Carl Otto Schell
Doktorand
E-postadress: carl.schell@ki.se
Besöksadress: Tomtebodavägen 18A, 17177 Stockholm
Postadress: K9 Global folkhälsa, K9 GPH Hanson, 171 77 Stockholm
Om mig
- Consultant Physician, Specialist in internal medicine and cardiology,
Department of Medicine, Nyköping Hospital, Sörmland County, Sweden
Research affiliations
- Health Systems & Policy, Department of Public Health Sciences, Karolinska
Institutet
- Centre for Clinical Research Sörmland, Eskilstuna, Uppsala University
*Higher education degree*
*1997-2004* M.D. Karolinska Institutet
*Diploma / Other*
*1995-1996 *Certificat pratique de Langue Française, 1er Degré,
Université Paul Valéry, Montpellier III
*1994-1997 *Studies in Law, Philosophy, French, Stockholm
University
Forskningsbeskrivning
- My research interests are in the fields of global health, health systems,
critical care and internal medicine. More specifically my focus is how to
best use the potential of basic, feasible, low-cost actions in health
care that are often overlooked in policy, research and medical practice.
Current projects:
- Essential Emergency and Critical Care: developing a research programme
around the concept which is defined as /the care critically ill patients
should receive in all hospitals in the world/.
- The Critical Illness and Sepsis Prevalence and Outcome Study (CRISPOS). A
point prevalence study in district and referral hospitals in Malawi, Sri
Lanka and Sweden. All inpatients, regardless of speciality or location in
the hospital, are examined on the same day. Vital signs are taken, and
ongoing treatments recorded. Primary aims are to estimate the prevalence of
critical illness, hospital mortality rates and the risk of death for
critically ill patients. Secondary aims are an assessment of the quality of
care and the predictive value of signs such as ability to walk, capillary
refill time, early warning scores and danger signs.
*Preprints*
1. Schell, C. O., Wellhagen, A., Lipcsey, M., Kurland, L., Bjurling-Sjöberg,
P., Lundborg, C. S., ... & Baker, T. (2023). The burden of critical illness
among adults in a Swedish region–a population-based point-prevalence
study. https://www.researchsquare.com/article/rs-2596542/v1
2. Khalid, K., Schell, C. O., Oliwa, J., English, M., Onyango, O., Mcknight,
J., ... & Baker, T. (2023). Hospital readiness for the provision of care to
critically ill patients in Tanzania-an indepth cross-sectional
study. https://www.researchsquare.com/article/rs-2756348/v1
*Publications in scientific journals*
1. Shah HA, Baker T, * Schell CO, * Kuwawenaruwa A, Awadh K, Khalid
K, Kairu A, Were V, Barasa E, Baker P, Guinness L. Cost
Effectiveness of Strategies for Caring for Critically Ill Patients with
COVID-19 in Tanzania. PharmacoEconomics - open 2023 - 2. Guinness L, Kairu A, Kuwawenaruwa A, Khalid K, Awadh K, Were
V, Barasa E, Shah H, Baker P, * Schell CO, * Baker T. Essential
emergency and critical care as a health system response to critical illness
and the COVID19 pandemic: what does it cost?. Cost effectiveness and resource
allocation : C/E 2023 21 - 1 15-
3. Mkumbo E, Willows TM, Onyango O, Khalid K, Maiba J, * Schell CO,
* Oliwa J, McKnight J, Baker T. Same label, different patients:
Health-workers' understanding of the label 'critical illness'. Frontiers in
health services 2023 3 - 1105078-
4. Buowari DY, Owoo C, Gupta L, * Schell CO, * Baker T, EECC Network
Group. Essential Emergency and Critical Care: A Priority for Health Systems
