Jorge Lambrinos

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OBJECTIVE To evaluate the cost-effectiveness of prolonged mechanical ventilation in patients 80 years of age and older in the intensive care unit (ICU). DESIGN A retrospective review of consecutive ICU patients requiring 3 or more days of mechanical ventilation. Cost-effectiveness analysis was performed by assessing incremental hospital charges from(More)
OBJECTIVE To examine and describe the relation between age and disposition in patients undergoing tracheostomy. DESIGN Retrospective analysis of a statewide database. SETTING All acute care hospitals in New York state. PATIENTS All patients (n = 6,353) > or = 18 yrs of age who were discharged from the hospital during 1993 with a final(More)
STUDY OBJECTIVE To examine the impact of age on outcome from mechanical ventilation. DESIGN Retrospective analysis of a statewide database. SETTING All acute-care hospitals in New York State. PATIENTS All patients, aged 18 years and over, requiring mechanical ventilation during 1990 who could be identified with a mechanical ventilation procedure code(More)
STUDY OBJECTIVES To examine and describe the relationship between age and disposition in patients undergoing mechanical ventilation. DESIGN Retrospective analysis of a statewide database. SETTING All acute-care hospitals in New York State. PATIENTS All patients (n=10,473) aged > or = 18 years discharged from hospital during 1993 with a final diagnosis(More)
OBJECTIVE To analyze the costs and discharge status for patients with prolonged mechanical ventilation undergoing tracheostomy. DESIGN Retrospective analysis of a statewide database. PATIENTS All patients (n = 37,573) >18 yrs of age who had prolonged mechanical ventilation (procedure code 96.72) and were discharged from the hospital between 1992 and(More)
This article examines the impact of greater management involvement by the medical director on efficiency of bed allocation in the intensive care unit (ICU) or critical care unit. Managerial involvement is modeled using a principal components approach in terms of perceived supervision, conflict resolution regarding bed allocation at critical times, extent of(More)
Increasing effort and resources are being devoted to reducing the reliance on state institutions for the mentally ill. Little empirical support is available for many of the proposed policies. In this article we construct and estimate a model based on the assertion that rates of institutionalization in public mental hospitals are dependent upon the(More)
OBJECTIVE An economic evaluation of the resources used for mechanically ventilated patients using various measures for the benefits of extending life. METHODS Regression analysis is applied to New York State discharge data for patients under DRG 475 during 1992-96 to predict age-specific survival rates and payments per life saved. Sensitivity analysis is(More)
OBJECTIVE To evaluate resource utilization by elderly patients with respiratory failure in order to compare the efficiency of managed care and non-managed care payers. DESIGN Regression analysis is applied to predict survival rate and the payments per life saved as a function of managed care participation, sociodemographics, and clinical risk factors. (More)