Featured Publications
Development and validation of a prediction model for persistent functional impairment among older ICU survivors
Ferrante LE, Murphy TE, Leo‐Summers L, O'Leary JR, Vander Wyk B, Pisani MA, Gill TM. Development and validation of a prediction model for persistent functional impairment among older ICU survivors. Journal Of The American Geriatrics Society 2022, 71: 188-197. PMID: 36196998, PMCID: PMC9870848, DOI: 10.1111/jgs.18075.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBayes TheoremCritical IllnessFemaleHospitalizationHumansIntensive Care UnitsMalePatient DischargeSurvivorsConceptsPersistent functional impairmentICU hospitalizationFunctional impairmentValidation cohortICU admissionDevelopment cohortOlder Intensive Care Unit SurvivorsIntensive care unit survivorsOlder adultsOlder ICU survivorsMonths of dischargeHigh-risk survivorsCommunity-living participantsGood calibrationHospital lengthICU survivorsCritical illnessMedian agePrior hospitalizationFunctional recoveryNational HealthProbable dementiaHospitalizationHigh riskDepressive symptomsAssociation of Social Isolation With Disability Burden and 1-Year Mortality Among Older Adults With Critical Illness
Falvey JR, Cohen AB, O’Leary J, Leo-Summers L, Murphy TE, Ferrante LE. Association of Social Isolation With Disability Burden and 1-Year Mortality Among Older Adults With Critical Illness. JAMA Internal Medicine 2021, 181: 1433-1439. PMID: 34491282, PMCID: PMC8424527, DOI: 10.1001/jamainternmed.2021.5022.Peer-Reviewed Original ResearchConceptsCritical illnessICU hospitalizationSocial isolation scoresOlder adultsICU admissionCohort studyPrimary outcomeDisability burdenSocial isolationCommunity-dwelling older adultsGreater disability burdenIsolation scoresPost-ICU disabilityObservational cohort studyAging Trends StudyICU stayMortality cohortHospital dischargeSecondary outcomesHospital admissionMedian ageIllness severityAdverse outcomesNational HealthHospitalization dataThe Combined Effects of Frailty and Cognitive Impairment on Post-ICU Disability among Older ICU Survivors
Ferrante LE, Murphy TE, Leo-Summers LS, Gahbauer EA, Pisani MA, Gill TM. The Combined Effects of Frailty and Cognitive Impairment on Post-ICU Disability among Older ICU Survivors. American Journal Of Respiratory And Critical Care Medicine 2019, 200: 107-110. PMID: 30883191, PMCID: PMC6603056, DOI: 10.1164/rccm.201806-1144le.Peer-Reviewed Original ResearchThe Association of Frailty With Post-ICU Disability, Nursing Home Admission, and Mortality A Longitudinal Study
Ferrante LE, Pisani MA, Murphy TE, Gahbauer EA, Leo-Summers LS, Gill TM. The Association of Frailty With Post-ICU Disability, Nursing Home Admission, and Mortality A Longitudinal Study. CHEST Journal 2018, 153: 1378-1386. PMID: 29559308, PMCID: PMC6026287, DOI: 10.1016/j.chest.2018.03.007.Peer-Reviewed Original ResearchConceptsNursing home admissionPost-ICU disabilityHome admissionCritical illnessFrailty statusGreater disabilityNew nursing home admissionsAssociation of frailtyLikelihood of deathOne-point increaseICU admissionICU survivorsICU outcomesMean agePrognostic informationPrefrailtyFried indexAdmissionFrailtyOlder personsParent cohortAnalytic sampleFunctional activityNonfrailtyDisabilityPre–Intensive Care Unit Cognitive Status, Subsequent Disability, and New Nursing Home Admission among Critically Ill Older Adults
