Research Topics
| M J FineSummaryAffiliation: University of Pittsburgh Country: USA Publications
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Publications
Processes and outcomes of care for patients with community-acquired pneumonia: results from the Pneumonia Patient Outcomes Research Team (PORT) cohort studyM J Fine
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, PA, USA
Arch Intern Med 159:970-80. 1999....- Comparison of a disease-specific and a generic severity of illness measure for patients with community-acquired pneumoniaM J Fine
Department of Medicine, University of Pittsburgh, Pennsylvania, USA
J Gen Intern Med 10:359-68. 1995..CONCLUSIONS: The PSI provided more accurate estimates of hospital mortality and classified different hospital outliers for mortality than did the generic severity of illness measure for patients with community-acquired pneumonia... 
Measuring symptomatic and functional recovery in patients with community-acquired pneumoniaJ P Metlay
Department of Medicine, Massachusetts General Hospital, Boston 02114, USA
J Gen Intern Med 12:423-30. 1997..Delayed resolution of symptoms is associated with increased utilization of outpatient physician visits...- Impact of penicillin susceptibility on medical outcomes for adult patients with bacteremic pneumococcal pneumoniaJ P Metlay
Veterans Affairs Medical Center and University of Pennsylvania School of Medicine, Philadelphia, PA, 19104, USA
Clin Infect Dis 30:520-8. 2000..Among adults with bacteremic pneumococcal pneumonia, infection with penicillin-nonsusceptible pneumococci is associated with an increased risk of adverse outcome... - Arterial blood gas and pulse oximetry in initial management of patients with community-acquired pneumoniaK P Levin
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
J Gen Intern Med 16:590-8. 2001..Increasing the assessment of arterial oxygenation among patients with CAP is likely to increase the detection of arterial hypoxemia, particularly among outpatients... - Relationship of provider characteristics to outcomes, process, and costs of care for community-acquired pneumoniaJ Whittle
Center for Research on Health Care, Graduate School of Public Health, University of Pittsburgh Medical Center, PA, USA
Med Care 36:977-87. 1998..The authors describe the relation of provider characteristics to processes, costs, and outcomes of medical care for elderly patients hospitalized for community-acquired pneumonia... - Hospitalized pneumonia. Outcomes, treatment patterns, and costs in urban and rural areasJ R Lave
Department of Health Services Administration, Pittsburgh, PA, USA
J Gen Intern Med 11:415-21. 1996..CONCLUSIONS: Patients with CAP are treated in hospitals located in counties similar to ones in which they reside. The cost of treatment was lower for rural patients than for urban patients, but outcomes were not different... - An evaluation of machine-learning methods for predicting pneumonia mortalityG F Cooper
Center for Biomedical Informatics, University of Pittsburgh, PA 15261, USA
Artif Intell Med 9:107-38. 1997..The models are distinguished more by the number of variables and parameters that they contain than by their error rates; these differences suggest which models may be the most amenable to future implementation as paper-based guidelines... - Changing physician prescribing behavior: the community-acquired pneumonia intervention trialK C Coley
School of Pharmacy, University of Pittsburgh, PA 15261, USA
Am J Health Syst Pharm 57:1506-10. 2000..Notes should be submitted with AJHP's manuscript checklist. The text should be concise, and the number of references, tables, and figures should be limited... - Solutions for difficult diagnostic cases of community-acquired pneumoniaM J Fine
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, VA Pittsburgh Center for Health Services Research, Pittsburgh, PA 15213, USA
Chemotherapy 47:3-10; discussion 26-7. 2001.... 
