Critical Care

official impact factor 4.60

Commentary

Antimicrobial resistance and patient outcomes: the hazards of adjustment

Mitchell J Schwaber* and Yehuda Carmeli

Author Affiliations

Division of Epidemiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel

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Critical Care 2006, 10:164 doi:10.1186/cc5019

Published: 5 September 2006

Abstract

Outcomes studies of infections with resistant bacteria often do not account appropriately for intermediate variables – events in the causal pathway between the exposure and the outcome – when controlling for confounders. We discuss how failure to distinguish between confounders and intermediate variables can bias the analysis, and we address methods of approaching this issue.