Globally. Critical care clinics 2022 38 - 4 639-656
5. Hvarfner A, Al-Djaber A, Ekström H, Enarsson M, Castegren M,
Baker T, * Schell CO. *Oxygen provision to severely ill COVID-19 patients at
the peak of the 2020 pandemic in a Swedish district hospital. PloS one 2022
17 - 1 e0249984-
6. Kazibwe J, Shah HA, Kuwawenaruwa A, * Schell CO, * Khalid K, Tran
PB, Ghosh S, Baker T, Guinness L. Resource use, availability and cost
in the provision of critical care in Tanzania: a systematic review. BMJ open
2022 12 - 11 e060422-
7. Kayambankadzanja RK, * Schell CO, * Warnberg MG, Tamras T,
Mollazadegan H, Holmberg M, Alvesson HM, Baker T. Towards definitions
of critical illness and critical care using concept analysis. BMJ OPEN 2022
12 - 9 e060972-
8. *Schell CO, * Khalid K, Wharton-Smith A, Oliwa J, Sawe HR, Roy
N, Sanga A, Marshall JC, Rylance J, Hanson C, Kayambankadzanja
RK, Wallis LA, Jirwe M, Baker T, EECC Collaborators, EECC
Collaborators*. Essential Emergency and Critical Care: a consensus among
global clinical experts. BMJ global health 2021 6 - 9
9. Kazibwe J, Shah HA, Kuwawenaruwa A, * Schell CO, * Khalid K, Tran
PB, Ghosh S, Baker T, Guinness L. Resource availability, utilisation
and cost in the provision of critical care in Tanzania: a protocol for a
systematic review. BMJ open 2021 11 - 8 e050881-
10. Kayambankadzanja RK, * Schell CO, * Mbingwani I, Mndolo SK,
Castegren M, Baker T. Unmet need of essential treatments for critical
illness in Malawi. PloS one 2021 16 - 9 e0256361-
11. Baker T, * Schell CO, * Petersen DB, Sawe H, Khalid K, Mndolo
S, Rylance J, McAuley DF, Roy N, Marshall J, Wallis L, Molyneux
E. Essential care of critical illness must not be forgotten in the COVID-19
pandemic. Lancet (London, England) 2020 395 - 10232 1253-1254
12. Kayambankadzanja RK, * Schell CO, * Namboya F, Phiri T, Banda-Katha
G, Mndolo SK, Bauleni A, Castegren M, Baker T. The Prevalence and
Outcomes of Sepsis in Adult Patients in Two Hospitals in Malawi. The American
journal of tropical medicine and hygiene 2020 102 - 4 896-901
13. Hvarfner A, Blixt J, * Schell CO, * Castegren M, Lugazia ER,
Mulungu M, Litorp H, Baker T. Vital Signs Directed Therapy for the
Critically Ill: Improved Adherence to the Treatment Protocol Two Years after
Implementation in an Intensive Care Unit in Tanzania. EMERGENCY MEDICINE
INTERNATIONAL 2020 2020 - 4819805-
14. *Schell CO, * Beane A, Kayambankadzanja RK, Khalid K, Haniffa R,
Baker T. Global Critical Care: Add Essentials to the Roadmap. Annals of
global health 2019 85 - 1
15. Kayambankadzanja RK, * Schell CO, * Nsanjama G, Mbingwani I, Mndolo
SK, Rylance J, Baker T. Inability to Walk Predicts Death among Adult
Patients in Hospitals in Malawi. EMERGENCY MEDICINE INTERNATIONAL 2019 2019 - 6586891-
16. Haniffa R, Beane A, Baker T, Riviello ED, * Schell CO, * Dondorp
AM. Development and internal validation of the Simplified Mortality Score for
the Intensive Care Unit (SMS-ICU). Acta anaesthesiologica Scandinavica 2018
62 - 3 407-408
17. *Schell CO, * Gerdin Wärnberg M, Hvarfner A, Höög A, Baker U,
Castegren M, Baker T. The global need for essential emergency and critical
care. Critical care (London, England) 2018 22 - 1 284-
18. *Schell CO, * Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad
D, Baker T. Erratum to: Severely deranged vital signs as triggers for acute
treatment modifications on an intensive care unit in a low-income country.