Causes and risk factors for rehospitalization of patients hospitalized with community-acquired pneumoniaHarish Jasti
Department of Medicine, Division of General Internal Medicine, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Clin Infect Dis 46:550-6. 2008..The objective of this study was to identify the causes and risk factors for rehospitalization of inpatients with community-acquired pneumonia...- Gender differences in 30-day mortality for patients hospitalized with acute pulmonary embolismSonya Borrero
University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, USA
J Womens Health (Larchmt) 16:1165-70. 2007..We compared 30-day mortality for men and women hospitalized with PE using a large statewide database... - Volume of tobacco advertising in African American markets: systematic review and meta-analysisBrian A Primack
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
Public Health Rep 122:607-15. 2007..This study compared the concentration (proportion of media messages that are for tobacco) and density (pro-tobacco media messages per person) of pro-tobacco media messages between African American and Caucasian markets... - Association of cigarette smoking and media literacy about smoking among adolescentsBrian A Primack
Division of General Internal Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
J Adolesc Health 39:465-72. 2006..To determine whether media literacy concerning tobacco use is independently associated with two clinically relevant outcome measures in adolescents: current smoking and susceptibility to smoking... - Development and validation of a smoking media literacy scale for adolescentsBrian A Primack
Center for Research on Health Care, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, 230 McKee Place, Ste 600, Pittsburgh, PA 15213, USA
Arch Pediatr Adolesc Med 160:369-74. 2006..To develop a smoking media literacy (SML) scale by using empiric survey data from a large sample of high school students and to assess reliability and criterion validity of the scale... - Psychometric properties of the mentor role instrument when used in an academic medicine settingTerri Collin Dilmore
Division of General Internal Medicine Department of Medicine RAND University of Pittsburgh Health Institute, Pittsburgh, Pennsylvania, USA
Clin Transl Sci 3:104-8. 2010..This article concludes that the RMMRI shows reliability and validity in capturing the multidimensional nature of mentoring when administered to clinical and translational science trainees in the academic setting... - Predicting dire outcomes of patients with community acquired pneumoniaGregory F Cooper
Center for Biomedical Informatics, University of Pittsburgh, Suite 8084 Forbes Tower, 200 Lothrop Street, Pittsburgh, PA 15213, USA
J Biomed Inform 38:347-66. 2005..Therefore, seeking models with the highest possible level of predictive performance is important. Consequently, seeking ever better machine-learning and statistical modeling methods is of great practical significance... - Adolescent smoking and volume of exposure to various forms of mediaBrian A Primack
Center for Research on Health Care, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
Public Health 122:379-89. 2008..To assess the association between adolescent smoking and volume of exposure to various forms of media after controlling for multiple relevant covariates... - Content analysis of tobacco, alcohol, and other drugs in popular musicBrian A Primack
Center for Research on Health Care, University of Pittsburgh School of Medicine, 230 McKee Pl, Ste 600, Pittsburgh, PA 15213, USA
Arch Pediatr Adolesc Med 162:169-75. 2008..To perform a comprehensive content analysis of substance use in contemporary popular music... - Inflammatory markers at hospital discharge predict subsequent mortality after pneumonia and sepsisSachin Yende
The Clinical Research, Investigation, and Systems Modeling of Acute Illness CRISMA Laboratory, Department of Critical Care Medicine, Graduate School of Pubic Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
Am J Respir Crit Care Med 177:1242-7. 2008..Survivors of hospitalization for community-acquired pneumonia (CAP) are at increased risk of cardiovascular events, repeat infections, and death in the following months but the cause is unknown... - Consensus guidelines for oral dosing of primarily renally cleared medications in older adultsJoseph T Hanlon
Department of Medicine, University of Pittsburgh, Pennsylvania 15213, USA
J Am Geriatr Soc 57:335-40. 2009..To establish consensus oral dosing guidelines for primarily renally cleared medications prescribed for older adults... - Association between media use in adolescence and depression in young adulthood: a longitudinal studyBrian A Primack
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, 230 McKee Place, Pittsburgh, PA 15213, USA
Arch Gen Psychiatry 66:181-8. 2009..Although certain media exposures have been linked to the presence of psychiatric conditions, few studies have investigated the association between media exposure and depression... - Exposure to sexual lyrics and sexual experience among urban adolescentsBrian A Primack
