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  1. Article ; Online: Surviving Critical Illness: The First Turn on the Long and Winding Road Back to Normalcy.

    Schorr, Christa / Gill, Brendan

    Critical care medicine

    2021  Volume 49, Issue 11, Page(s) 1988–1991

    MeSH term(s) Critical Illness ; Humans
    Language English
    Publishing date 2021-10-01
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000005160
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  2. Article ; Online: Normothermia in Sepsis Warrants More Than a Lukewarm Response.

    Noel, Christopher / Schorr, Christa

    Critical care medicine

    2020  Volume 48, Issue 10, Page(s) 1538–1540

    MeSH term(s) Emergency Service, Hospital ; Hospital Mortality ; Humans ; Sepsis/therapy
    Language English
    Publishing date 2020-09-13
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000004542
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  3. Article ; Online: Women as a Growing Force in Critical Care Medicine-the Journal, Profession, and Society.

    Jacobi, Judith / Harvey, Maurene / Schorr, Christa / Thompson, Ann / Bekes, Carolyn / Spevetz, Antoinette

    Critical care medicine

    2023  Volume 51, Issue 5, Page(s) 555–562

    MeSH term(s) Humans ; Female ; Societies, Medical ; Critical Care
    Language English
    Publishing date 2023-04-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000005823
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  4. Article ; Online: Nursing Implications of the Updated 2021 Surviving Sepsis Campaign Guidelines.

    Schorr, Christa A / Seckel, Maureen A / Papathanassoglou, Elizabeth / Kleinpell, Ruth

    American journal of critical care : an official publication, American Association of Critical-Care Nurses

    2022  Volume 31, Issue 4, Page(s) 329–336

    Abstract: Sepsis is a life-threatening illness that affects millions of people worldwide. Early recognition and timely treatment are essential for decreasing mortality from sepsis. The Surviving Sepsis Campaign: International Guidelines for Management of Sepsis ... ...

    Abstract Sepsis is a life-threatening illness that affects millions of people worldwide. Early recognition and timely treatment are essential for decreasing mortality from sepsis. The Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021, the fifth iteration of the guidelines, was released in October 2021 and includes 93 recommendations for the management of sepsis. The evidence-based guidelines include recommendations and rationales for screening and early treatment, initial resuscitation, mean arterial pressure targets, admission to intensive care, management of infection, hemodynamic monitoring, ventilation, and additional therapies. A new section addresses long-term outcomes and goals of care. This article presents several recommendations, changes, and updates in the 2021 guidelines and highlights the important contributions nurses have in delivering timely and evidence-based care to patients with sepsis. Recommendations may be for or against an intervention, according to the evidence. Although many recommendations are unchanged, several new recommendations directly affect nursing care and may require specialized training (eg, venovenous extracorporeal membrane oxygenation). The newest section, long-term outcomes and goals of care, is aimed at using available resources to provide care that is aligned with the patient and the patient's family through goals-of-care discussions and shared decision-making. Interventions aimed at improving recovery across the continuum of care should include attention to long-term outcomes. Nurses are essential in identifying patients with sepsis, administering and assessing response to treatment, supporting the patient and family, and limiting sequelae from sepsis. This article highlights the 2021 recommendations that influence nursing care for patients with sepsis.
    MeSH term(s) Critical Care ; Humans ; Resuscitation ; Sepsis/complications ; Sepsis/diagnosis ; Sepsis/therapy ; Shock, Septic/complications ; Shock, Septic/therapy
    Language English
    Publishing date 2022-06-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1130987-8
    ISSN 1937-710X ; 1062-3264
    ISSN (online) 1937-710X
    ISSN 1062-3264
    DOI 10.4037/ajcc2022324
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  5. Article ; Online: The authors reply.

    Dellinger, Richard Philip / Levy, Mitchell M / Schorr, Christa A / Townsend, Sean R

    Critical care medicine

    2022  Volume 50, Issue 3, Page(s) e335–e336

    Language English
    Publishing date 2022-02-22
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000005406
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  6. Book ; Thesis: Die Charakterisierung von Candida albicans, isoliert bei Patienten Erlanger Universitätskliniken mit der Resistogramm-Methode

    Schorr, Christa

    1985  

    Size 58 S. : Ill.
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Erlangen-Nürnberg, Univ., Diss., 1985
    HBZ-ID HT003253016
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    86 D 1147 order for loan Magazin

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  7. Article ; Online: Trends for Palliative Care Use in the Prolonged Mechanically Ventilated Patient: Are We Moving Toward a Proactive Approach?

    Schorr, Christa / Angelo, Mark

    Critical care medicine

    2018  Volume 46, Issue 8, Page(s) 1374–1375

    MeSH term(s) Humans ; Palliative Care ; Respiration, Artificial
    Language English
    Publishing date 2018-07-13
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000003233
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  8. Article ; Online: Performance improvement in the management of sepsis.

    Schorr, Christa

    Critical care nursing clinics of North America

    2011  Volume 23, Issue 1, Page(s) 203–213

    Abstract: Sepsis guidelines, although creating a base to allow change in health care practitioner behavior, do not, in and of themselves, effect change. Change only comes with institution of a PI program, converting a core of key goals of guideline recommendations ...

