Research Topics
| Theodore J IwashynaSummaryAffiliation: University of Michigan Country: USA Publications
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Detail Information
Publications
Guided transfer of critically ill patients: where patients are transferred can be an informed choiceTheodore J Iwashyna
Department of Medicine, University of Michigan, Ann Arbor VA HSR and D Center of Excellence, Ann Arbor, Michigan, USA
Curr Opin Crit Care 17:641-7. 2011....- The burdens of survivorship: an approach to thinking about long-term outcomes after critical illnessTheodore J Iwashyna
Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA
Semin Respir Crit Care Med 33:327-38. 2012..This article provides a discussion of the ICF specific to the intensive care unit and the disablement process, with particular attention to new opportunities for intervention and their implications for cost and quality of life... - The incomplete infrastructure for interhospital patient transferTheodore J Iwashyna
Department of Medicine, University of Michigan, Center for Clinical Management Research, Ann Arbor VA HSR and D Center of Excellence, Ann Arbor, MI, USA
Crit Care Med 40:2470-8. 2012..This article sought to review the data on the current patterns of use of interhospital transfer and identify systematic barriers to optimal integration of transfer as a mechanism for improving patient outcomes and value of care... 
Population burden of long-term survivorship after severe sepsis in older AmericansTheodore J Iwashyna
Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA
J Am Geriatr Soc 60:1070-7. 2012..To ascertain the absolute number of Medicare beneficiaries surviving at least 3 years after severe sepsis and to estimate their burden of cognitive dysfunction and disability...- Spurious inferences about long-term outcomes: the case of severe sepsis and geriatric conditionsTheodore J Iwashyna
Department of Medicine, University of Michigan, Ann Arbor, USA
Am J Respir Crit Care Med 185:835-41. 2012..Survivors of critical illness suffer significant limitations and disabilities... - Accuracy of the discharge destination field in administrative data for identifying transfer to a long-term acute care hospitalJeremy M Kahn
Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Blockley Hall 723, 423 Guardian Drive, Philadelphia, PA 19104
BMC Res Notes 3:205. 2010.... - Perceived barriers to the regionalization of adult critical care in the United States: a qualitative preliminary studyJeremy M Kahn
Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania School of Medicine, 3400 Spruce Street, Philadelphia, PA 19104, USA
BMC Health Serv Res 8:239. 2008..We sought to develop a framework for understanding clinician attitudes toward regionalization and potential barriers to developing a tiered, regionalized system of care in the United States... - Long-term cognitive impairment and functional disability among survivors of severe sepsisTheodore J Iwashyna
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA
JAMA 304:1787-94. 2010..Although the incidence of severe sepsis is high and increasing, the magnitude of patients' long-term cognitive and functional limitations after sepsis is unknown... - The structure of critical care transfer networksTheodore J Iwashyna
Division of Pulmonary and Critical Care, Department of Medicine, University of Michigan, Ann Arbor, MI 48109, USA
Med Care 47:787-93. 2009..These transfers may be particularly important in critical care, where small relative improvements can yield substantial absolute changes in survival... - Uncharted paths: hospital networks in critical careTheodore J Iwashyna
Division of Pulmonary and Critical Care, Department of Medicine, University of Michigan, Ann Arbor, MI 48109, USA
Chest 135:827-33. 2009.... - Interhospital transfers among Medicare beneficiaries admitted for acute myocardial infarction at nonrevascularization hospitalsTheodore J Iwashyna
Department of Internal Medicine, University of Michigan Medical School, 300 North Ingalls, Ann Arbor, MI 48109 5419, USA
Circ Cardiovasc Qual Outcomes 3:468-75. 2010.... 