Department of Pediatrics, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
Am J Prev Med 36:317-23. 2009..The purpose of this study was to determine if exposure to lyrics describing degrading sex in popular music is independently associated with sexual behavior in a cohort of urban adolescents... - Media exposure and marijuana and alcohol use among adolescentsBrian A Primack
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Subst Use Misuse 44:722-39. 2009..In adjusted models, exposure to music was independently associated with marijuana use, but exposure to movies was independently associated with alcohol use. Implications, limitations, and suggestions for further research are discussed... - Associations between smoking and media literacy in college studentsBrian A Primack
Departments of Medicine and Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
J Health Commun 14:541-55. 2009..38 (95% CI = 0.20, 0.70). High smoking media literacy is independently associated with lower odds of smoking. Smoking media literacy may be a valuable construct to address in college populations... - Waterpipe and cigarette smoking among college athletes in the United StatesBrian A Primack
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
J Adolesc Health 46:45-51. 2010..The purpose of this study was to compare cigarette and waterpipe tobacco smoking in terms of their associations with organized sport participation... - Implementation of an inpatient management and discharge strategy for patients with community-acquired pneumoniaRoslyn A Stone
Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh, 304 Parran Hall, Pittsburgh, PA 15261, USA
Am J Manag Care 11:491-9. 2005.... - Physician and practice factors related to influenza vaccination among the elderlyRichard Kent Zimmerman
Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
Am J Prev Med 26:1-10. 2004..This study investigated in diverse settings, facilitators of and barriers to patient influenza vaccination from the physician's perspective... - Sensitivity and specificity of patient self-report of influenza and pneumococcal polysaccharide vaccinations among elderly outpatients in diverse patient care strataRichard Kent Zimmerman
Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh School of Medicine, 3518 Fifth Avenue, PA 15261, USA
Vaccine 21:1486-91. 2003..High negative predictive values indicate that clinicians can confidently vaccinate based on negative patient self-report... - Barriers and facilitators of pneumococcal vaccination among the elderlyRichard Kent Zimmerman
Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh School of Medicine, 3518 Fifth Avenue, PA 15261, USA
Vaccine 21:1510-7. 2003..0001). In regression analysis, predictors of vaccination included: belief that doctor recommends vaccine, feeling that vaccination is wise, recommendation by someone in the physician's office, and receipt of influenza vaccine... - What affects influenza vaccination rates among older patients? An analysis from inner-city, suburban, rural, and Veterans Affairs practicesRichard Kent Zimmerman
Department of Family Medicine and Clinical Epidemiology, School of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15261, USA
Am J Med 114:31-8. 2003..Our objective was to identify facilitators of, and barriers to, vaccination in diverse groups of older patients... - Clinical presentation, processes and outcomes of care for patients with pneumococcal pneumoniaJ A Brandenburg
School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
J Gen Intern Med 15:638-46. 2000..About half of bacteremic pneumococcal pneumonia patients were at low risk for mortality. Symptom resolution frequently was slow... - Assessment of mortality after long-term follow-up of patients with community-acquired pneumoniaEric M Mortensen
Division of General Internal Medicine, Department of Medicine, and Center for Research on Health Care, University of Pittsburgh, Pennsylvania, USA
Clin Infect Dis 37:1617-24. 2003..This study demonstrates that there is significantly higher long-term mortality among patients with pneumonia than among age-matched controls and that long-term mortality largely is not affected by acute physiologic derangements... - Understanding racial disparities in HIV using data from the veterans aging cohort 3-site study and VA administrative dataKathleen A McGinnis
Veterans Aging Cohort Study Center, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA
Am J Public Health 93:1728-33. 2003..CONCLUSIONS: HIV-positive minority veterans experience poorer survival than white veterans. This difference may derive from differences in comorbidities and in the severity of illness of HIV-related disease... - Appropriateness of antibiotic prescribing in veterans with community-acquired pneumonia, sinusitis, or acute exacerbations of chronic bronchitis: a cross-sectional studyColleen Cook Tobia
Department of Pharmacy, Veterans Affairs Pittsburgh Healthcare System, School of Pharmacy, University of Pittsburgh, Pittsburgh, Pennsylvania 15240 1000, USA
Clin Ther 30:1135-44. 2008.... - Physician awareness and self-reported use of local and national guidelines for community-acquired pneumoniaGalen E Switzer
