Research Topics
| Marya D ZilberbergSummaryAffiliation: University of Massachusetts Country: USA Publications
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Publications
Prolonged acute mechanical ventilation, hospital resource utilization, and mortality in the United StatesMarya D Zilberberg
University of Massachusetts, School of Public Health and Health Sciences, Amherst, MA, USA
Crit Care Med 36:724-30. 2008..We compared the prevalence, characteristics, and outcomes of MV < 96 hrs (MV < 96) and prolonged acute MV (PAMV) of > or = 96 hrs' duration in a representative sample of U.S. hospital discharges...
Anemia, transfusions and hospital outcomes among critically ill patients on prolonged acute mechanical ventilation: a retrospective cohort studyMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, North Pleasant Street, Amherst, Massachusetts 01003, USA
Crit Care 12:R60. 2008..We hypothesized that transfusions among patients receiving PAMV are common and associated with worsened clinical and economic outcomes...
Hyponatremia and hospital outcomes among patients with pneumonia: a retrospective cohort studyMarya D Zilberberg
Evi Med Research Group, LLC, Goshen, Massachusetts, USA
BMC Pulm Med 8:16. 2008..Hyponatremia, occurring in >1/4 of patients with CAP, is associated with greater disease severity and worsened outcomes...
Growth in adult prolonged acute mechanical ventilation: implications for healthcare deliveryMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA
Crit Care Med 36:1451-5. 2008..Because of this disproportionate resource utilization and the shifting U.S. demographics, we projected the expected volume of adult PAMV cases through year 2020...
Prolonged acute mechanical ventilation and hospital bed utilization in 2020 in the United States: implications for budgets, plant and personnel planningMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA
BMC Health Serv Res 8:242. 2008..Their numbers are projected to double by year 2020. To aid in planning for this growth, we projected their annualized days and costs of hospital use and SNF discharges in year 2020 in the US...
Effect of a restrictive transfusion strategy on transfusion-attributable severe acute complications and costs in the US ICUs: a model simulationMarya D Zilberberg
University of Massachusetts, 715 North Pleasant Street, Amherst, MA 01003, USA
BMC Health Serv Res 7:138. 2007..We estimated the potential annual reduction in transfusion-attributable severe acute complications (TSACs) and costs across the US ICUs with the adoption of restrictive strategy...
Red blood cell transfusions and the risk of acute respiratory distress syndrome among the critically ill: a cohort studyMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, P, O, Box 303, Goshen, MA 01032, USA
Crit Care 11:R63. 2007..Uncertainty remains regarding the strength of this relationship...
Cost-effectiveness of micafungin as an alternative to fluconazole empiric treatment of suspected ICU-acquired candidemia among patients with sepsis: a model simulationMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Arnold House, Amherst, MA 01003, USA
Crit Care 13:R94. 2009..400 mg daily fluconazole (FLU) for suspected intensive care unit-acquired candidemia (ICU-AC) among septic patients...
Inappropriate empiric antifungal therapy for candidemia in the ICU and hospital resource utilization: a retrospective cohort studyMarya D Zilberberg
EviMed Research Group, LLC, PO Box 303, Goshen, MA 01032, USA
BMC Infect Dis 10:150. 2010..Inappropriate antifungal therapy (IAT) is known to increase a patient's risk for death. We hypothesized that in an ICU cohort it would also adversely affect resource utilization...
Antimicrobial therapy escalation and hospital mortality among patients with health-care-associated pneumonia: a single-center experienceMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA 01003 9304, USA
Chest 134:963-8. 2008..Initial inappropriate treatment has been shown to increase hospital mortality. It is not known whether escalation in response to culture results mitigates this risk...
Growth and geographic variation in hospitalizations with resistant infections, United States, 2000-2005Marya D Zilberberg
EviMed Research Group, LLC, Goshen, Massachussetts 01032, USA
Emerg Infect Dis 14:1756-8. 2008..Regional variations noted in the aggregate and by individual infection may help clarify modifiable risk factors driving these infections...