BMC research notes 2017 10 - 1 365-
19. *Schell CO, * Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad
D, Baker T. Severely deranged vital signs as triggers for acute treatment
modifications on an intensive care unit in a low-income country. BMC research
notes 2015 8 - 313-
20. Baker T, Blixt J, Lugazia E, * Schell CO, * Mulungu M, Milton
A, Castegren M, Eriksen J, Konrad D. Single Deranged Physiologic
Parameters Are Associated With Mortality in a Low-Income Country. Critical
care medicine 2015 43 - 10 2171-9
21. Baker T, * Schell CO, * Lugazia E, Blixt J, Mulungu M, Castegren
M, Eriksen J, Konrad D. Vital Signs Directed Therapy: Improving Care in
an Intensive Care Unit in a Low-Income Country. PloS one 2015 10 - 12 e0144801-
22. Serrander M, * Schell CO. *[Experiences from various hospitals--too
unequal care in Sweden]. Lakartidningen 2014 111 - 14 624-5
23. *Schell CO, * Reilly M, Rosling H, Peterson S, Ekström AM.
Socioeconomic determinants of infant mortality: a worldwide study of 152
low-, middle-, and high-income countries. Scandinavian journal of public
health 2007 35 - 3 288-97
24. Mogensen L, Olsson M, * Schell CO. *[Marfan syndrome--diagnosis within
many specialties]. Lakartidningen 2000 97 - 5 464-8
Undervisning
- *2014-18: *Director of Resident training program, Department of Internal
Medicine, Nyköpings Hospital
*2009-13*: Head of Internship Program, Department of Internal Medicine,
Nyköping Hospital
Artiklar
-
Article: BMJ GLOBAL HEALTH. 2023;8(11):e013407
-
Article: EUROPEAN JOURNAL OF MEDICAL RESEARCH. 2023;28(1):322
-
Article: PHARMACOECONOMICS - OPEN. 2023;7(4):537-552
-
Article: BMJ GLOBAL HEALTH. 2023;8(6):e011888
-
Article: COST EFFECTIVENESS AND RESOURCE ALLOCATION. 2023;21(1):15
-
Article: FRONTIERS IN HEALTH SERVICES. 2023;3:1105078
-
Article: PLOS GLOBAL PUBLIC HEALTH. 2023;3(7):e0000483
-
Article: CRITICAL CARE CLINICS. 2022;38(4):639-656
-
Article: BMJ OPEN. 2022;12(9):e060972
-
Article: PLOS ONE. 2022;17(1):e0249984
-
Article: BMJ GLOBAL HEALTH. 2021;6(9):e006585
-
Article: PLOS ONE. 2021;16(9):e0256361
-
Article: AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE. 2020;102(4):896-901
-
Article: EMERGENCY MEDICINE INTERNATIONAL. 2020;2020:4819805-6
-
Article: EMERGENCY MEDICINE INTERNATIONAL. 2019;2019:6586891-5
-
Article: CRITICAL CARE. 2018;22(1):284
-
Article: CRITICAL CARE MEDICINE. 2015;43(10):2171-2179
-
Article: BMC RESEARCH NOTES. 2015;8:313
-
Article: PLOS ONE. 2015;10(12):e0144801
-
Article: SCANDINAVIAN JOURNAL OF PUBLIC HEALTH. 2007;35(3):288-297
Alla övriga publikationer
-
Editorial comment: INTENSIVE CARE MEDICINE. 2023;49(10):1223-1225
-
Preprint: 2023;Research Square
-
Review: BMJ OPEN. 2022;12(11):e060422
-
Review: BMJ OPEN. 2021;11(8):e050881
-
Letter: LANCET. 2020;395(10232):1253-1254
-
Letter: ANNALS OF GLOBAL HEALTH. 2019;85(1):97
-
Letter: ACTA ANAESTHESIOLOGICA SCANDINAVICA. 2018;62(3):407-408
-
Corrigendum: BMC RESEARCH NOTES. 2017;10(1):365
-
Letter: LAKARTIDNINGEN. 2014;111(14):624-625
-
Review: LAKARTIDNINGEN. 2000;97(5):464-468
Anställningar
- Doktorand, Global folkhälsa, Karolinska Institutet, 2023-2025
Examina och utbildning
- Läkarexamen, Karolinska Institutet, 2003