Division of General Internal Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA
J Gen Intern Med 18:816-23. 2003..To assess physician awareness and reported use of medical guidelines for community-acquired pneumonia (CAP), and to identify factors associated with variations in awareness and use of these guidelines... - The emergency department community-acquired pneumonia trial: Methodology of a quality improvement interventionDonald M Yealy
Department of Emergency Medicine, University of Pittsburgh Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15213, USA
Ann Emerg Med 43:770-82. 2004..This article describes the background, objectives, and methodology of this trial to translate evidence-based knowledge on the quality and efficiency of care for community-acquired pneumonia into clinical practice... - Evaluation of housestaff physicians' preparation and interpretation of sputum Gram stains for community-acquired pneumoniaM J Fine
Department of Medicine, University of Pittsburgh, Pennsylvania
J Gen Intern Med 6:189-98. 1991..Housestaff physicians should receive formal training in the preparation and interpretation of Gram stains; the specific defects elucidated in this study warrant special attention... - A prediction rule to identify low-risk patients with pulmonary embolismDrahomir Aujesky
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
Arch Intern Med 166:169-75. 2006..A simple prognostic model could help identify patients with pulmonary embolism who are at low risk of death and are candidates for outpatient treatment... - Implementation of an evidence-based guideline to reduce duration of intravenous antibiotic therapy and length of stay for patients hospitalized with community-acquired pneumonia: a randomized controlled trialMichael J Fine
Division of General Medicine, Department of Medicine, Graduate School of Public Health, University of Pittsburgh, and VA Center for Health Equality Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA
Am J Med 115:343-51. 2003..The purpose of this study was to determine whether implementation of an evidence-based guideline would reduce the duration of intravenous antibiotic therapy and length of stay for patients hospitalized with pneumonia... - Factors associated with the use of preventive care for contrast-induced acute kidney injurySteven D Weisbord
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA
J Gen Intern Med 24:289-98. 2009..The factors that affect the implementation of preventive care for contrast-induced acute kidney injury (CIAKI) are unknown... - Prospective comparison of three validated prediction rules for prognosis in community-acquired pneumoniaDrahomir Aujesky
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
Am J Med 118:384-92. 2005.... - Reasons why emergency department providers do not rely on the pneumonia severity index to determine the initial site of treatment for patients with pneumoniaDrahomir Aujesky
Division of General Internal Medicine, Department of Medicine, University of Lausanne, Lausanne, Switzerland
Clin Infect Dis 49:e100-8. 2009..We identified the reasons why ED providers hospitalize low-risk patients or manage higher-risk patients as outpatients... - Using randomized controlled trial data, the agreement between retrospectively and prospectively collected data comprising the pneumonia severity index was substantialDrahomir Aujesky
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
J Clin Epidemiol 58:357-63. 2005..To assess the agreement between prospectively and retrospectively determined variables comprising the Pneumonia Severity Index (PSI), assignment to PSI risk class, and designation as low risk, based on these two methods of data collection... - Survey of employee knowledge and attitudes before and after a multicenter Veterans' Administration quality improvement initiative to reduce nosocomial methicillin-resistant Staphylococcus aureus infectionsKelly H Burkitt
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA
Am J Infect Control 38:274-82. 2010..This study assessed the effect of a multicenter methicillin-resistant Staphylococcus aureus (MRSA) prevention initiative on changes in employees' knowledge, attitudes, and practices... - Hospital volume and patient outcomes in pulmonary embolismDrahomir Aujesky
Division of Internal Medicine, University of Lausanne, Lausanne, Switzerland
CMAJ 178:27-33. 2008..For patients with pulmonary embolism, the relation between the number of patients treated in a hospital (volume) and patient outcome is unknown... - Severe community-acquired pneumonia: use of intensive care services and evaluation of American and British Thoracic Society Diagnostic criteriaDerek C Angus
Department of Critical Care Medicine, and Division of General Internal Medicine, University of Pittsburgh School of Medicine, PA 15213, USA
