ..Recent research studies have tested interventions designed to improve communication quality and outcomes between providers and families of patients in the ICU. We conducted a systematic review of these studies...
  23. ncbi request reprint Utilization of bronchodilators in ventilated patients without obstructive airways disease
    Lydia H Chang
    Division of Pulmonary and Critical Care Medicine, University of South Carolina, 8 Medical Park, Suite 410, Columbia SC 29203, USA
    Respir Care 52:154-8. 2007
    ..To examine physician practice in, and the costs of, prescribing inhaled bronchodilators to mechanically ventilated patients who do not have obstructive lung disease...
  24. pmc Expectations and outcomes of prolonged mechanical ventilation
    Christopher E Cox
    Duke University, Durham, NC, USA
    Crit Care Med 37:2888-94; quiz 2904. 2009
    ..Prolonged mechanical ventilation provision is increasing markedly despite poor patient outcomes. Misunderstanding prognosis in the prolonged mechanical ventilation decision-making process could provide an explanation for this phenomenon...
  25. pmc Feasibility, efficacy, and safety of antipsychotics for intensive care unit delirium: the MIND randomized, placebo-controlled trial
    Timothy D Girard
    Department of Medicine, Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA
    Crit Care Med 38:428-37. 2010
    ..To demonstrate the feasibility of a placebo-controlled trial of antipsychotics for delirium in the intensive care unit and to test the hypothesis that antipsychotics would improve days alive without delirium or coma...
  26. pmc Chronic critical illness
    Judith E Nelson
    Department of Medicine, Hertzberg Palliative Care Institute, Mount Sinai School of Medicine, New York, New York 10029, USA
    Am J Respir Crit Care Med 182:446-54. 2010
    ....
  27. pmc An economic evaluation of prolonged mechanical ventilation
    Christopher E Cox
    Division of Pulmonary and Critical Care Medicine, Department of Medicine, Duke University, Durham, NC, USA
    Crit Care Med 35:1918-27. 2007
    ..Therefore, we aimed to determine the lifetime societal value of prolonged mechanical ventilation...
  28. ncbi request reprint Cost-effectiveness of ultrasound in preventing femoral venous catheter-associated pulmonary embolism
    Christopher E Cox
    Division of Pulmonary and Critical Care Medicine, Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA
    Am J Respir Crit Care Med 168:1481-7. 2003
    ..In summary, ultrasound screening may improve outcomes among the critically ill with femoral venous catheters at acceptable costs and could complement venous thrombosis primary prevention programs...
  29. ncbi request reprint Effectiveness of medical resident education in mechanical ventilation
    Christopher E Cox
    Department of Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA
    Am J Respir Crit Care Med 167:32-8. 2003
    ..Residency programs should emphasize evidence-based learning objectives to guide mechanical ventilation instruction...
  30. pmc Association between acute care and critical illness hospitalization and cognitive function in older adults
    William J Ehlenbach
    Department of Medicine, University of Washington, Seattle, USA
    JAMA 303:763-70. 2010
    ..Studies suggest that many survivors of critical illness experience long-term cognitive impairment but have not included premorbid measures of cognitive functioning and have not evaluated risk for dementia associated with critical illness...

Research Grants1

  1. Outcomes of Prolonged Mechanical Ventilation
    Shannon Carson; Fiscal Year: 2006
    ..In addition, these data will inform future cohort studies and randomized controlled trials designed to improve outcomes for this growing patient population. ..