Cohort | Training set (n = 2296) | Internal validation set (n = 984) | ||||
---|---|---|---|---|---|---|
Variables | Survival in ICU 28 day (n = 1517) | Death in ICU 28 day (n = 779) | P | Survival in ICU 28 day (n = 649) | Death in ICU 28 day (n = 335) | P |
Gender, n (%) | Â | Â | 0.28 | Â | Â | 0.642 |
 Male | 890 (59) | 476 (61) |  | 395 (61) | 198 (59) |  |
 Female | 627 (41) | 303 (39) |  | 254 (39) | 137 (41) |  |
Age (Years) | 66.14 (52.95, 78.42) | 68.34 (55.70, 80.27) | 0.004 | 66.47 (51.43, 78.49) | 69.28 (54.85, 80.58) | 0.028 |
Weight (kg) | 79.95 (67.78, 94) | 78.2 (65.32, 92.3) | 0.114 | 80 (67.33, 95) | 76 (63.3, 91) | 0.011 |
ICU type |  |  |  < 0.001 |  |  |  < 0.001 |
 CCU | 136 ( 9) | 83 (11) |  | 60 (9) | 36 (11) |  |
 CSRU | 246 (16) | 37 (5) |  | 96 (15) | 15 (4) |  |
 MICU | 765 (50) | 511 (66) |  | 336 (52) | 222 (66) |  |
 SICU | 210 (14) | 95 (12) |  | 96 (15) | 37 (11) |  |
 TSICU | 160 (11) | 53 (7) |  | 61 (9) | 25 (7) |  |
Comorbidity, n (%) | Â | Â | Â | Â | Â | Â |
 Hypertension, n (%) | 518 (34) | 234 (30) | 0.053 | 211 (33) | 77 (23) | 0.002 |
 COPD, n (%) | 32 (2) | 25 (3) | 0.144 | 8 (1) | 5 (1) | 0.772 |
 Diabetes, n (%) | 424 (28) | 183 (23) | 0.025 | 184 (28) | 79 (24) | 0.127 |
 MI, n (%) | 32 (2) | 24 (3) | 0.198 | 16 (2) | 10 (3) | 0.786 |
 CHF, n (%) | 36 (2) | 24 (3) | 0.385 | 19 (3) | 12 (4) | 0.716 |
 Liver disease, n (%) | 305 (20) | 232 (30) |  < 0.001 | 131 (20) | 112 (33) |  < 0.001 |
 Severity score |  |  |  |  |  |  |
 SOFA | 6.00 (5.00, 9.00) | 9.00 (7.00, 13.00) |  < 0.001 | 7.00 (5.00, 9.00) | 9.00 (7.00, 13.00) |  < 0.001 |
 LODS | 5.00 (4.00, 7.00) | 8.00 (6.00, 10.00) |  < 0.001 | 5.00 (4.00, 7.00) | 8.00 (6.00, 10.00) |  < 0.001 |
 SAPS II | 40.00 (32.00, 49.00) | 53.00 (45.00, 64.00) |  < 0.001 | 40.00 (33.00, 49.00) | 54.00 (43.00, 66.00) |  < 0.001 |
SIC score, n (%) |  |  |  < 0.001 |  |  |  < 0.001 |
 4 | 441 (29) | 129 (16) |  | 171 (26) | 54 (16) |  |
 5 | 643 (42) | 294 (38) |  | 291 (45) | 120 (36) |  |
 6 | 429 (28) | 360 (46) |  | 191 (29) | 157 (47) |  |
Vital signsa | Â | Â | Â | Â | Â | Â |
 Mean heartrate, (min−1) | 87.70 (77.67, 98.29) | 91.65 (81.06, 106.12) |  < 0.001 | 87.98 (78.96, 100.13) | 92.90 (82.24, 106.41) |  < 0.001 |
 MAP, (mmHg) | 75.23 (69.86, 81.60) | 72.42 (66.33, 78.10) |  < 0.001 | 74.33 (69.09, 80.00) | 71.63 (64.35, 77.63) |  < 0.001 |
 Mean resp. rate, (min−1) | 19.19 (16.45, 22.00) | 20.60 (18.09, 24.00) |  < 0.001 | 19.21 (16.75, 21.71) | 20.17 (17.82, 24.84) |  < 0.001 |
 Mean temperature, (℃) | 36.88 (36.48, 37.30) | 36.71 (36.13, 37.14) |  < 0.001 | 36.88 (36.51, 37.28) | 36.72 (36.26, 37.16) |  < 0.001 |
Laboratory testsb | Â | Â | Â | Â | Â | Â |
 Mean glucose, (mg/dl) | 134.00 (114.50, 156.75) | 135.89 (110.71, 163.63) | 0.563 | 136.60 (111.82, 156.32) | 137.40 (109.54, 161.92) | 0.99 |
 Aniongap_max | 16.00 (13.00, 19.00) | 18.00 (14.88, 22.00) |  < 0.001 | 15.00 (13.00, 18.00) | 18.00 (14.50, 22.00) |  < 0.001 |
 Bicarbonate_min, (mEq/L) | 21.00 (18.00, 24.00) | 19.00 (15.00, 23.00) |  < 0.001 | 21.00 (18.00, 23.00) | 19.00 (15.00, 23.00) |  < 0.001 |