Am J Respir Crit Care Med 166:717-23. 2002..In conclusion, ICU use for CAP is common and expensive but admission rates are variable. Clinical prediction rules for severe CAP do not appear adequately robust to guide clinical care at the current time... - Patient and hospital characteristics associated with recommended processes of care for elderly patients hospitalized with pneumonia: results from the medicare quality indicator system pneumonia moduleJonathan M Fine
Section of Pulmonary and Critical Care Medicine, Norwalk Hospital, 34 Maple St, Norwalk, CT 06856, USA
Arch Intern Med 162:827-33. 2002..The objective of this study was to assess which patient and hospital characteristics are associated with performance of these key initial processes of care for hospitalized elderly patients with pneumonia... - Community-acquired pneumonia and do not resuscitate ordersThomas J Marrie
Department of Medicine, Dalhousie University and the Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada
J Am Geriatr Soc 50:290-9. 2002..From a cohort of patients with community-acquired pneumonia (CAP) who required admission to hospital, to describe the subset of patients having a do not resuscitate (DNR) order and to compare them with those who did not have such an order... - Instability on hospital discharge and the risk of adverse outcomes in patients with pneumoniaEthan A Halm
Department of Health Policy, Box 1077, Mount Sinai School of Medicine, One Gustave L Levy Place, New York, NY 10029, USA
Arch Intern Med 162:1278-84. 2002..Investigating claims that patients are being sent home from the hospital "quicker and sicker" requires a way of objectively measuring appropriateness of hospital discharge... - Incidence and outcomes of contrast-induced AKI following computed tomographySteven D Weisbord
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Mailstop 111F U, 7E Room 120, Pittsburgh, PA 15240, USA
Clin J Am Soc Nephrol 3:1274-81. 2008..The incidence and outcomes of CIAKI in patients undergoing nonemergent, contrast-enhanced computed tomography in the inpatient and outpatient setting were assessed... - SMART-COP: a tool for predicting the need for intensive respiratory or vasopressor support in community-acquired pneumoniaPatrick G P Charles
Departments of 1Infectious Diseases and 2Respiratory and Sleep Medicine, Austin Health, Heidelberg, VIC 3084, Australia
Clin Infect Dis 47:375-84. 2008.... - Comparison of outcomes for low-risk outpatients and inpatients with pneumonia: A propensity-adjusted analysisJose Labarere
Veterans Affairs Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System, University Dr C, Building 28, 1A102, Pittsburgh, PA 15240, USA
Chest 131:480-8. 2007..Low-risk patients with community-acquired pneumonia are often hospitalized despite guideline recommendations for outpatient treatment... - Routine use of the Pneumonia Severity Index for guiding the site-of-treatment decision of patients with pneumonia in the emergency department: a multicenter, prospective, observational, controlled cohort studyBertrand Renaud
Department of Emergency Medicine, Centre Hospitalier Universtaire Henri Mondor, Creteil, France
Clin Infect Dis 44:41-9. 2007..Although the Pneumonia Severity Index (PSI) has been extensively validated, little is known of the impact of its routine use as an aid to site-of-treatment decisions for patients with pneumonia who present to emergency departments (EDs)... - Does guideline adherence for empiric antibiotic therapy reduce mortality in community-acquired pneumonia?Drahomir Aujesky
Am J Respir Crit Care Med 172:655-6. 2005 - Effect of increasing the intensity of implementing pneumonia guidelines: a randomized, controlled trialDonald M Yealy
University of Pittsburgh and the Veterans Affairs Center for Health Equity Research and Promotion, Pittsburgh, Pennsylvania 15240, USA
Ann Intern Med 143:881-94. 2005..The high-intensity strategy was most effective for increasing the performance of the recommended processes of care for outpatients and inpatients... - Factors associated with the hospitalization of low-risk patients with community-acquired pneumonia in a cluster-randomized trialJose Labarere
VA Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA 15240, USA
J Gen Intern Med 21:745-52. 2006..Many low-risk patients with pneumonia are hospitalized despite recommendations to treat such patients in the outpatient setting... - Derivation and validation of a prognostic model for pulmonary embolismDrahomir Aujesky
Division of General Internal Medicine, Clinical Epidemiology Center, University of Lausanne, Lausanne, Switzerland
Am J Respir Crit Care Med 172:1041-6. 2005..An objective and simple prognostic model for patients with pulmonary embolism could be helpful in guiding initial intensity of treatment... - Health care of homeless veteransTHOMAS P O'TOOLE
Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
J Gen Intern Med 18:929-33. 2003..They were also significantly more likely to access shelter clinics compared with veterans without this need. Homeless veterans continue to have substantial health issues. Active outreach is needed for those lacking access to VA services... - ASAM Patient Placement Criteria treatment levels: do they correspond to care actually received by homeless substance abusing adults?THOMAS P O'TOOLE