    Abstract Sepsis guidelines, although creating a base to allow change in health care practitioner behavior, do not, in and of themselves, effect change. Change only comes with institution of a PI program, converting a core of key goals of guideline recommendations to quality indicators, and giving feedback on performance. These quality indicators are tracked before or during (recommended approach) initiation of hospital-wide education to evaluate baseline performance. When combining multispecialty and multidisciplinary champions in the ED, hospital wards, ICU, and hospital administrative leadership with timely performance feedback, case failure analysis, and re-education, an opportunity to succeed in decreasing mortality in severe sepsis can be achieved. Sepsis bundle indicators require updating as new evidence emerges and new guidelines are published.(30,31)
    MeSH term(s) Clinical Protocols ; Evidence-Based Medicine/organization & administration ; Humans ; Outcome and Process Assessment (Health Care) ; Practice Guidelines as Topic ; Quality Assurance, Health Care ; Quality Indicators, Health Care ; Sepsis/therapy
    Language English
    Publishing date 2011-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1313997-6
    ISSN 1558-3481 ; 0899-5885
    ISSN (online) 1558-3481
    ISSN 0899-5885
    DOI 10.1016/j.ccell.2010.12.012
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  9. Article ; Online: Implementation of the Affordable Care Act: A Comparison of Outcomes in Patients With Severe Sepsis and Septic Shock Using the National Inpatient Sample.

    Chinai, Brian / Gaughan, John / Schorr, Christa

    Critical care medicine

    2020  Volume 48, Issue 6, Page(s) 783–789

    Abstract: Objectives: Sepsis is the most common and costly diagnosis in U.S.' hospitals. Despite quality improvement programs and heightened awareness, sepsis accounts for greater than 50% of all hospital deaths. A key modifier of outcomes is access to healthcare. ...

    Abstract Objectives: Sepsis is the most common and costly diagnosis in U.S.' hospitals. Despite quality improvement programs and heightened awareness, sepsis accounts for greater than 50% of all hospital deaths. A key modifier of outcomes is access to healthcare. The Affordable Care Act, passed in 2010, expanded access to health insurance coverage. The purpose of this study was to evaluate changes in insurance coverage and outcomes in patients with severe sepsis and septic shock as a result of the full implementation of the Affordable Care Act.
    Design: This retrospective study uses data from the Healthcare Cost and Utilization Project National Inpatient Sample during 2011-2016. Data were divided into two groups: 2011-2013 (pre Affordable Care Act) and 2014-2016 (post Affordable Care Act). Outcomes were in-hospital mortality, mortality rates based on insurance type, and hospital length of stay.
    Patients: Hospitalized adults between the ages 18 and 64.
    Interventions: None.
    Measurements and main results: A total of 361,323 severe sepsis or septic shock hospital discharges were included. Comparing pre-Affordable Care Act with post-Affordable Care Act, there was a 4.75% increase in medicaid coverage and a 1.91% decrease in the uninsured. Overall in-hospital mortality decreased from 22.90% pre-Affordable Care Act to 18.59% post-Affordable Care Act. Pre-Affordable Care Act uninsured patients had the highest mortality (25.68%). Patients with medicaid had the greatest reduction in mortality (5.71%) and length of stay (2.45 d). The mean (SD) length of stay pre Affordable Care Act was 13.92 (17.42) days, compared with 12.35 (15.76) days post Affordable Care Act. All results were statistically significant (p < 0.0001).
    Conclusions: In this cohort, there was an increase in insured patients with severe sepsis and septic shock post Affordable Care Act. Mortality and length of stay decreased in the post-Affordable Care Act period with the greatest reduction identified in the medicaid population. The improvement in outcomes could be attributed to advances in management, earlier presentation, patients being less severely ill and receiving treatment sooner.
    MeSH term(s) Adolescent ; Adult ; Female ; Health Services Accessibility/statistics & numerical data ; Hospital Mortality/trends ; Humans ; Insurance Coverage/statistics & numerical data ; Insurance, Health/statistics & numerical data ; Length of Stay/statistics & numerical data ; Male ; Medicaid/statistics & numerical data ; Middle Aged ; Patient Protection and Affordable Care Act/legislation & jurisprudence ; Retrospective Studies ; Sepsis/mortality ; Shock, Septic/mortality ; United States/epidemiology ; Young Adult
    Language English
    Publishing date 2020-04-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000004310
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  10. Article ; Online: 50 Years of Sepsis Investigation/Enlightenment Among Adults-The Long and Winding Road.

    Dellinger, R Phillip / Levy, Mitchell M / Schorr, Christa A / Townsend, Sean R

    Critical care medicine

    2021  Volume 49, Issue 10, Page(s) 1606–1625

    MeSH term(s) History, 20th Century ; History, 21st Century ; Humans ; Research/history ; Research/trends ; Sepsis/diagnosis ; Sepsis/history ; Sepsis/physiopathology
    Language English
    Publishing date 2021-07-28
    Publishing country United States
    Document type Historical Article ; Journal Article
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000005203
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