What Conclusions Should Be Drawn between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit?
Authors: Mitchell M. Levy, John Rapoport, Stan Lemeshow, Gary Phillips, Donald B. Chalfin, Marion Danis
Journal: Annals of Internal Medicine (2008)

Letters18 November 2008What Conclusions Should Be Drawn between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit?Mitchell M. Levy, MD, John Rapoport, PhD, Stan Lemeshow, PhD, Gary Phillips, MAS, Donald B. Chalfin, MD, MS, and Marion Danis, MDMitchell M. Levy, MDFrom Rhode Island Hospital, Providence, RI 02903; Mount Holyoke College, South Hadley, MA 01077; Ohio State University College of Health, Columbus, OH 43210; Abbott Point of Care, East Windsor, NJ 08520; and National Institutes of Health, Bethesda, MD 20892.Search for more papers by this author, John Rapoport, PhDFrom Rhode Island Hospital, Providence, RI 02903; Mount Holyoke College, South Hadley, MA 01077; Ohio State University College of Health, Columbus, OH 43210; Abbott Point of Care, East Windsor, NJ 08520; and National Institutes of Health, Bethesda, MD 20892.Search for more papers by this author, Stan Lemeshow, PhDFrom Rhode Island Hospital, Providence, RI 02903; Mount Holyoke College, South Hadley, MA 01077; Ohio State University College of Health, Columbus, OH 43210; Abbott Point of Care, East Windsor, NJ 08520; and National Institutes of Health, Bethesda, MD 20892.Search for more papers by this author, Gary Phillips, MASFrom Rhode Island Hospital, Providence, RI 02903; Mount Holyoke College, South Hadley, MA 01077; Ohio State University College of Health, Columbus, OH 43210; Abbott Point of Care, East Windsor, NJ 08520; and National Institutes of Health, Bethesda, MD 20892.Search for more papers by this author, Donald B. Chalfin, MD, MSFrom Rhode Island Hospital, Providence, RI 02903; Mount Holyoke College, South Hadley, MA 01077; Ohio State University College of Health, Columbus, OH 43210; Abbott Point of Care, East Windsor, NJ 08520; and National Institutes of Health, Bethesda, MD 20892.Search for more papers by this author, and Marion Danis, MDFrom Rhode Island Hospital, Providence, RI 02903; Mount Holyoke College, South Hadley, MA 01077; Ohio State University College of Health, Columbus, OH 43210; Abbott Point of Care, East Windsor, NJ 08520; and National Institutes of Health, Bethesda, MD 20892.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-149-10-200811180-00023 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree with and appreciate several of the thoughtful comments offered by the authors of these letters. Most of these comments have been mentioned in the Discussion section of our paper. We would like to make some important points for clarification.Recalibration was necessary for the severity model. For this reason, we used an expanded SAPS II for severity adjustment in our study. We believe that Figure 1 in our article, along with the reported value for the HosmerLemeshow goodness-of-fit statistic, demonstrates the usefulness of the expanded SAPS II for predicting actual mortality in the population used in ...Reference1. Diringer MN and Edwards DF. Admission to a neurologic/neurosurgical intensive care unit is associated with reduced mortality rate after intracerebral hemorrhage. Crit Care Med. 2001;29:635-40. [PMID: 11373434] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Mitchell M. Levy, MD; John Rapoport, PhD; Stan Lemeshow, PhD; Gary Phillips, MAS; Donald B. Chalfin, MD, MS; Marion Danis, MDAffiliations: From Rhode Island Hospital, Providence, RI 02903; Mount Holyoke College, South Hadley, MA 01077; Ohio State University College of Health, Columbus, OH 43210; Abbott Point of Care, East Windsor, NJ 08520; and National Institutes of Health, Bethesda, MD 20892.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAssociation between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit Mitchell M. Levy , John Rapoport , Stanley Lemeshow , Donald B. Chalfin , Gary Phillips , and Marion Danis What Conclusions Should Be Drawn between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit? Constantine Manthous and Yaw Amoateng-Adjepong What Conclusions Should Be Drawn between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit? 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McGee What Conclusions Should Be Drawn between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit? Michael Blumhardt What Conclusions Should Be Drawn between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit? Thomas L. Higgins , Brian Nathanson , and Daniel Teres Metrics 18 November 2008Volume 149, Issue 10Page: 772KeywordsCritical careDatabasesDeath ratesHemorrhageIntensive care unitsPatientsPhysicians ePublished: 18 November 2008 Issue Published: 18 November 2008 Copyright & PermissionsCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...