The Johns Hopkins University, Welch Center for Epidemiology, Prevention, and Clinical Research, Baltimore, MD 21205 2223, USA
J Addict Dis 23:1-15. 2004..Lack of treatment availability or capacity, expense, and changing one's mind while on a wait list were the most commonly cited reasons for no treatment... - Substance-abusing urban homeless in the late 1990s: how do they differ from non-substance-abusing homeless persons?THOMAS P O'TOOLE
Georgetown University School of Medicine, 1111 NE Med Dent Building, 3900 Reservoir Road NW, Washington, DC 20007, USA
J Urban Health 81:606-17. 2004..Drug abuse/dependence and polysubstance use among urban homeless persons became a more prevalent issue in the late 1990s. These individuals have unique needs that will require tailored interventions... - Racial differences in 30-day mortality for pulmonary embolismSaid A Ibrahim
Veterans Administration Center for Health Equity Research and Promotion, Pittsburgh Healthcare System, Pittsburgh, PA 15240, USA
Am J Public Health 96:2161-4. 2006..We used a large statewide database to compare 30-day mortality (defined as death within 30 days from the date of latest hospital admission) for Black and White patients who were hospitalized because of pulmonary embolism... - Self-reported changes in drug and alcohol use after becoming homelessTHOMAS P O'TOOLE
Welch Center, Room 2 513, Johns Hopkins University School of Medicine, 2024 E Monument Street, Baltimore, MD 21205, USA
Am J Public Health 94:830-5. 2004..We identified substance use patterns and factors associated with increased substance use after users become homeless... - Severe sepsis in community-acquired pneumonia: when does it happen, and do systemic inflammatory response syndrome criteria help predict course?Tony Dremsizov
606 Scaife Hall, The CRISMA Laboratory, Critical Care Medicine, University of Pittsburgh, 3550 Terrace St, Pittsburgh, PA 15261
Chest 129:968-78. 2006.... - The role of race and genetics in health disparities researchMichael J Fine
Am J Public Health 95:2125-8. 2005 - Advancing health disparities research within the health care system: a conceptual frameworkAmy M Kilbourne
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA 15240, USA
Am J Public Health 96:2113-21. 2006.... - Urban homelessness and poverty during economic prosperity and welfare reform: changes in self-reported comorbidities, insurance, and sources for usual care, 1995-1997THOMAS P O'TOOLE
Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institution, Baltimore, MD 21205, USA
J Urban Health 79:200-10. 2002..These findings suggest more need for medical care among homeless and urban poor persons in 1997 compared with 1995 and support the continued need for outreach and support services despite a vigorous economy... - Causes of death for patients with community-acquired pneumonia: results from the Pneumonia Patient Outcomes Research Team cohort studyEric M Mortensen
Center for the Study of Health Disparities, VA Pittsburgh Healthcare Systems (Mail Stop 130-U, University Drive C, Location 11E127, Pittsburgh, PA 15240-1001, USA
Arch Intern Med 162:1059-64. 2002..Differences in the timing of death and risk factors for mortality suggest that future studies of community-acquired pneumonia should differentiate all-cause and pneumonia-related mortality... - Prevalence, severity, and importance of physical and emotional symptoms in chronic hemodialysis patientsSteven D Weisbord
Center for Health Equity Research and Promotion and Renal Section, VA Pittsburgh Healthcare System, Renal Section 7E, Room 120, Mailstop 111F U, Pittsburgh, PA 15240, USA
J Am Soc Nephrol 16:2487-94. 2005..Incorporating a standard assessment of symptoms into the care provided to maintenance hemodialysis patients may provide a means to improve quality of life in this patient population... - Effect of both elevated troponin-I and peripheral white blood cell count on prognosis in patients with suspected myocardial injuryMaliha Zahid
VA Pittsburgh Healthcare System, Center for Health Equity Research and Promotion, Pittsburgh, Pennsylvania, USA
Am J Cardiol 95:970-2. 2005..2 (95% confidence interval 1.0 to 4.73, p = 0.05), but high values for the 2 markers increased the odds ratio to 4.5 (95% confidence interval 1.42 to 14.21, p = 0.01)... - Algorithm for assessing patients' adherence to oral hypoglycemic medicationAmy M Kilbourne
Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System (VAPHS, Pittsburgh, PA 15240, USA
Am J Health Syst Pharm 62:198-204. 2005 - Prevention, incidence, and outcomes of contrast-induced acute kidney injurySteven D Weisbord
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Mail Stop 111F U, 7E Room 120, Pittsburgh, PA 15240, USA
Arch Intern Med 168:1325-32. 2008.... - Validation of a model to predict adverse outcomes in patients with pulmonary embolismDrahomir Aujesky
Division of General Internal Medicine, The University Outpatient Clinic and The Clinical Epidemiology Center, University of Lausanne, Lausanne, Switzerland