Ferrante LE, Murphy TE, Gahbauer EA, Leo-Summers LS, Pisani MA, Gill TM. Pre–Intensive Care Unit Cognitive Status, Subsequent Disability, and New Nursing Home Admission among Critically Ill Older Adults. Annals Of The American Thoracic Society 2018, 15: 622-629. PMID: 29446993, PMCID: PMC5949607, DOI: 10.1513/annalsats.201709-702oc.Peer-Reviewed Original ResearchConceptsIntensive care unit admissionNew nursing home admissionsNursing home admissionCare unit admissionHome admissionCritical illnessUnit admissionModerate impairmentCognitive statusCognitive impairmentOlder adultsMinimal impairmentMultivariable analysisIntensive care unit stayMini-Mental State ExaminationProspective cohort studyIll Older AdultsModerate cognitive impairmentUnit stayCohort studySecondary outcomesSubsequent disabilityPrimary outcomeMean agePrognostic informationFactors Associated with Functional Recovery among Older Intensive Care Unit Survivors
Ferrante LE, Pisani MA, Murphy TE, Gahbauer EA, Leo-Summers LS, Gill TM. Factors Associated with Functional Recovery among Older Intensive Care Unit Survivors. American Journal Of Respiratory And Critical Care Medicine 2016, 194: 299-307. PMID: 26840348, PMCID: PMC4970594, DOI: 10.1164/rccm.201506-1256oc.Peer-Reviewed Original ResearchConceptsHigher body mass indexOlder ICU survivorsIntensive care unitBody mass indexFunctional recoveryICU survivorsICU admissionMass indexOlder Intensive Care Unit SurvivorsIntensive care unit survivorsOlder adultsPoor functional recoveryCritical illnessIndependent predictorsCare unitMultivariable analysisFunctional outcomePremorbid functionPotential predictorsVision impairmentAdmissionSurvivorsAnalytic sampleFunctional activityMonthsFunctional Trajectories Among Older Persons Before and After Critical Illness
Ferrante LE, Pisani MA, Murphy TE, Gahbauer EA, Leo-Summers LS, Gill TM. Functional Trajectories Among Older Persons Before and After Critical Illness. JAMA Internal Medicine 2015, 175: 523-529. PMID: 25665067, PMCID: PMC4467795, DOI: 10.1001/jamainternmed.2014.7889.Peer-Reviewed Original ResearchConceptsIntensive care unitLong-term mortalityCritical illnessICU admissionModerate disabilityOlder personsMinimal disabilitySevere disabilityFunctional trajectoriesFunctional declineEarly deathProspective cohort studyDay of admissionPersons 70 yearsGoals of careRisk of deathShort-term mortalityGreater New HavenSignificant functional declineICU lengthCohort studyHospital dischargePremorbid disabilityCare unitMechanical ventilationFrailty is crucial in FORECASTing outcomes in critical care
Ferrante L, Szczeklik W. Frailty is crucial in FORECASTing outcomes in critical care. Intensive Care Medicine 2024, 50: 1119-1122. PMID: 38953928, PMCID: PMC11556853, DOI: 10.1007/s00134-024-07518-0.Commentaries, Editorials and LettersSocial Determinants of Health and Delivery of Rehabilitation to Older Adults During ICU Hospitalization
Jain S, Murphy T, Falvey J, Leo-Summers L, O’Leary J, Zang E, Gill T, Krumholz H, Ferrante L. Social Determinants of Health and Delivery of Rehabilitation to Older Adults During ICU Hospitalization. JAMA Network Open 2024, 7: e2410713. PMID: 38728030, PMCID: PMC11087837, DOI: 10.1001/jamanetworkopen.2024.10713.Peer-Reviewed Original ResearchConceptsSocial determinants of healthDeterminants of healthOccupational therapyPhysical therapyOlder adultsRural residentsIntensive care unit hospitalizationRehabilitation deliveryIntensive care unitSocial determinantsSocioeconomic disadvantageNational Health and Aging Trends StudyDelivery of physical therapyIllness hospitalizationFactors associated with lower oddsDelivery of rehabilitationIn-hospital rehabilitationMitigate functional declineMedicaid eligibilityBurden of disabilityHigh school educationDual MedicareTrends StudyMedicare claimsLength of stay
2024
Prediction of Post-ICU Impairments—Is It Possible?*
Haines K, Ferrante L. Prediction of Post-ICU Impairments—Is It Possible?*. Critical Care Medicine 2024, 52: 337-340. PMID: 38240513, PMCID: PMC11285003, DOI: 10.1097/ccm.0000000000006082.Commentaries, Editorials and Letters
2023
Changes in Restricting Symptoms after Critical Illness among Community-Living Older Adults.
