{"id":"https://openalex.org/W7139962803","doi":"https://doi.org/10.1016/j.ijmedinf.2026.106406","title":"Predictive value of early blood glucose trajectory for poor prognosis in ARDS patients","display_name":"Predictive value of early blood glucose trajectory for poor prognosis in ARDS patients","publication_year":2026,"publication_date":"2026-03-20","ids":{"openalex":"https://openalex.org/W7139962803","doi":"https://doi.org/10.1016/j.ijmedinf.2026.106406","pmid":"https://pubmed.ncbi.nlm.nih.gov/41895023"},"language":"en","primary_location":{"id":"doi:10.1016/j.ijmedinf.2026.106406","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2026.106406","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1016/j.ijmedinf.2026.106406","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5130213708","display_name":"Zhipeng Fang","orcid":null},"institutions":[{"id":"https://openalex.org/I129708740","display_name":"Fujian Medical University","ror":"https://ror.org/050s6ns64","country_code":"CN","type":"education","lineage":["https://openalex.org/I129708740"]},{"id":"https://openalex.org/I4210121761","display_name":"First Affiliated Hospital of Fujian Medical University","ror":"https://ror.org/030e09f60","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210121761"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhipeng Fang","raw_affiliation_strings":["Department of Trauma Center and Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China; Department of Trauma Center & Emergency Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Trauma Center and Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China; Department of Trauma Center & Emergency Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China","institution_ids":["https://openalex.org/I4210121761","https://openalex.org/I129708740"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130241031","display_name":"Jielin Chen","orcid":null},"institutions":[{"id":"https://openalex.org/I129708740","display_name":"Fujian Medical University","ror":"https://ror.org/050s6ns64","country_code":"CN","type":"education","lineage":["https://openalex.org/I129708740"]},{"id":"https://openalex.org/I4210121761","display_name":"First Affiliated Hospital of Fujian Medical University","ror":"https://ror.org/030e09f60","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210121761"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jielin Chen","raw_affiliation_strings":["Department of Trauma Center and Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Trauma Center and Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China","institution_ids":["https://openalex.org/I4210121761","https://openalex.org/I129708740"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130250605","display_name":"Jingquan Lin","orcid":null},"institutions":[{"id":"https://openalex.org/I129708740","display_name":"Fujian Medical University","ror":"https://ror.org/050s6ns64","country_code":"CN","type":"education","lineage":["https://openalex.org/I129708740"]},{"id":"https://openalex.org/I4210121761","display_name":"First Affiliated Hospital of Fujian Medical University","ror":"https://ror.org/030e09f60","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210121761"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Jingquan Lin","raw_affiliation_strings":["Department of Trauma Center and Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China; Department of Trauma Center & Emergency Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Trauma Center and Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China; Department of Trauma Center & Emergency Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China","institution_ids":["https://openalex.org/I4210121761","https://openalex.org/I129708740"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112841699","display_name":"Zhenlv Lin","orcid":null},"institutions":[{"id":"https://openalex.org/I129708740","display_name":"Fujian Medical University","ror":"https://ror.org/050s6ns64","country_code":"CN","type":"education","lineage":["https://openalex.org/I129708740"]},{"id":"https://openalex.org/I4210121761","display_name":"First Affiliated Hospital of Fujian Medical University","ror":"https://ror.org/030e09f60","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210121761"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Zhenlv Lin","raw_affiliation_strings":["Department of Trauma Center and Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China; Department of Trauma Center & Emergency Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China. Electronic address: 1364944379@qq.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Trauma Center and Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China; Department of Trauma Center & Emergency Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China. Electronic address: 1364944379@qq.com","institution_ids":["https://openalex.org/I4210121761","https://openalex.org/I129708740"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5130221330","display_name":"Guangwei Zheng","orcid":null},"institutions":[{"id":"https://openalex.org/I129708740","display_name":"Fujian Medical University","ror":"https://ror.org/050s6ns64","country_code":"CN","type":"education","lineage":["https://openalex.org/I129708740"]},{"id":"https://openalex.org/I4210121761","display_name":"First Affiliated Hospital of Fujian Medical