Publications by authors named "E D Leibner"

Article Synopsis
  • This study examines different patient phenotypes along the transition from preshock to cardiogenic shock (CS) to understand their prognostic implications and outcomes.* -
  • It classifies nearly 2,500 admissions into four categories and finds that in-hospital mortality rates vary significantly, from 3.6% for isolated low cardiac output to 24.0% for SCAI stage C CS.* -
  • Results indicate that patients in the earlier stages of shock can still experience a high risk of deteriorating, suggesting the need for improved definitions and severity assessments in CS.*
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New York City was the epicenter of the initial surge of the COVID-19 pandemic in the United States. Tracheostomy is a critical procedure in the care of patients with COVID-19. We hypothesized that early tracheostomy would decrease the length of time on sedation, time on mechanical ventilation, intensive care unit length of stay, and mortality.

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Article Synopsis
  • The study investigates the varying use of pulmonary artery catheters (PACs) in cardiac intensive care units (CICUs) and their impact on patient outcomes, particularly in terms of in-hospital mortality among critically ill cardiac patients.
  • Data was collected from a multicenter network involving over 13,000 CICU admissions between 2017 and 2021, focusing on factors like patient diagnosis, demographic information, and PAC usage.
  • The findings revealed significant variation in PAC usage between different centers, with its use linked to lower mortality rates in shock patients, highlighting the need for more randomized trials to establish best practices for PAC application in cardiac care.
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Introduction: Patients who develop occult septic shock (OSS) are associated with worse outcomes than those with early septic shock (ESS). Patients with skin and soft tissue infection (SSTI) may have underlying organ dysfunction due to OSS, yet the prevalence and the outcomes of patients with SSTI and early versus occult shock have not been described. This study compared the clinical characteristics of SSTI patients and the prevalence of having no septic shock (NSS), ESS, or OSS.

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Background: We aim to describe the demographics and outcomes of patients with severe disease with the Omicron variant. The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus continues to mutate, and the availability of vaccines and boosters continue to rise, it is important to understand the health care burden of new variants. We analyze patients admitted to intensive care units (ICUs) in a large Academic Health System during New York City's fourth surge beginning on November 27, 2021.

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