Eur Heart J 27:476-81. 2006..To validate a model for quantifying the prognosis of patients with pulmonary embolism (PE). The model was previously derived from 10 534 US patients... - African American race was associated with an increased risk of complications following venous thromboembolismDrahomir Aujesky
Division of Internal Medicine, the Clinical Epidemiology Center, University of Lausanne, Lausanne, Switzerland
J Clin Epidemiol 60:410-6. 2007..Limited data exist on the quality of care for patients with venous thromboembolism (VTE), and it is unknown whether the processes and outcomes of care for this illness differ between African Americans and whites... - Where do people go when they first become homeless? A survey of homeless adults in the USATHOMAS P O'TOOLE
Brown Medical School and the Providence VA Medical Center, RI 02908 4799, USA
Health Soc Care Community 15:446-53. 2007..These findings suggest the need to expand and integrate the availability of services at 'first-stop' access sites that facilitate early exits from homelessness... - Renal provider recognition of symptoms in patients on maintenance hemodialysisSteven D Weisbord
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA 15240, USA
Clin J Am Soc Nephrol 2:960-7. 2007..The aim of this study was to assess renal provider recognition of symptoms and their severity in hemodialysis patients... - Therapeutic alliance perceptions and medication adherence in patients with bipolar disorderJohn E Zeber
Veterans Affairs HSR and D South Texas Veterans Health Care System VERDICT, University of Texas Health Science Center at San Antonio, Department of Psychiatry, San Antonio, TX 78229 4404, United States
J Affect Disord 107:53-62. 2008..Maintaining a beneficial therapeutic alliance with providers is one important strategy for improving adherence. We examine the association between adherence and therapeutic environment perceptions among veterans with bipolar disorder... - Associations of race with depression and symptoms in patients on maintenance haemodialysisSteven D Weisbord
VA Pittsburgh Healthcare System, Mailstop 111F U, Pittsburgh, PA 15240, USA
Nephrol Dial Transplant 22:203-8. 2007..The aim of this study was to compare these domains between African American and White patients on chronic haemodialysis... - Associations of race and ethnicity with anemia management among patients initiating renal replacement therapySteven D Weisbord
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Mailstop 111F U, 7E Room 120, Pittsburgh, PA 15240, USA
J Natl Med Assoc 99:1218-26. 2007..The factors contributing to this remain largely unknown. The aim of this study was to assess the associations of race and ethnicity with anemia care prior to the initiation of renal replacement therapy... - Using the pneumonia severity index to guide hospitalization decisionsDonald M Yealy
Am J Med 120:e21. 2007 - The emergency department triage of community-acquired pneumonia project data and documentation systems: a model for multicenter clinical trialsD Scott Obrosky
Center for Research on Health Care and Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15240 USA
IEEE Trans Inf Technol Biomed 10:377-84. 2006..This paper also describes extensions for a generalized project documentation system, and discusses plans for further extensions and improvements based on observed strengths, limitations, and anticipated technological change... - Testing strategies in the initial management of patients with community-acquired pneumoniaJoshua P Metlay
Veterans Affairs Medical Center and University of Pennsylvania School of Medicine, 9th Floor, University and Woodland Avenues, Philadelphia, Pennsylvania 19104, USA
Ann Intern Med 138:109-18. 2003.... - The incidence of clinically significant contrast-induced nephropathy following non-emergent coronary angiographySteven D Weisbord
Renal Section and Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA 15214, USA
Catheter Cardiovasc Interv 71:879-85. 2008..The primary aim of this study was to assess the incidence of clinically significant contrast-induced nephropathy (CIN) among patients undergoing non-emergent coronary angiography... - Length of hospital stay and postdischarge mortality in patients with pulmonary embolism: a statewide perspectiveDrahomir Aujesky
Division of Internal Medicine, University of Lausanne, Service de Medecine Interne, BH 10 622, Centre Hospitalier Universitaire Vaudois, 1011 Lausanne, Switzerland
Arch Intern Med 168:706-12. 2008..Although reducing LOS is likely to save costs, the effects on patient safety are unclear. We sought to identify patient and hospital factors associated with LOS and assess whether LOS was associated with postdischarge mortality... - Informed decision-making and colorectal cancer screening: is it occurring in primary care?Bruce S Ling
VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania 15213, USA
Med Care 46:S23-9. 2008..The degree to which providers communicate the information necessary to prepare patients for participation in this process is not known...
Research Grants
- GUIDELINE TO IMPROVE QUALITY OF INITIAL PNEUMONIA CAREMichael Fine; Fiscal Year: 2002..abstract_text> ..
- RESEARCH PROGRAM TO IMPROVE QUALITY CARE FOR PNEUMONIAMichael Fine; Fiscal Year: 2004....