Published in:
01-11-2015 | Editorial
ICUs after surgery, mortality, and the Will Rogers effect
Authors:
Michael D. Howell, Jennifer P. Stevens
Published in:
Intensive Care Medicine
|
Issue 11/2015
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Excerpt
In a recent article in
Intensive Care Medicine, Gillies and colleagues describe and seek to explain the substantial variation in patient survival following surgery after admission to the intensive care unit (ICU) [
1]. At this point, we consider it essentially settled science that health care delivery varies [
2,
3], that surgical care varies [
4], and that even care within a single payer health care system varies. Gillies et al.’s work echoes this theme. They found a 10 % variation in mortality across the UK among patients admitted to critical care directly from surgery, not explained by measured patient-level characteristics. …