| Baseline metrics | Original cohort | Matched cohort | Validation cohort | Low PAR | High PAR | P | Low PAR | High PAR | P | Low PAR | High PAR | p |
| Number | 511 | 265 | — | 202 | 202 | — | 154 | 65 | — | Age, years | 70.1 (13.4) | 68.1(13.6) | 0.051 | 68.6 (14.1) | 69.5 (12.8) | 0.472 | 69.7 (12.0) | 68.7 (15.2) | 0.620 | Gender, male, n (%) | 320 (62.6) | 137 (51.7) | 0.004 | 113 (55.9) | 107 (53.0) | 0.617 | 98 (63.6) | 28 (43.1) | 0.008 | BMI, kg/m2 | 27.7 (7.9) | 28.0 (8.3) | 0.590 | 28.2 (8.4) | 28.1 (8.3) | 0.885 | 29.2 (8.4) | 27.5 (8.3) | 0.186 |
| Ethnicity, n (%) | | | 0.568 | | | 0.479 | | | 0.087 | White | 400 (78.3) | 199 (75.1) | | 155 (76.7) | 154 (76.2) | | 110 (71.4) | 40 (61.5) | | Black | 66 (12.9) | 41 (15.5) | | 33 (16.3) | 28 (13.9) | | 19 (12.3) | 6 (9.2) | | Other | 45 (8.8) | 25 (9.4) | | 14 (6.9) | 20 (9.9) | | 25 (16.2) | 19 (29.2) | |
| Interventions, n (%) | | | | | | | | | | MV use | 136 (26.6) | 99 (37.4) | 0.003 | 77 (38.1) | 66 (32.7) | 0.298 | 49 (31.8) | 29 (44.6) | 0.098 | RRT use | 6 (1.2) | 3 (1.1) | 1.000 | 1 (0.5) | 1 (0.5) | 1.000 | 7 (4.5) | 0 (0.0) | 0.185 | Vasopressor use | 75 (14.7) | 48 (18.1) | 0.093 | 33 (16.3) | 32 (15.8) | 1.000 | 57 (37.0) | 23 (35.4) | 0.940 |
| Score system, points | | | | | | | | | | SOFA | 3.5 (1.0) | 3.4 (1.1) | 0.909 | 3.6 (1.2) | 3.4 (1.2) | 0.592 | 4.8 (1.5) | 5.4 (1.4) | 0.282 | OASIS | 23.6 (10.2) | 26.7 (10.4) | 0.001 | 26.1 (10.9) | 26.7 (10.1) | 0.716 | 31.9 (8.7) | 35.2 (9.8) | 0.013 | APSIII | 43.5 (12.5) | 50.0 (24.1) | 0.001 | 48.6 (14.6) | 47.7 (14.8) | 0.725 | 47.8 (21.1) | 56.1 (25.0) | 0.021 |
| Comorbidities, n (%) | | | | | | | | | | Hypertension | 75 (14.7) | 34 (12.8) | 0.553 | 30 (14.9) | 26 (12.9) | 0.666 | 64 (41.6) | 19 (29.2) | 0.117 | Diabetes | 131 (25.6) | 60 (22.6) | 0.406 | 47 (23.3) | 50 (24.8) | 0.816 | 46 (29.9) | 9 (13.8) | 0.020 | CKD | 57 (11.2) | 21 (7.9) | 0.196 | 16 (7.9) | 15 (7.4) | 1.000 | 21 (13.6) | 7 (10.8) | 0.720 | Myocardial infarct | 41 (8.0) | 16 (6.0) | 0.390 | 16 (7.9) | 16 (7.9) | 1.000 | 25 (16.2) | 6 (9.2) | 0.252 | CHF | 64 (12.5) | 20 (7.5) | 0.046 | 24 (11.9) | 15 (7.4) | 0.178 | 35 (22.7) | 11 (16.9) | 0.434 | COPD | 63 (12.3) | 32 (12.1) | 1.000 | 22 (10.9) | 23 (11.4) | 1.000 | 30 (19.5) | 18 (27.7) | 0.245 | Liver disease | 11 (2.2) | 2 (0.8) | 0.253 | 1 (0.5) | 1 (0.5) | 1.000 | 16 (10.4) | 4 (6.2) | 0.461 | CCI, points | 5.7 (2.3) | 5.4 (1.5) | 0.191 | 5.5 (2.3) | 5.5 (2.5) | 0.965 | 8.9 (2.6) | 9.0 (2.9) | 0.670 |
| Complications, n (%) | | | | | | | | | | AKI | 119 (23.3) | 81 (30.6) | 0.168 | 54 (26.7) | 49 (24.3) | 0.347 | 43 (27.9) | 20 (30.8) | 0.793 | Sepsis | 76 (14.9) | 45 (17.0) | 0.507 | 29 (14.4) | 28 (13.9) | 1.000 | 73 (47.4) | 29 (44.6) | 0.818 |
