Nicholas M Mohr
Biographic Data
| ID | 6165597 |
|---|---|
| NAME | Nicholas M Mohr |
| GIVEN NAMES | Nicholas M |
| FAMILY NAME | Mohr |
| SIGNATURE | MOHR N M |
| AFFILIATIONS | Department of Emergency Medicine University of Iowa Carver College of Medicine Iowa City Iowa |
| ORCID | 0000-0003-0497-5828 |
| VERIFIED | Yes |
| TOTAL WORKS | 10 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 10 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2016 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
National Trends in Emergency Department Boarding and Interfacility Transfers by Rurality
Unveiling sub-populations in critical care settings
Background: Disease presentation and progression can vary greatly in heterogeneous diseases, such as COVID-19, with variability in patient outcomes, even within the hospital setting. This variability underscores the need for tailored treatment approaches based on distinct clinical subgroups. Objectives: This study aimed to identify COVID-19 patient subgroups with unique clinical characteristics using real-world data (RWD) from electronic health r…
Provider‐to‐provider telemedicine for sepsis is used less frequently in communities with high social vulnerability
PURPOSE: Sepsis disproportionately affects patients in rural and socially vulnerable communities. A promising strategy to address this disparity is provider-to-provider emergency department (ED)-based telehealth consultation (tele-ED). The objective of this study was to determine if county-level social vulnerability index (SVI) was associated with tele-ED use for sepsis and, if so, which SVI elements were most strongly associated. METHODS: We use…
Transfer boarding delays care more in low‐volume rural emergency departments
PURPOSE: Emergency department (ED) crowding is increasing and is associated with adverse patient outcomes. The objective of this study was to measure the relative impact of ED boarding on timeliness of early ED care for new patient arrivals, with a focus on the differential impact in low-volume rural hospitals. METHODS: A retrospective cohort of all patients presenting to a Veterans Health Administration (VHA) ED between 2011 and 2014. The primar…
Rural Stroke Patients Have Higher Mortality
PURPOSE: Early recognition and prompt prehospital care is a cornerstone of acute stroke treatment. Residents of rural areas have worse access to stroke services than urban residents. The purpose of this study was to (1) describe US trends in rural-urban stroke mortality and (2) identify possible factors associated with rural-urban stroke case-fatality disparities. METHODS: This study was a nationwide retrospective cohort study of stroke admission…
Urban and Rural Emergency Department Performance on National Quality Metrics for Sepsis Care in the United States
PURPOSE: The Centers for Medicare and Medicaid Services (CMS) and the American College of Emergency Physicians (ACEP) developed national quality measures for emergency department (ED) sepsis care. Like care for many conditions, meeting sepsis quality metrics can vary between settings. We sought to examine and compare sepsis care quality in rural vs urban hospital-based EDs. METHODS: We analyzed data from EDs participating in the national Emergenc…
Telemedicine is associated with rapid transfer and fewer involuntary holds among patients presenting with suicidal ideation in rural hospitals
The role of telemedicine in influencing access, quality and efficiency of care in underserved rural hospitals is critically important as these networks become more prevalent in rural healthcare environments
Safety of Back‐Transfer to Local Hospitals During an Acute Care Hospitalization
PURPOSE: This paper investigates patient outcomes including length of stay (LOS), cost of hospitalization, bounce-back rates, transition to hospice care, and mortality, following back-transfer. METHODS: This study was an observational case-control study of adults hospitalized in Iowa between 2005 and 2013 to identify back-transferred patients. Back-transfer was defined as the transfer of rural patients near the end of their acute hospitalization …
Clinical and epidemiological variability in severe sepsis
BACKGROUND: To assess clinical and epidemiological trends of severe sepsis. METHODS: Ecological study of patients presenting to the emergency department with severe sepsis or septic shock between 2005 and 2013. Patients were identified using the state-wide hospital administrative database. Key outcomes included incidence rates (IRs) and mortality rates (per 1000 population) by age and medically underserved areas (MUAs), sepsis case fatality rate …
Discordance Between Patient and Clinician Experiences and Priorities in Rural Interhospital Transfer
PURPOSE: Rural emergency department (ED) patients require interhospital transfer for definitive care at nearly 6 times the national rate, yet transfer decision-making is variable. The goal of this study was to understand patient experiences, preferences, and decision-making in the rural interhospital transfer process, and to measure the concordance between patient opinions and provider perceptions. METHODS: Ours is a mixed methods study of patien…
