Tihomir Stefanec, MD
Potential Financial Conflicts of Interest: Dr. Stefanec is a board-certified pulmonary/critical care physician who worked for more than 6 years as an intensivist in mixed medical–surgical ICUs.
Stefanec T.; What Conclusions Should Be Drawn between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit?. Ann Intern Med. 2008;149:769. doi: 10.7326/0003-4819-149-10-200811180-00018
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Published: Ann Intern Med. 2008;149(10):769.
TO THE EDITOR:
I was struck by the very unusual major disease categories described in Table 2 of Levy and colleagues' article (1).
For example, infections were present in 0% to 8.1% of the patients in the study. This rate seems very low.
On the other hand, 19.4% to 52.9% of patients had a circulatory system disorder, whereas 12% to 17.6% had a digestive system disorder and 9.2% to 19.1% had a nervous system disorder. These 3 disease categories were not often the reasons for ICU admission in the mixed medical–surgical ICUs where I worked in the last 6 to 7 years.
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