 Chloride_max, (mEq/L) | 109.00 (105.00, 113.00) | 107.00 (102.00, 113.00) |  < 0.001 | 109.00 (105.00, 113.00) | 107.00 (102.00, 113.00) |  < 0.001 |
 Hematocrit_min, (%) | 27.00 (23.00, 31.50) | 26.60 (23.00, 30.80) | 0.277 | 26.60 (22.70, 31.00) | 26.60 (23.30, 30.45) | 0.574 |
 Hemoglobin_min, (g/dL) | 9.20 (7.90, 10.70) | 9.00 (7.85, 10.40) | 0.082 | 9.10 (7.80, 10.60) | 9.20 (7.90, 10.45) | 0.949 |
 Lactate_max, (mmol/L) | 2.83 (2.10, 4.20) | 3.49 (2.40, 6.50) |  < 0.001 | 2.89 (2.00, 4.40) | 3.60 (2.30, 6.77) |  < 0.001 |
 Lowest platelet level, (K/uL) | 100.00 (67.00, 124.00) | 79.00 (46.00, 115.00) |  < 0.001 | 99.00 (65.00, 123.00) | 80.00 (47.00, 113.50) |  < 0.001 |
 Potassium_max, (K/uL) | 4.60 (4.10, 5.20) | 4.60 (4.10, 5.45) | 0.018 | 4.50 (4.00, 5.20) | 4.60 (4.10, 5.35) | 0.164 |
 PTT_max, (s) | 38.80 (32.10, 53.70) | 45.00 (35.20, 69.85) |  < 0.001 | 40.00 (32.80, 57.30) | 43.10 (33.95, 69.08) | 0.006 |
 INR_max, | 1.60 (1.40, 1.97) | 1.90 (1.50, 2.70) |  < 0.001 | 1.60 (1.30, 2.00) | 1.90 (1.40, 2.90) |  < 0.001 |
 PT_max, (s) | 16.50 (14.70, 19.50) | 18.30 (15.50, 24.20) |  < 0.001 | 16.50 (14.90, 19.70) | 18.90 (15.60, 25.00) |  < 0.001 |
 Sodium_min, (mEq/L) | 136.00 (133.00, 139.00) | 136.00 (132.00, 139.50) | 0.077 | 136.00 (133.00, 139.00) | 136.00 (132.00, 139.00) | 0.102 |
 BUN_max, (mg/dL) | 27.00 (17.00, 45.00) | 38.00 (25.00, 60.00) |  < 0.001 | 26.00 (17.00, 42.00) | 38.00 (23.50, 62.00) |  < 0.001 |
 WBC_max, (K/uL) | 11.80 (8.00, 16.90) | 12.40 (7.10, 18.85) | 0.614 | 11.80 (7.80, 17.00) | 11.40 (6.95, 18.10) | 0.848 |
 Po2-min, (mmHg) | 91.00 (70.00, 103.49) | 78.00 (62.00, 98.46) |  < 0.001 | 93.00 (70.00, 103.84) | 77.00 (60.00, 99.59) |  < 0.001 |
 Pco2-max, (mmHg) | 46.00 (40.00, 50.00) | 44.81 (37.00, 51.00) | 0.031 | 46.43 (41.00, 50.00) | 44.00 (37.00, 49.00) |  < 0.001 |
 PH-min | 7.31 (7.26, 7.36) | 7.30 (7.18, 7.37) |  < 0.001 | 7.31 (7.26, 7.35) | 7.31 (7.18, 7.35) | 0.006 |
 MCHC_min, (g/L) | 33.70 (32.70, 34.70) | 33.20 (32.00, 34.20) |  < 0.001 | 33.62 ± 1.59 | 33.11 ± 1.57 |  < 0.001 |
 RDW_max, (%) | 15.00 (14.00, 16.70) | 16.50 (14.84, 18.35) |  < 0.001 | 14.90 (14.00, 16.50) | 16.70 (15.00, 18.80) |  < 0.001 |
 MCV_min, (fL) | 89.00 (85.00, 94.00) | 92.00 (87.00, 97.00) |  < 0.001 | 89.00 (85.00, 93.00) | 92.79 (88.00, 98.00) |  < 0.001 |
 Creatinine_max, (μmol/L) | 1.40 (0.90, 2.20) | 1.70 (1.10, 2.90) |  < 0.001 | 1.30 (0.90, 2.10) | 1.70 (1.10, 2.90) |  < 0.001 |
Infection site, n (%) | Â | Â | Â | Â | Â | Â |
 Pulmonary infection, n (%) | 489 (32) | 283 (36) | 0.055 | 211 (33) | 102 (30) | 0.558 |
 Urinary tract, n (%) | 458 (30) | 158 (20) |  < 0.001 | 193 (30) | 75 (22) | 0.017 |
 Catheter, n (%) | 54 ( 4) | 12 (2) | 0.009 | 14 (2) | 7 (2) | 1 |
 Septicemic, n (%) | 21 ( 1) | 12 (2) | 0.91 | 10 (2) | 5 (1) | 1 |
Treatment measures, n (%) | Â | Â | Â | Â | Â | Â |
 MV, n (%) | 373 (25) | 222 (28) | 0.048 | 168 (26) | 91 (27) | 0.723 |
 Norepinephrine, n (%) | 279 (18) | 296 (38) |  < 0.001 | 143 (22) | 139 (41) |  < 0.001 |