Publications

PUBLICATIONS

Our expertise and specialization allows Barlow Respiratory Hospital a unique perspective on outcomes and data. Barlow Respiratory Hospital maintains the largest longitudinal dataset in the nation with reported outcomes of chronically critically ill patients admitted to a Long Term Acute-Care Hospital (LTCH) for weaning from prolonged mechanical ventilation. The Ventilation Outcomes Data-set (VOD), a performance improvement dataset, includes data on more than 6,300 patients over 30 consecutive years. The advantage of our rich longitudinal dataset is that we can measure change. The dataset allows us to analyze the impact of various processes, protocols, and policies on improvement in patient outcomes.
Barlow Respiratory Hospital leads LTCHs in outcomes reporting with over 80 publications – book chapters, peer-reviewed journal articles, editorials and abstracts – and numerous national and international conference presentations.

Abstracts

  • Hassenpflug M, Vela D, Sandoval R, Nelson DR, Sasse S, Steckart MJ. Post-ICU mechanical ventilation: outcomes of the revised therapist-implemented patient specific (TIPS©) weaning protocol. Am J Respir Crit Care Med 191; 2015:A3166
  • Hassenpflug M, Steckart MJ, Nelson DR. Chronic critical illness: updates to weaning outcomes at a regional weaning center. Am J Respir Crit Care Med 191; 2015:A1192
  • Payne G, Vela D, Hassenpflug M, Nelson DR, Sasse S, Steckart MJ. Post-ICU mechanical ventilation: outcomes of the revised therapist-implemented patient specific (TIPS©) weaning protocol. Resp Care 2014; 59 (10):OF65
  • Hassenpflug M, Steckart MJ, Nelson DR. Post-ICU mechanical ventilation: weaning outcomes and one year post-discharge survival in the very elderly chronically critically ill. Am J Respir Crit Care Med 2014, 189:A4579
  • Stearn-Hassenpflug M, Steckart MJ, Nelson DR. Post-ICU mechanical ventilation: trends in mortality and 12-month post-discharge survival. Crit Care Med 2013; 41(12):A678
  • Stearn-Hassenpflug M, Steckart MJ, Nelson DR. Post-ICU mechanical ventilation: trends in population characteristics, weaning outcome, and discharge. Crit Care Med 2013; 41(12):A655
  • Hassenpflug M, Steckart MJ, Nelson DR. Renal replacement therapy in prolonged mechanical ventilation: update on weaning outcomes and survival. Am J Respir Crit Care Med 2013; 187:A1611
  • Hassenpflug MA, Steckart MJ, Nelson DR. Post-ICU mechanical ventilation: trends in mortality and 12-month post-discharge survival. Am J Respir Crit Care Med 2012; 185:A3086
  • Hassenpflug MA, Steckart MJ, Nelson DR. Post-ICU mechanical ventilation: trends in population characteristics, weaning outcome, and discharge disposition. Am J Respir Crit Care Med 2012; 185:A3085
  • Hassenpflug MA, Steckart MJ, Nelson DR. Post-ICU mechanical ventilation: extended care facility residents transferred from intensive care to long-term acute care. Am J Respir Crit Care Med 2011; 183:A2377
  • Hassenpflug MA, Steckart MJ, Nelson DR. Weaning from prolonged mechanical ventilation: extended care facility residents transferred from intensive care to long-term acute care. Am J Respir Crit Care Med 2010; 181:A3034
  • Hassenpflug MA, Steckart MJ, Nelson DR. Extended care facility patients transferred from intensive care to long-term acute care for weaning from prolonged mechanical ventilation. Chest 2009; 136:29S
