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What Conclusions Should Be Drawn between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit?
- Joris J. Arends, MD; and
- Jan P. Vandenbroucke, MD, PhD
- From Leiden University Medical Center, Leiden 2300 RC, Netherlands.
TO THE EDITOR:
Levy and colleagues' (1) conclusion that CCM of critically ill patients is dangerous is premature. The authors state that the results are unexpected and completely contrary to previous findings. The best explanation of these results is the study's design, which allows clustering of confounders of mortality that cannot be adjusted by any standard risk-adjustment method (2). Because the study uses few inclusion and exclusion criteria, not only do the patient characteristics in …