Hospitalizations with healthcare-associated complicated skin and skin structure infections: impact of inappropriate empiric therapy on outcomesMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts, USA
J Hosp Med 5:535-40. 2010..We studied the association of inappropriate empiric therapy with outcomes in patients with HCA complicated skin and skin structure infections (cSSSI)...
Epidemiology and outcomes of hospitalizations with complicated skin and skin-structure infections: implications of healthcare-associated infection risk factorsMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts, USA
Infect Control Hosp Epidemiol 30:1203-10. 2009..Because prompt appropriate treatment is associated with better outcomes, we studied the epidemiology of healthcare-associated complicated skin and skin-structure infections (cSSSIs)...
Clostridium difficile-associated disease and mortality among the elderly critically illMarya D Zilberberg
School of Public Health and Health Sciences MDZ, University of Massachusetts, Amherst, MA, USA
Crit Care Med 37:2583-9. 2009....
Epidemiology and outcomes of clostridium difficile-associated disease among patients on prolonged acute mechanical ventilationMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Goshen, MA 01032, USA
Chest 136:752-8. 2009..We examined the rates and outcomes of CDAD among adult PAMV patients...
Preventing clostridium difficile infection in the intensive care unitMarya D Zilberberg
EviMed Research Group, LLC, Goshen, MA 01032, USA
Crit Care Clin 29:11-8. 2013....
Descriptive epidemiology of hereditary angioedema hospitalizations in the United States, 2004-2007Marya D Zilberberg
University of Massachusetts, Amherst, USA
Allergy Asthma Proc 32:248-54. 2011..HAE hospitalization volume is substantial. Because diagnostic uncertainty is likely, HAE and its related resource use may be underestimated. HAE prevention strategies need to be examined in the context of these outcomes...
Epidemiology, clinical and economic outcomes of admission hyponatremia among hospitalized patientsMarya D Zilberberg
EviMed Research Group, Goshen, MA, USA
Curr Med Res Opin 24:1601-8. 2008..Hyponatremia, the most frequent electrolyte derangement identified among hospitalized patients, is associated with worsened outcomes in patients with pneumonia, heart failure and other disorders...
Increase in adult Clostridium difficile-related hospitalizations and case-fatality rate, United States, 2000-2005Marya D Zilberberg
University of Massachusetts, Amherst, Massachusetts 01032, USA
Emerg Infect Dis 14:929-31. 2008..The incidence of adult CDAD hospitalizations doubled from 5.5 cases per 10,000 population in 2000 to 11.2 in 2005, and the CDAD-related age-adjusted case-fatality rate rose from 1.2% in 2000 to 2.2% in 2004...
Increase in Clostridium difficile-related hospitalizations among infants in the United States, 2000-2005Marya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA
Pediatr Infect Dis J 27:1111-3. 2008..Because incidence of hospitalizations with other infectious enteritides has remained essentially stable, this growth in CDAD cannot be explained by a gastroenteritis reporting bias...
Imipenem resistance of Pseudomonas in pneumonia: a systematic literature reviewMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA
BMC Pulm Med 10:45. 2010..NPs in particular are likely to be caused by Pseudomonas aeruginosa (PA), ~20% of which in observational studies are resistant to imipenem. We sought to identify the burden of PA imipenem resistance in pneumonia...
Clostridium difficile infections among hospitalized children, United States, 1997-2006Marya D Zilberberg
University of Massachusetts, Amherst, Massachusetts, USA
Emerg Infect Dis 16:604-9. 2010..27), which in turn was second only to incidence for children 1-4 years of age (44.87). Pediatric CDI-related hospitalizations are increasing. A better understanding of the epidemiology and outcomes of CDI is urgently needed...
Prolonged acute mechanical ventilation: implications for hospital benchmarkingMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Goshen, MA 01032, USA
Chest 135:1157-62. 2009....