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Discordance Between Patient and Clinician Experiences and Priorities in Rural Interhospital Transfer
PURPOSE: Rural emergency department (ED) patients require interhospital transfer for definitive care at nearly 6 times the national rate, yet transfer decision-making is variable. The goal of this study was to understand patient experiences, preferences, and decision-making in the rural interhospital transfer process, and to measure the concordance between patient opinions and provider perceptions. METHODS: Ours is a mixed methods study of patien…
Safety of Back‐Transfer to Local Hospitals During an Acute Care Hospitalization
PURPOSE: This paper investigates patient outcomes including length of stay (LOS), cost of hospitalization, bounce-back rates, transition to hospice care, and mortality, following back-transfer. METHODS: This study was an observational case-control study of adults hospitalized in Iowa between 2005 and 2013 to identify back-transferred patients. Back-transfer was defined as the transfer of rural patients near the end of their acute hospitalization …
Clinical and epidemiological variability in severe sepsis
BACKGROUND: To assess clinical and epidemiological trends of severe sepsis. METHODS: Ecological study of patients presenting to the emergency department with severe sepsis or septic shock between 2005 and 2013. Patients were identified using the state-wide hospital administrative database. Key outcomes included incidence rates (IRs) and mortality rates (per 1000 population) by age and medically underserved areas (MUAs), sepsis case fatality rate …
Urban and Rural Emergency Department Performance on National Quality Metrics for Sepsis Care in the United States
PURPOSE: The Centers for Medicare and Medicaid Services (CMS) and the American College of Emergency Physicians (ACEP) developed national quality measures for emergency department (ED) sepsis care. Like care for many conditions, meeting sepsis quality metrics can vary between settings. We sought to examine and compare sepsis care quality in rural vs urban hospital-based EDs. METHODS: We analyzed data from EDs participating in the national Emergenc…
Telemedicine is associated with rapid transfer and fewer involuntary holds among patients presenting with suicidal ideation in rural hospitals
The role of telemedicine in influencing access, quality and efficiency of care in underserved rural hospitals is critically important as these networks become more prevalent in rural healthcare environments
Transfer boarding delays care more in low‐volume rural emergency departments
PURPOSE: Emergency department (ED) crowding is increasing and is associated with adverse patient outcomes. The objective of this study was to measure the relative impact of ED boarding on timeliness of early ED care for new patient arrivals, with a focus on the differential impact in low-volume rural hospitals. METHODS: A retrospective cohort of all patients presenting to a Veterans Health Administration (VHA) ED between 2011 and 2014. The primar…
Rural Stroke Patients Have Higher Mortality
PURPOSE: Early recognition and prompt prehospital care is a cornerstone of acute stroke treatment. Residents of rural areas have worse access to stroke services than urban residents. The purpose of this study was to (1) describe US trends in rural-urban stroke mortality and (2) identify possible factors associated with rural-urban stroke case-fatality disparities. METHODS: This study was a nationwide retrospective cohort study of stroke admission…
Unveiling sub-populations in critical care settings
Background: Disease presentation and progression can vary greatly in heterogeneous diseases, such as COVID-19, with variability in patient outcomes, even within the hospital setting. This variability underscores the need for tailored treatment approaches based on distinct clinical subgroups. Objectives: This study aimed to identify COVID-19 patient subgroups with unique clinical characteristics using real-world data (RWD) from electronic health r…
Provider‐to‐provider telemedicine for sepsis is used less frequently in communities with high social vulnerability
PURPOSE: Sepsis disproportionately affects patients in rural and socially vulnerable communities. A promising strategy to address this disparity is provider-to-provider emergency department (ED)-based telehealth consultation (tele-ED). The objective of this study was to determine if county-level social vulnerability index (SVI) was associated with tele-ED use for sepsis and, if so, which SVI elements were most strongly associated. METHODS: We use…
National Trends in Emergency Department Boarding and Interfacility Transfers by Rurality
Medicine (8 works) · Emergency Medicine (7 works) · Emergency and Acute Care Studies (5 works) · Emergency department (5 works) · Health care (5 works) · Internal Medicine (5 works) · Nursing (5 works) · Sepsis Diagnosis and Treatment (5 works) · Trauma and Emergency Care Studies (5 works) · Medical emergency (4 works)