University","ror":"https://ror.org/030e09f60","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210121761"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Guangwei Zheng","raw_affiliation_strings":["Department of Trauma Center and Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China; Department of Trauma Center & Emergency Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China. Electronic address: drzgw1811@fjmu.edu.cn"],"raw_orcid":"https://orcid.org/0000-0001-8447-6118","affiliations":[{"raw_affiliation_string":"Department of Trauma Center and Emergency Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China; Department of Trauma Center & Emergency Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China. Electronic address: drzgw1811@fjmu.edu.cn","institution_ids":["https://openalex.org/I4210121761","https://openalex.org/I129708740"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5112841699","https://openalex.org/A5130221330","https://openalex.org/A5130250605"],"corresponding_institution_ids":["https://openalex.org/I129708740","https://openalex.org/I4210121761"],"apc_list":{"value":3210,"currency":"USD","value_usd":3210},"apc_paid":{"value":3210,"currency":"USD","value_usd":3210},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.29100109,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"214","issue":null,"first_page":"106406","last_page":"106406"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11623","display_name":"Hyperglycemia and glycemic control in critically ill and hospitalized patients","score":0.974399983882904,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11623","display_name":"Hyperglycemia and glycemic control in critically ill and hospitalized patients","score":0.974399983882904,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.009600000455975533,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.003599999938160181,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/predictive-value","display_name":"Predictive value","score":0.691100001335144},{"id":"https://openalex.org/keywords/trajectory","display_name":"Trajectory","score":0.6467999815940857},{"id":"https://openalex.org/keywords/ards","display_name":"ARDS","score":0.5748000144958496},{"id":"https://openalex.org/keywords/continuous-glucose-monitoring","display_name":"Continuous glucose monitoring","score":0.40630000829696655},{"id":"https://openalex.org/keywords/predictive-value-of-tests","display_name":"Predictive value of tests","score":0.39419999718666077},{"id":"https://openalex.org/keywords/value","display_name":"Value (mathematics)","score":0.3693999946117401}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7940000295639038},{"id":"https://openalex.org/C3019719930","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value","level":2,"score":0.691100001335144},{"id":"https://openalex.org/C13662910","wikidata":"https://www.wikidata.org/wiki/Q193139","display_name":"Trajectory","level":2,"score":0.6467999815940857},{"id":"https://openalex.org/C2776348555","wikidata":"https://www.wikidata.org/wiki/Q344873","display_name":"ARDS","level":3,"score":0.5748000144958496},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4724000096321106},{"id":"https://openalex.org/C2986379492","wikidata":"https://www.wikidata.org/wiki/Q1638492","display_name":"Continuous glucose monitoring","level":4,"score":0.40630000829696655},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.39629998803138733},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3962000012397766},{"id":"https://openalex.org/C198433322","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value of tests","level":2,"score":0.39419999718666077},{"id":"https://openalex.org/C2776291640","wikidata":"https://www.wikidata.org/wiki/Q2912517","display_name":"Value (mathematics)","level":2,"score":0.3693999946117401},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.35109999775886536},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.3264000117778778},{"id":"https://openalex.org/C172205157","wikidata":"https://www.wikidata.org/wiki/Q1782962","display_name":"Model predictive control","level":3,"score":0.288100004196167},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2500999867916107}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001786","descriptor_name":"Blood Glucose","qualifier_ui":"Q000032","qualifier_name":"analysis","is_major_topic":true},{"descriptor_ui":"D001786","descriptor_name":"Blood Glucose","qualifier_ui":"Q000032","qualifier_name":"analysis","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006943","descriptor_name":"Hyperglycemia","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011237","descriptor_name":"Predictive Value of Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011237","descriptor_name":"Predictive Value of Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012128","descriptor_name":"Respiratory Distress Syndrome","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D012128","descriptor_name":"Respiratory Distress Syndrome","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D012128","descriptor_name":"Respiratory Distress Syndrome","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D012128","descriptor_name":"Respiratory Distress Syndrome","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D012128","descriptor_name":"Respiratory Distress Syndrome","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D012128","descriptor_name":"Respiratory Distress