Critical care use during the course of serious illnessTheodore J Iwashyna
Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia 19103, USA
Am J Respir Crit Care Med 170:981-6. 2004..Use is uneven, and a minority of patients who repeatedly use critical care account for disproportionate costs...- Despite variation in volume, Veterans Affairs hospitals show consistent outcomes among patients with non-postoperative mechanical ventilationColin R Cooke
From the Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Michigan, Ann Arbor, MI, USA
Crit Care Med 40:2569-75. 2012..To assess the relationship between volume of nonoperative mechanically ventilated patients receiving care in a specific Veterans Health Administration hospital and their mortality... - Intensive care unit occupancy and patient outcomesTheodore J Iwashyna
Department of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA
Crit Care Med 37:1545-57. 2009..Although intensive care units (ICUs) with higher overall patient volume may achieve better outcomes than lower volume ICUs, there are few data on the effects of increasing patient loads on patients within the ICU... - Organisational characteristics associated with the use of daily interruption of sedation in US hospitals: a national studyMelissa A Miller
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
BMJ Qual Saf 21:145-51. 2012..The authors test the hypothesis that specific hospital organisational characteristics are associated with routine use of DIS... - Burden of cirrhosis on older Americans and their families: analysis of the health and retirement studyMina O Rakoski
Division of Gastroenterology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI 48109 5362, USA
Hepatology 55:184-91. 2012..Improved care coordination and caregiver support is necessary to optimize management of this frail population... - Implementation challenges in the intensive care unit: the why, who, and how of daily interruption of sedationMelissa A Miller
Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI 48109 5360, USA
J Crit Care 27:218.e1-7. 2012..We sought to identify new barriers to daily interruption of sedation... - Revenue, relationships and routines: the social organization of acute myocardial infarction patient transfers in the United StatesTiffany C Veinot
School of Information and School of Public Health, University of Michigan, Ann Arbor, MI 48109 1285, USA
Soc Sci Med 75:1800-10. 2012..We consider the implications of routinization and institutional imperatives for health policy, quality improvement and health informatics interventions... - Race and timeliness of transfer for revascularization in patients with acute myocardial infarctionColin R Cooke
Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Michigan, Ann Arbor, USA
Med Care 49:662-7. 2011..We sought to determine whether the timeliness of hospital transfer and quality of destination hospitals differed between black and white patients... - Regional variation in the association between advance directives and end-of-life Medicare expendituresLauren Hersch Nicholas
Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA
JAMA 306:1447-53. 2011..It is unclear if advance directives (living wills) are associated with end-of-life expenditures and treatments... - Marriage, widowhood, and health-care useTheodore J Iwashyna
Department of Medicine, Hospital of the University of Pennsylvania, Pennsylvania, PA, USA
Soc Sci Med 57:2137-47. 2003..We suggest that these patterns are most consistent with spouses exerting their benefits by functioning as higher-order decision-makers than as home health assistants... - Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitalsMeeta Prasad
Division of Pulmonary, Allergy, and Critical Care Medicine MP, JDC, JMK, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Crit Care Med 37:2564-9. 2009..The United States instituted restrictions on resident work-hours in July 2003. The clinical impact of this reform on critically ill patients is unknown... - Do hospitals alter patient care effort allocations under pay-for-performance?Lauren Hersch Nicholas
Institute for Social Research and Center for Healthcare Outcomes and Policy, University of Michigan, 426 Thompson St, Ann Arbor, MI 48104, USA
Health Serv Res 46:61-81. 2011..To determine whether hospitals increase efforts on easy tasks relative to difficult tasks to improve scores under pay-for-performance (P4P) incentives... - The lack of effect of market structure on hospice useTheodore J Iwashyna
Department of Medicine, Hospital of the University of Pennsylvania, USA
Health Serv Res 37:1531-51. 2002.... - Low use of durable medical equipment by chronically disabled elderlyTheodore J Iwashyna
Department of Medicine, Leonard Davis Institute, and Center for Clinical Epidemiology and Biostatistics, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19130, USA
J Pain Symptom Manage 33:324-30. 2007..Fewer than half the chronically disabled, and less than one-quarter of the newly disabled, received any DME from Medicare. These data suggest underuse of the benefit by the disabled elderly... - Longitudinal influences of friends and parents upon unprotected vaginal intercourse in adolescentsCatherine Kim