Jain S, Han L, Gahbauer E, Leo-Summers L, Feder S, Ferrante L, Gill T. Changes in Restricting Symptoms after Critical Illness among Community-Living Older Adults. American Journal Of Respiratory And Critical Care Medicine 2023, 208: 1206-1215. PMID: 37769149, PMCID: PMC10868351, DOI: 10.1164/rccm.202304-0693oc.Peer-Reviewed Original ResearchMeSH KeywordsAgedCritical IllnessHumansIntensive Care UnitsLongitudinal StudiesProspective StudiesQuality of LifeConceptsNeighborhood-level socioeconomic disadvantageCritical illnessIntensive care unitHospital dischargeCommunity-living older adultsOlder adultsOlder ICU survivorsPost-ICU careSocioeconomic disadvantageProspective longitudinal studyQuality of lifeICU admissionICU survivorsCare unitFunctional recoverySymptom managementMultiple symptomsThird monthThree monthsSymptomsIllnessRestricted activityVulnerable subgroupsFirst monthMonths
2022
Association Between Daily Average of Mobility Achieved During Physical Therapy Sessions and Hospital-Acquired or Ventilator-Associated Pneumonia among Critically Ill Patients
Qi W, Murphy TE, Doyle MM, Ferrante LE. Association Between Daily Average of Mobility Achieved During Physical Therapy Sessions and Hospital-Acquired or Ventilator-Associated Pneumonia among Critically Ill Patients. Journal Of Intensive Care Medicine 2022, 38: 418-424. PMID: 36278257, PMCID: PMC10065937, DOI: 10.1177/08850666221133318.Peer-Reviewed Original ResearchMeSH KeywordsBayes TheoremCritical IllnessHospitalsHumansIntensive Care UnitsPhysical Therapy ModalitiesPneumonia, Ventilator-AssociatedRetrospective StudiesConceptsVentilator-associated pneumoniaHAP/ventilator-associated pneumoniaMechanical ventilation statusPhysical therapy sessionsPhysical therapyIll patientsChronic Health Evaluation IIBaseline ambulatory statusImproved physical functionIncidence of HAPProgressive mobility programRetrospective cohort studyTherapy sessionsAcute PhysiologyAmbulatory statusCohort studyMedical ICUEarly mobilizationHospital-AcquiredPrimary outcomeDecreased riskPhysical functionEvaluation IIRisk factorsProtective associationLong-term recovery after critical illness in older adults
Kaushik R, Ferrante LE. Long-term recovery after critical illness in older adults. Current Opinion In Critical Care 2022, 28: 572-580. PMID: 35950731, PMCID: PMC9458622, DOI: 10.1097/mcc.0000000000000981.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsOlder ICU patientsPost-ICU recoveryCritical illnessGeriatric syndromesLong-term recoveryOlder adultsICU patientsRisk factorsIncidence of frailtyOlder ICU survivorsTransitional care programLong-term outcomesContinuum of careSocial isolationRecent epidemiologic workSocial risk factorsICU survivorsRecent literature pertainingUnique needsRecent longitudinal studiesNew disabilityWorse outcomesFunctional declineCare programSyndromeTrends in Geriatric Conditions Among Older Adults Admitted to US ICUs Between 1998 and 2015
Cobert J, Jeon SY, Boscardin J, Chapman AC, Ferrante LE, Lee S, Smith AK. Trends in Geriatric Conditions Among Older Adults Admitted to US ICUs Between 1998 and 2015. CHEST Journal 2022, 161: 1555-1565. PMID: 35026299, PMCID: PMC9248079, DOI: 10.1016/j.chest.2021.12.658.Peer-Reviewed Original ResearchConceptsICU admissionPre-existing disabilityGeriatric conditionsOlder adultsSelf-reported chronic diseasesPatients 65 yearsRate of dementiaICU patientsAdverse outcomesICU settingChronic diseasesAdjusted proportionDaily livingMultimorbidityICUAdmissionGeriatric principlesFrailtyDementiaUS ICUsFunctional measuresStudy designDisabilityAdultsTime trends
2020
Prediction Models for Physical, Cognitive, and Mental Health Impairments After Critical Illness: A Systematic Review and Critical Appraisal
Haines KJ, Hibbert E, McPeake J, Anderson BJ, Bienvenu OJ, Andrews A, Brummel NE, Ferrante LE, Hopkins RO, Hough CL, Jackson J, Mikkelsen ME, Leggett N, Montgomery-Yates A, Needham DM, Sevin CM, Skidmore B, Still M, van Smeden M, Collins GS, Harhay MO. Prediction Models for Physical, Cognitive, and Mental Health Impairments After Critical Illness: A Systematic Review and Critical Appraisal. Critical Care Medicine 2020, 48: 1871-1880. PMID: 33060502, PMCID: PMC7673641, DOI: 10.1097/ccm.0000000000004659.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingCognitive DysfunctionCritical IllnessHumansIntensive Care UnitsMental DisordersModels, StatisticalSurvivorsTreatment OutcomeConceptsCritical illnessMental health impairmentSystematic reviewHealth impairmentBias assessment toolRisk of biasStudy eligibility criteriaPrediction model RiskComposite outcomeAdult patientsTrial enrollmentCochrane LibraryPatient recoveryIndependent reviewersHigh riskEligibility criteriaOutcome measurementsStandardized outcomesAdult survivorsStudy characteristicsIllnessStudy designSystematic searchImpairmentCandidate predictorsFrailty in Critical Care Medicine: A Review.