Secular trends in candidemia-related hospitalization in the United States, 2000-2005Marya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, USA
Infect Control Hosp Epidemiol 29:978-80. 2008..56 cases; and the incidence per 1,000 hospitalizations rose by 49%, from 0.28 to 0.42 cases. The proportion of all candidemia-related hospitalizations in which candidemia was the principal diagnosis remained stable at approximately 14%...
Cost-effectiveness model of empiric doripenem compared with imipenem-cilastatin in ventilator-associated pneumoniaMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA
Surg Infect (Larchmt) 11:409-17. 2010..We developed a model to quantify outcome differences between strategies of empiric treatment of VAP with DOR vs. IMI...
Descriptive epidemiology of hereditary angioedema emergency department visits in the United States, 2006-2007Marya D Zilberberg
Department of of Biostastics and Epidemiology, University of Massachusetts, Amherst, USA
Allergy Asthma Proc 32:390-4. 2011..Although likely representing a fraction of the entire HAE population, prevention and acute treatment strategies aimed at those at risk for frequent exacerbations and disproportionate resource use need to be examined...
Using electronic health information to risk-stratify rates of Clostridium difficile infection in US hospitalsMarya D Zilberberg
Division of Healthcare Quality Promotion, University of Massachusetts and EviMed Research Group, Amherst, Massachusetts 30333, USA
Infect Control Hosp Epidemiol 32:649-55. 2011..We applied definitions for hospital-onset (HO) and community-onset (CO) CDI to electronic data from 85 hospitals between January 2007 and June 2008 to identify factors associated with higher HO CDI rates...
Development and validation of a bedside risk score for MRSA among patients hospitalized with complicated skin and skin structure infectionsMarya D Zilberberg
EviMed Research Group, LLC, Goshen, MA, USA
BMC Infect Dis 12:154. 2012..We sought to develop a simple bedside decision rule to tailor empiric coverage more accurately...
Accuracy of previous estimates for adult prolonged acute mechanical ventilation volume in 2020: update using 2000-2008 dataMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA
Crit Care Med 40:18-20. 2012..With 2006-2008 data becoming available, we explored the precision of our previous formulas and estimates...
Fungal infections in the ICUMarya D Zilberberg
Department of Health Policy and Management, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA 01003, USA
Infect Dis Clin North Am 23:625-42. 2009..Given the rapidly changing literature in this broad area, it is imperative that physicians caring for immunosuppressed patients and for the critically ill remain abreast of this evolving field...
Epidemiology of healthcare-associated pneumonia (HCAP)Marya D Zilberberg
Department of Health Policy and Management, School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts 01032, USA
Semin Respir Crit Care Med 30:10-5. 2009..More precise instruments are needed to heighten clinicians' index of suspicion for treating probable resistant pathogens with appropriate empirical antibiotic choices...
Understanding cost-effectiveness in the ICUMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA 01032, USA
Semin Respir Crit Care Med 31:13-8. 2010..This article provides a primer for understanding the methods and applications of cost-effectiveness and cost-utility analyses in the ICU...
Economics at the end of life: hospital and ICU perspectivesMarya D Zilberberg
EviMed Research Group, LLC, Goshen, MA 01032, USA
Semin Respir Crit Care Med 33:362-9. 2012..Frank discussions with patients and family about their desires in the context of the prognosis, as well as symptom support, can yield both economic savings and better quality of life...
Economic aspects of preventing health care-associated infections in the intensive care unitMarya D Zilberberg
Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA
Crit Care Clin 28:89-97, vi-vii. 2012..We use ventilator-associated pneumonia as the case study to illustrate the pitfalls and challenges of arriving at the optimal HAI preventive strategies in the ICU...
Ventilator-associated pneumonia: the clinical pulmonary infection score as a surrogate for diagnostics and outcomeMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, DC, USA
Clin Infect Dis 51:S131-5. 2010..At present, the CPIS has a limited role both clinically and as a research tool...