  • Hassenpflug MA, Steckart MJ, Nelson DR. Post-ICU mechanical ventilation: relationship of premorbid functional status and location to weaning outcome, disposition, and survival. Am J Respir Crit Care Med, Apr 2009;179
  • Hassenpflug MA, Steckart MJ, Nelson DR. Post-ICU mechanical ventilation: changing population characteristics, weaning outcome, discharge disposition and survival. Am J Respir Crit Care Med, Apr 2009;179
  • Scheinhorn DJ, Hassenpflug MA, Cage-Lindsay J, Steckart MJ, Rosenfeld, KR. End-of-life in patients on prolonged mechanical ventilation: a needs assessment for palliative care at a long term acute care hospital. Am J Respir Crit Care Med 2006; A302
  • Scheinhorn DJ, Hassenpflug MA, Steckart MJ. Survival, functional status, and quality of life after prolonged mechanical ventilation. Am J Respir Crit Care Med 2006; 3:A42
  • Scheinhorn DJ, Stearn-Hassenpflug M, Chao DC, Doig GS, Epstein SK, Knight EB, Petrak RA, Pitt EA, Votto JJ, for the Ventilation Outcomes Study Group. Post-ICU mechanical ventilation at 23 long term care hospitals: a multicenter outcomes study. Crit Care Med 2005; 33 (12):A20
  • Scheinhorn DJ, Hassenpflug MA, Low S. Post-ICU mechanical ventilation: weaning outcomes and survival in the very elderly chronically critically ill. Am J Respir Crit Care Med 2005; 2:A671
  • Scheinhorn DJ, Hassenpflug MA, Chao DC, Kim H, Low S. Post-ICU mechanical ventilation: relationship of infectious complications to outcomes of weaning from prolonged mechanical ventilation. Am J Respir Crit Care Med 2005; 2:A671
  • Scheinhorn DJ, Hassenpflug MA, Low S, Chao DC. Post-ICU mechanical ventilation: relationship of premorbid functional status and location to weaning outcome and survival. Am J Respir Crit Care Med 2005; 2:A671
  • Scheinhorn DJ, Stearn-Hassenpflug M, Chao DC, Palma C. Post-ICU mechanical ventilation: treatment of 2,369 patients over 16 years at a regional weaning center. Chest 2004; 126:750S.
  • Scheinhorn DJ, Stearn-Hassenpflug M, Chao DC, Palma C. Post-ICU mechanical ventilation: functional status before and after prolonged mechanical ventilation. Chest 2004; 126:870S (2nd place award, Best Poster in Category, Critical Care)
  • Scheinhorn DJ, Chao DC, Stearn-Hassenpflug M, Doig GS, Epstein SK, Knight EB, Petrak RA, Pitt EA, Votto JJ, and the Ventilation Outcomes Study Group. Infectious complications in weaning from prolonged mechanical ventilation at long term hospitals: preliminary report from a multicenter study. Am J Respir Crit Care Med 2004; 169(7):A44
  • Scheinhorn DJ, Chao DC, Stearn-Hassenpflug MA, Doig DS, Epstein SK, EKnight B, Petrak RA, Pitt EA, Votto JJ, and the Ventilation Outcomes Study Group. Functional status before and after prolonged mechanical ventilation: a multicenter outcomes study. Am J Respir Crit Care Med 2004; 169(7):A43
  • Scheinhorn DJ, Chao DC, Stearn-Hassenpflug M, Doig DS, Epstein SK, EKnight B, Petrak RA, Pitt EA, Votto JJ, for the Ventilation Outcomes Study Group. Post-ICU mechanical ventilation at long term hospitals: a multicenter outcomes study. Respir Care 2003; 48(11):1131.
  • Scheinhorn DJ, Chao DC, Stearn-Hassenpflug M, Doig DS, Epstein SK, EKnight B, Petrak RA, Pitt EA, Votto JJ, and the Ventilation Outcomes Study Group. Ventilator-dependent survivors of catastrophic illness: a multicenter outcomes study. Chest 2003; 124:111S.