De Biasio JC, Mittel AM, Mueller AL, Ferrante LE, Kim DH, Shaefi S. Frailty in Critical Care Medicine: A Review. Anesthesia & Analgesia 2020, 130: 1462-1473. PMID: 32384336, PMCID: PMC7426653, DOI: 10.1213/ane.0000000000004665.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsFrailty syndromeCare settingsDetermination of frailtyIntensive care patientsIntensive care unitHealth care utilizationAcute care settingCritical care settingClinical risk assessmentFrailty measurement toolsCritical care medicineAge-related accumulationCare patientsFrailty measurementRisk stratificationCare unitCare utilizationClinical entityPoor outcomePoor responsePrognostic trendObservational studyFunctional declineCare medicineMultisystem dysregulationHome Health Rehabilitation Utilization Among Medicare Beneficiaries Following Critical Illness
Falvey JR, Murphy TE, Gill TM, Stevens‐Lapsley J, Ferrante LE. Home Health Rehabilitation Utilization Among Medicare Beneficiaries Following Critical Illness. Journal Of The American Geriatrics Society 2020, 68: 1512-1519. PMID: 32187664, PMCID: PMC7712590, DOI: 10.1111/jgs.16412.Peer-Reviewed Original ResearchConceptsRehabilitation visitsCritical illnessMedicare beneficiariesICU survivorsHome healthPost-acute care facilitiesIntensive care unit survivorsDays of dischargeHigher baseline disabilityAssessment Information SetPost-hospitalization periodRural settingsHome-based rehabilitationHH careHH servicesHH settingHospice transferLeast disabilityMore comorbiditiesBaseline disabilityICU stayElixhauser scoreHighest tertileRehabilitation utilizationDischarge planning
2019
Patient-Centered Outcomes in Critical Illness: Will My Patient Be Functionally and Cognitively Intact?
Geer JH, Qi W, Ferrante LE. Patient-Centered Outcomes in Critical Illness: Will My Patient Be Functionally and Cognitively Intact? Seminars In Respiratory And Critical Care Medicine 2019, 40: 638-647. PMID: 31826264, DOI: 10.1055/s-0039-1698379.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsMeSH KeywordsAnimalsCognitionCritical CareCritical IllnessHumansIntensive Care UnitsPatient Outcome AssessmentPatient-Centered CareSurvivorsFrailty assessment in the ICU: translation to ‘real‐world' clinical practice
Falvey JR, Ferrante LE. Frailty assessment in the ICU: translation to ‘real‐world' clinical practice. Anaesthesia 2019, 74: 700-703. PMID: 30859547, PMCID: PMC6521947, DOI: 10.1111/anae.14617.Commentaries, Editorials and Letters
2017
Prognostication during Critical Illness: Moving the Field Forward
Ferrante LE. Prognostication during Critical Illness: Moving the Field Forward. Annals Of The American Thoracic Society 2017, 14: 1510-1511. PMID: 28961035, PMCID: PMC5718572, DOI: 10.1513/annalsats.201706-496ed.Commentaries, Editorials and Letters