Ventilator-associated pneumonia as a model for approaching cost-effectiveness and infection prevention in the ICUMarya D Zilberberg
University of Massachusetts, Amherst, Massachusetts, USA
Curr Opin Infect Dis 24:385-9. 2011..Furthermore, in the era of resource constraints, cost-effectiveness of various strategies is critical to consider...
Secular trends of hospitalization with vancomycin-resistant enterococcus infection in the United States, 2000-2006Andrew M Ramsey
School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts, USA
Infect Control Hosp Epidemiol 30:184-6. 2009..Because infection due to vancomycin-resistant organisms is associated with poor outcomes, the epidemiology of this trend needs further exploration...
Implementing quality improvements in the intensive care unit: ventilator bundle as an exampleMarya D Zilberberg
School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA
Crit Care Med 37:305-9. 2009..The Institute for Healthcare Improvement has led the charge with its ventilator bundle aimed at VAP prevention. We set out to review the literature on the effectiveness of the bundle to prevent VAP...
Healthcare-associated pneumonia: the state of evidence to dateMarya D Zilberberg
University of Massachusetts, Amherst, MA, USA
Curr Opin Pulm Med 17:142-7. 2011..Controversies persist as to whether HCAP is a useful designation for diagnosis, treatment and outcome prediction...
The burden of hospitalizations and emergency department visits with hereditary angioedema and angioedema in the United States, 2007Marya D Zilberberg
Department of Public Health, School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts, USA
Allergy Asthma Proc 31:511-9. 2010..Clinical validation of current case definition would be useful, because administrative data may present an attractive source for investigating these populations...
Outcomes and charges of elderly patients with acute myeloid leukemiaLaura M Katz
Global Health Outcomes, Analytica International, New York, NY 10025, USA
Am J Hematol 81:850-7. 2006..The highest charges and a substantial number of deaths occurred during first admission. Although treatment with CT was associated with increased charges and days in-hospital, inpatient mortality in the two groups was found to be similar...
Case mix as the determinant of outcomes: the devil is in the detailsMarya D Zilberberg
Crit Care Med 36:2940-1. 2008
Effectiveness versus convenience: patient preferences for an erythropoietic agent to treat cancer-related anemiaCorey J Langer
Fox Chase Cancer Center, Philadelphia, PA, USA
Curr Med Res Opin 23:85-92. 2007..To assess patient preferences across two attributes--effectiveness and convenience--in the selection of an erythropoietic agent to treat chemotherapy-related anemia...
The impact of anemia on quality of life and healthcare resource utilization in patients with HIV/AIDS receiving antiretroviral therapySusan C Bolge
Consumer Health Sciences, Princeton, NJ 08540, USA
Curr Med Res Opin 23:803-10. 2007..To understand the impact of anemia on health-related quality of life (HRQOL) and healthcare resource utilization (HRU) in patients with HIV/AIDS...
Anemia in chronic obstructive pulmonary disease: epidemiology and economic implicationsAndrew F Shorr
Washington Hospital Center, Washington, DC 20010, USA
Curr Med Res Opin 24:1123-30. 2008..Because no data studies have been performed either in a single center or a subpopulation of COPD patients, anemia's influence on the outcomes is not fully understood...
Mucositis incidence, severity and associated outcomes in patients with head and neck cancer receiving radiotherapy with or without chemotherapy: a systematic literature reviewAndy Trotti
Radiation Oncology Program, H. Lee Moffitt Cancer Center and Research Institute, University of South Florida, 12902 Magnolia Drive, Tampa, FL 33612, USA
Radiother Oncol 66:253-62. 2003..While it appears that mucositis may lead to hospitalization and treatment interruptions, its overall impact on outcomes has not been adequately investigated...
Assessment of reporting bias for Clostridium difficile hospitalizations, United StatesMarya D Zilberberg
Emerg Infect Dis 14:1334. 2008