Department of Medicine, University of Michigan, Ann Arbor, MI 48109, USA
Contraception 83:138-44. 2011..Both friends and parents may influence occurrence of adolescent sexual intercourse, but these influences have not been studied together and prospectively... - Using existing data to address important clinical questions in critical careColin R Cooke
Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA
Crit Care Med 41:886-96. 2013.... - Acute care and long-term mortality among elderly patients with intracerebral hemorrhage who undergo chronic life-sustaining proceduresLesli E Skolarus
Stroke Program, University of Michigan Medical School, Ann Arbor, MI, USA
J Stroke Cerebrovasc Dis 22:15-21. 2013..Medicare payments for patients who undergo tracheostomy are substantial. More information about functional outcomes is needed... - Limiting the spread of highly resistant hospital-acquired microorganisms via critical care transfers: a simulation studyUmanka H Karkada
School of Information, University of Michigan, Ann Arbor, MI, USA
Intensive Care Med 37:1633-40. 2011..We examine the extent to which transfers of critically ill patients could be a vector for the wide spread of highly resistant organisms, and compare the efficiency of different approaches to targeting infection control resources... - Which patients and where: a qualitative study of patient transfers from community hospitalsEmily A Bosk
Department of Sociology and School of Social Work, University of Michigan, Ann Arbor, MI 48109 5419, USA
Med Care 49:592-8. 2011..A microlevel analysis of the processes of patient transfer has not earlier been carried out... - Disease-specific patterns of hospice and related healthcare use in an incidence cohort of seriously ill elderly patientsTheodore J Iwashyna
Department of Medicine, Hospital of the University at Pennsylvania, Philadelphia, Pennsylvania, USA
J Palliat Med 5:531-8. 2002..7%. Among decedents with cancer diagnoses, rates vary from 15.2% to 35.2%. For the cohort overall, 14.2% of male decedents and 12.4% of female decedents used hospice. Patterns of end-of-life care vary substantially according to diagnosis... - Small area variations in out-of-hospital cardiac arrest: does the neighborhood matter?Comilla Sasson
University of Michigan, Ann Arbor, Michigan, USA
Ann Intern Med 153:19-22. 2010..The incidence and outcomes of out-of-hospital cardiac arrest vary widely across cities. It is unknown whether similar differences exist at the neighborhood level... - The impact of residents, interns, and attendings on inpatient laboratory ordering patterns: a report from one university's hospitalist serviceTheodore J Iwashyna
Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, Michigan, USA
Acad Med 86:139-45. 2011..To examine the laboratory test ordering patterns of interns to determine the effects of more senior residents' and attendings' supervision on trainees' patterns and residents' perceptions of control in test ordering... - Chemotherapy was not associated with cognitive decline in older adults with breast and colorectal cancer: findings from a prospective cohort studyVictoria A Shaffer
Department of Health Sciences, School of Health Professions, University of Missouri, Columbia, MO 65221 4290, USA
Med Care 50:849-55. 2012.... - Depressive symptoms in spouses of older patients with severe sepsisDimitry S Davydow
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA
Crit Care Med 40:2335-41. 2012.... - Wide variation and rising utilization of stroke magnetic resonance imaging: data from 11 statesJames F Burke
Department of Veterans Affairs, VA Center for Clinical Management and Research, Ann Arbor VA Healthcare System, MI, USA
Ann Neurol 71:179-85. 2012..Magnetic resonance imaging (MRI) is more accurate than computed tomography (CT) for the diagnosis of stroke, but is more costly and time-consuming. We sought to describe changes in MRI utilization from 1999 to 2008... - A polyurethane cuffed endotracheal tube is associated with decreased rates of ventilator-associated pneumoniaMelissa A Miller
Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA
J Crit Care 26:280-6. 2011..The aim of this study was to determine whether the use of a polyurethane-cuffed endotracheal tube would result in a decrease in ventilator-associated pneumonia rate... - Effectiveness of adjuvant fluorouracil in clinical practice: a population-based cohort study of elderly patients with stage III colon cancerTheodore J Iwashyna
Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
J Clin Oncol 20:3992-8. 2002..In this study, we ask the following: (1) What is the hazard of death associated with adjuvant 5-FU in the general population of elderly stage III colon cancer patients? (2) Does the hazard vary with patient age?.. - Racial, ethnic, and affluence differences in elderly patients' use of teaching hospitalsTheodore J Iwashyna
Department of Medicine, University of Pennsylvania Medical Center, Philadelphia, USA
J Gen Intern Med 17:696-703. 2002..To understand the role of race, ethnicity, and affluence in elderly patients' use of teaching hospitals when they have that option...