What Conclusions Should Be Drawn between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit?

  1. Michael Blumhardt, MD
  1. From Mercy Regional Medical Center, Durango, CO 81301.

    TO THE EDITOR:

    The study by Levy and colleagues (1) found an association between CCM and increased mortality. This follows the recent publication of the Dartmouth Health Atlas 2008 (2) and associated commentary in the New England Journal of Medicine (3). The Dartmouth study reviewed the records of several million Medicare patients hospitalized during the last 2 years of life at nearly 3000 hospitals. Levy and colleagues' study and the …

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