| Vital signs | | | | | | | | | | MAP, mmHg | 87.1 (16.1) | 87.9 (17.4) | 0.548 | 88.9 (16.0) | 87.7 (17.0) | 0.464 | 83.0 (19.6) | 81.6 (16.7) | 0.623 | Heart rate, bpm | 89.2 (21.0) | 93.9 (21.7) | 0.004 | 92.4 (22.1) | 92.2 (22.4) | 0.934 | 96.5 (24.3) | 100.6 (23.2) | 0.248 | RR, bpm | 19.1 (5.0) | 19.3 (5.4) | 0.504 | 19.6 (5.7) | 19.6 (5.4) | 0.943 | 19.9 (5.4) | 20.8 (6.3) | 0.252 | SpO2, % | 96.9 (3.2) | 96.6 (4.7) | 0.080 | 96.6 (4.0) | 96.7 (3.4) | 0.687 | 95.8 (5.7) | 97.0 (4.7) | 0.137 |
| Laboratory results | | | | | | | | | | WBC, ×109/L | 10.5 (4.0) | 13.5 (5.8) | 0.001 | 12.3 (4.8) | 12.1 (4.7) | 0.817 | 11.2 (4.3) | 13.4 (4.8) | 0.123 | HGB, g/dL | 11.2 (2.3) | 10.1 (2.3) | 0.001 | 10.4 (2.3) | 10.4 (2.2) | 0.898 | 10.4 (1.9) | 9.8 (2.2) | 0.033 | PLT, ×109/L | 186.7 (70.9) | 388.2 (95.7) | 0.001 | 195.1 (77.8) | 370.9 (97.6) | <0.001 | 189.0 (64.3) | 346.9 (94.9) | <0.001 | HCT, % | 34.1 (6.7) | 31.5 (6.6) | 0.001 | 32.3 (6.9) | 32.3 (6.2) | 0.973 | 32.5 (5.6) | 31.0 (5.9) | 0.070 | Albumin, g/dL | 3.5 (0.7) | 2.9 (0.6) | 0.001 | 3.5 (0.7) | 2.9 (0.7) | <0.001 | 3.5 (0.6) | 2.7 (0.7) | <0.001 | PAR | 5.4 (1.9) | 14.0 (5.0) | 0.001 | 5.6 (1.9) | 13.4 (5.5) | <0.001 | 5.5 (1.8) | 13.0 (4.0) | <0.001 | ALP, U/L | 138.5(64.9) | 174.3 (72.7) | 0.018 | 169.5 (65.4) | 154.8(61.5) | 0.501 | 132.7(68.90 | 132.1(67.2) | 0.965 | Bilirubin, mmol/L | 1.2 (0.5) | 1.3 (0.6) | 0.504 | 1.3 (0.5) | 1.2 (0.5) | 0.612 | 1.6 (0.6) | 1.1 (0.5) | 0.217 | Anion gap, mEq/L | 10.8 (4.0) | 12.0 (4.9) | 0.001 | 11.5 (4.6) | 11.2 (4.3) | 0.445 | 14.7 (4.2) | 15.5 (4.7) | 0.221 | Bicarbonate, mEq/L | 24.0 (4.5) | 24.2 (4.6) | 0.504 | 24.2 (4.6) | 24.4 (4.2) | 0.569 | 22.8 (4.6) | 22.6 (5.4) | 0.783 | BUN, mg/dL | 22.9 (8.2) | 24.9 (9.9) | 0.166 | 24.1 (9.4) | 23.1 (8.4) | 0.593 | 24.2 (10.8) | 25.6 (12.6) | 0.662 | Creatinine, mg/dL | 1.3 (0.5) | 1.4 (0.6) | 0.254 | 1.4 (0.5) | 1.4 (0.5) | 0.628 | 1.3 (0.6) | 1.2 (0.5) | 0.572 | Glucose, mg/dL | 141.0(63.2) | 131.4(50.2) | 0.032 | 140.0(67.3) | 133.1 (52.2) | 0.249 | 144.9 (59.3) | 133.5 (56.0) | 0.189 | Potassium, mmol/L | 4.1 (0.7) | 4.2 (0.9) | 0.269 | 4.1 (0.9) | 4.2 (0.8) | 0.521 | 4.2 (0.9) | 4.2 (0.7) | 0.796 | Sodium, mmol/L | 137.2 (5.3) | 136.2 (5.9) | 0.022 | 136.2(6.2) | 136.4(5.6) | 0.783 | 137.4 (5.2) | 137.8 (4.1) | 0.579 | Calcium, mg/dL | 8.5 (1.1) | 8.6 (0.9) | 0.160 | 8.6 (1.0) | 8.6 (0.9) | 0.812 | 8.4 (0.7) | 8.2 (0.6) | 0.216 | Chloride, mmol/L | 103.3 (6.3) | 101.4 (6.8) | 0.001 | 101.8 (7.0) | 102.1 (6.3) | 0.725 | 102.7 (7.1) | 102.3 (5.4) | 0.704 | PT, s | 16.6 (7.8) | 16.8 (7.3) | 0.851 | 17.2 (7.3) | 16.5 (7.4) | 0.480 | 15.7 (5.3) | 16.2 (5.7) | 0.484 | APTT, s | 34.9 (10.7) | 35.0 (8.0) | 0.933 | 35.7 (11.6) | 34.8 (7.8) | 0.480 | 36.4 (10.8) | 36.7 (11.7) | 0.903 | INR | 1.5 (0.5) | 1.5 (0.5) | 0.686 | 1.5 (0.6) | 1.5 (0.5) | 0.577 | 1.4 (0.5) | 1.5 (0.5) | 0.526 |
| Clinical outcome | | | | | | | | | | LOS, days | 10.9 (4.6) | 12.2 (5.2) | 0.109 | 12.2 (5.4) | 12.0 (5.4) | 0.838 | 11.7 (5.6) | 10.9 (5.3) | 0.606 | Death, n (%) | 42 (8.2) | 65 (24.5) | 0.001 | 20 (9.9) | 55 (22.3) | 0.001 | 15 (9.7) | 23 (35.4) | <0.001 |
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