  • Scheinhorn DJ, Chao DC, Stearn-Hassenpflug M, Doig DS, Epstein SK, Knight B, Petrak RA, Pitt EA, Votto JJ, and the Ventilation Outcomes Study Group. Ventilator-dependent survivors of catastrophic illness: a multicenter outcomes study. Am J Respir Crit Care Med 2003; 167(7):A458.
  • Scheinhorn DJ, Chao DC. Provision of heat and humidity during self-breathing trials in weaning tracheotomized patients from prolonged mechanical ventilation. Am J Respir Crit Care Med 2003; 167(7):A458.
  • Chao DC, Scheinhorn DJ, Van Sloten ES, Ho CK, Lebby RA. Effect of inflation of the tracheostomy balloon cuff on aspiration of supraglottic contents during swallowing. Am J Respir Crit Care Med 2003; 167(7):A787.
  • Scheinhorn DJ, Chao DC, Stearn-Hassenpflug M. Post-ICU mechanical ventilation – treatment of 2171 patients over 14 years at a regional weaning center. Am J Respir Crit Care Med 2003; 167(7):A458.
  • Scheinhorn DJ, Chao DC, Stearn-Hassenpflug M, Doig DS, Epstein SK, Knight B, Petrak RA, Pitt EA, Votto JJ, and the Ventilation Outcomes Study Group. Ventilator-dependent survivors of catastrophic illness: a multicenter outcomes study. Crit Care Med 2003; 30:A26
  • Scheinhorn DJ, Chao DC, Doig DS, Epstein SK, Knight B, Petrak RA, Pitt EA, Votto JJ, and the Ventilation Outcomes Study Group. Post-ICU mechanical ventilation: a multicenter outcomes study. Chest 2002; 122:153S.
  • Scheinhorn DJ, Chao DC, Stearn-Hassenpflug M. Post-ICU mechanical ventilation – treatment of 2,048 patients over 14 years at a regional weaning center. Chest 2002; 122:37S.
  • Chao DC, Scheinhorn DJ, Stearn-Hassenpflug M. Determining best threshold of rapid shallow breathing index (RSBI) in the therapist-implemented patient-specific (TIPS) weaning protocol. Am J Respir Crit Care Med 2001; 163(5):A889
  • Chao DC, Scheinhorn DJ, Stearn-Hassenpflug M, Agatep M. Improved outcome in weaning patients with severe renal dysfunction from prolonged mechanical ventilation. Am J Respir Crit Care Med 2001; 163(5):A889
  • Brock J, Chao DC, Stearn-Hassenpflug M, Scheinhorn DJ, Ho CK. Objective measures of function and quality of life show sustained improvement after inpatient pulmonary rehabilitation. Am J Respir Crit Care Med 2001; 163(5):A647
  • Coffman KL, Scheinhorn DJ, Chao DC, Stearn-Hassenpflug M. Diagnostic psychiatric consultation at a long-term acute care hospital that specializes in weaning from prolonged mechanical ventilation and pulmonary rehabilitation. Chest 2000; 118:164S
  • Scheinhorn DJ, Chao DC, Stearn-Hassenpflug M, Wallace WA. Utility of RSBI in a therapist-implemented protocol for weaning from prolonged mechanical ventilation in the post-ICU setting. Am J Respir Crit Care Med 2000; 161:A791
  • Scheinhorn DJ, Chao DC, Stearn-Hassenpflug M, Wallace WA. Post-ICU Mechanical Ventilation: treatment of 1575 patients over 11 years at a regional weaning center. Am J Respir Crit Care Med 2000; 161:A793
  • Wallace WA, Chao DC, Scheinhorn DJ, Molinari S. Post-ICU mechanical ventilation: results of a therapist-implemented patient specific (TIPS) weaning protocol. Respir Care 1999; 44(10):1265 (Abstract)
  • Chao DC, Scheinhorn DJ, Wallace WA, Hassenpflug MS. Heat and moisture exchanger use with portable ventilators may permit patient-ventilator disconnect without alarm. Am J Resp Crit Care Med 1999; 159:A373
  • Scheinhorn DJ, Chao DC, Hassenpflug MS, Ho CK, Nelson DR, Lebby RA. Post-ICU mechanical ventilation: compliance with a therapist-implemented patient-specific (TIPS) weaning protocol. Am J Resp Crit Care Med 1999; 159:A373
  • Scheinhorn DJ, Chao DC, Hassenpflug MS, Ho CK, Nelson DR, Lebby RA. Post-ICU mechanical ventilation: results of a therapist-implemented patient-specific (TIPS) weaning protocol. Am J Resp Crit Care Med 1999; 159:A373
  • Stearn-Hassenpflug MA, Chao DC, Scheinhorn DJ, LaBree LD, Gopez J. Relationship of skin integrity status to success of weaning attempts and other outcome measures in 1,109 ventilator-dependent patients in the post-ICU setting. Crit Care Med 1997; 25:A112.
