Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: ‘Relation, association, attribution ’ – the multiple faces of death in critical care medicine. | Available online http content 13 2 138 Commentary Relation association attribution . - the multiple faces of death in critical care medicine Susanne Toussaint and Herwig Gerlach Department of Anesthesia Intensive Care Medicine and Pain Management Vivantes - Klinikum Neukolln Rudower Strasse 48 D-12313 Berlin Germany Corresponding author Herwig Gerlach Published 29 April 2009 This article is online at http content 13 2 138 2009 BioMed Central Ltd Critical Care 2009 13 138 doi cc7789 See related research by Melamed and Sorvillo http content 13 1 R28 Abstract Mortality is one of the most important quality markers in critical care and there have been many epidemiological studies trying to identify risk factors to better understand the mechanisms leading to death in this complex disease. One of the major problems is that there are multiple factors contributing to fatal outcome of septic patients and it is difficult to distinguish between those that are independent from the acute disease comorbidities and risk factors and those that are directly involved in the patho-mechanisms of sepsis thus leading to the sepsis-attributable mortality. In this short commentary some examples of different approaches of how to analyze data on mortality are presented. Easy to detect but difficult to interpret - a simple approach to one of the most important quality markers in critical care medicine mortality. In a recent issue of Critical Care this was impressively demonstrated by Melamed and Sorvillo 1 who analyzed a huge multiple-cause-of-death MCOD database in the US with the aim of investigating factors affecting mortality in septic patients. The investigators showed that there are numerous disparities between patients and these have to be considered when mortality rates are interpreted. Gender age and ethnicity are factors that have considerable influence on the outcome of septic patients and crude mortality over .