  • Chao DC, Scheinhorn DJ, Stearn-Hassenpflug MA, Gopez J. Impact of renal dysfunction on weaning from prolonged mechanical ventilation in 1,077 ventilator dependent patients. Crit Care Med 1997; 25:A111
  • Ho CK, Nelson DR, Scheinhorn DJ, Chao DC, Hassenpflug MA. Percutaneous dilational tracheostomy with bronchoscopy at a regional weaning center. Chest 1996; 110:75S
  • Chao DC, Scheinhorn DJ, Hassenpflug MA. Patient-ventilator trigger asynchrony in prolonged mechanical ventilation. Chest 1996; 110:183S
  • Chao DC, Scheinhorn DJ, Hassenpflug MA. Energy expenditure of patients weaning from prolonged mechanical ventilation. Am J Resp Crit Care Med 1996; 153:A610
  • Scheinhorn DJ, Chao DC, Hassenpflug MA, Heltsley DJ. Weaning outcome, disposition, and survival in 991 patients after prolonged mechanical ventilation. Am J Resp Crit Care Med 1996; 153:A612
  • Chao DC, Scheinhorn DJ, Hassenpflug M, Artinian B, Catlin J. Rapid shallow breathing index (RSBI) in prolonged ventilator dependency. Chest 1995; 108: 190S
  • Rothfeld A, Chao DC, Scheinhorn DJ. Dead space ratio (VD/VT) as a predictor of weaning outcome in MICU patients. Chest 1995; 108:135S
  • Scheinhorn DJ, Hassenpflug M, Kalkat GS, Artinian B, LaBree L. Weaning after prolonged mechanical ventilation: Stoma button use after bronchoscopy in tracheotomized patients. Am J Respir Crit Care Med 1994; 149: A640
  • Scheinhorn DJ, Artinian B, Wakeman J, LaBree L, Catlin J. Effect of pressure support ventilation on weaning success in long term ventilator dependent patients:Analysis using normalization by A-a gradient and graphic data display. Chest 1993; 103: 271S
  • Scheinhorn DJ, Artinian B, LaBree L, Catlin J. Predictors of weaning after six weeks of mechanical ventilation. ARRD 1993; 147: A874
  • Scheinhorn DJ, Marzban S, LaBree L. Age, absence of decubitus ulcers, measurements of gas exchange, and selected laboratory tests correlate with weaning from prolonged mechanical ventilation. Chest 1992; 102: 185S
  • Kalkat GS, Scheinhorn DJ. Upper airway inspection before decannulation is advised in tracheotomized patients following long term mechanical ventilation. ARRD 1992; 145:A521
  • Scheinhorn DJ. Increase in serum albumin and decrease in body weight correlate with weaning from prolonged mechanical ventilation. ARRD 1992; 145:A522
  • Scheinhorn DJ, Ho C. Avoiding home mechanical ventilation. Chest 1991; 100:335