Syndrome","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D012372","descriptor_name":"ROC Curve","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016016","descriptor_name":"Proportional Hazards Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D049451","descriptor_name":"Nomograms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D049451","descriptor_name":"Nomograms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.ijmedinf.2026.106406","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2026.106406","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},{"id":"pmid:41895023","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41895023","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of medical informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.1016/j.ijmedinf.2026.106406","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2026.106406","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"No poverty","id":"https://metadata.un.org/sdg/1","score":0.7086259722709656}],"awards":[{"id":"https://openalex.org/G3897600632","display_name":"PFKFB4\u901a\u8fc7RAS/AKT\u901a\u8def\u8c03\u63a7\u4e2d\u6027\u7c92\u7ec6\u80de\u6d78\u6da6\u5728\u8113\u6bd2\u75c7\u76f8\u5173\u6025\u6027\u80ba\u635f\u4f24\u7684\u4f5c\u7528\u673a\u5236\u7814\u7a76","funder_award_id":"2025J01718","funder_id":"https://openalex.org/F4320321878","funder_display_name":"Natural Science Foundation of Fujian Province"}],"funders":[{"id":"https://openalex.org/F4320321878","display_name":"Natural Science Foundation of Fujian Province","ror":null}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W1980717583","https://openalex.org/W1993362167","https://openalex.org/W2001457760","https://openalex.org/W2006382243","https://openalex.org/W2025416505","https://openalex.org/W2050161856","https://openalex.org/W2066020920","https://openalex.org/W2108699123","https://openalex.org/W2115274113","https://openalex.org/W2125347662","https://openalex.org/W2286228001","https://openalex.org/W2763973104","https://openalex.org/W3121399117","https://openalex.org/W4200188055","https://openalex.org/W4205735962","https://openalex.org/W4211250103","https://openalex.org/W4225159603","https://openalex.org/W4308719213","https://openalex.org/W4385790922","https://openalex.org/W4414532863","https://openalex.org/W4415982989"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"Patients":[1],"with":[2,17,180,196,268],"acute":[3],"respiratory":[4,229],"distress":[5],"syndrome":[6],"(ARDS)":[7],"often":[8],"develop":[9],"stress-induced":[10],"hyperglycemia,":[11],"and":[12,29,59,67,99,138,156,173,182,206,231,249,283,286],"glycemic":[13,22,38,57,75],"variability":[14],"is":[15,259],"associated":[16],"adverse":[18],"outcomes.":[19],"Traditional":[20],"static":[21],"indicators":[23],"cannot":[24],"capture":[25],"dynamic":[26,37,74,275],"glucose":[27,121,163,185,201,226,257,277],"changes,":[28],"current":[30],"ARDS":[31,63,82],"prognostic":[32,70,129],"models":[33],"lack":[34],"integration":[35],"of":[36,80,126,263,296],"trajectories,":[39],"leading":[40],"to":[41,51,117],"insufficient":[42],"precision":[43],"in":[44,62,240,244,266],"early":[45,56,294],"risk":[46],"stratification.":[47],"This":[48],"study":[49],"aimed":[50],"investigate":[52],"the":[53,85,119,145,188,293],"association":[54],"between":[55],"trajectory":[58,112,122,258],"30-day":[60,190,214,264],"mortality":[61,265],"patients,":[64],"while":[65,193],"constructing":[66],"validating":[68],"a":[69,103,139,211,289],"prediction":[71],"model":[72,141],"integrating":[73,222],"features.":[76],"METHODS:":[77],"A":[78],"total":[79],"8,103":[81],"patients":[83,101,267],"from":[84,102],"Medical":[86],"Information":[87],"Mart":[88],"for":[89,292],"Intensive":[90],"Care-IV":[91],"(MIMIC-IV)":[92],"database":[93],"were":[94,131,165],"enrolled":[95],"as":[96,107],"training":[97,241],"set,":[98,242],"158":[100],"single":[104],"center":[105],"served":[106],"external":[108],"validation":[109,245],"set.":[110],"Group-based":[111],"modeling":[113],"(GBTM)":[114],"was":[115,142,147],"used":[116],"cluster":[118],"blood":[120,162,184,200,256,276],"within":[123],"48":[124],"h":[125],"admission.":[127],"Independent":[128],"factors":[130],"identified":[132],"using":[133,149],"Cox":[134],"proportional":[135],"hazards":[136],"models,":[137],"nomogram":[140,146,221,271],"constructed.":[143],"And":[144],"validate":[148],"receiver":[150],"operating":[151],"characteristic":[152],"curve,":[153],"calibration":[154],"curve":[155,158],"decision":[157],"analysis.":[159],"RESULTS:":[160],"Four":[161],"trajectories":[164],"identified:":[166],"G1":[167],"(20.01%),":[168],"G2":[169,178],"(37.43%),":[170],"G3":[171],"(34.64%)":[172],"G4":[174,194],"(7.91%).":[175],"Among":[176],"them,":[177],"group":[179,195],"stable":[181],"low":[183],"levels":[186],"had":[187,210],"highest":[189],"survival":[191],"probability,":[192],"an":[197,260],"initial":[198],"high":[199,250],"level":[202],"that":[203],"decreased":[204],"sharply":[205],"then":[207],"slightly":[208],"increased":[209],"significantly":[212],"higher":[213],"death":[215],"(log-rank":[216],"P":[217],"<":[218],"0.0001).":[219],"The":[220,270],"16":[223],"predictors":[224],"including":[225],"trajectory,":[227],"age,":[228],"rate,":[230],"anion":[232],"gap":[233],"achieved":[234],"good":[235,280],"discrimination":[236],"(AUC":[237],"=":[238],"0.72":[239],"0.75":[243],"set),":[246],"favorable":[247],"calibration,":[248],"net":[251],"clinical":[252,284],"benefit.":[253],"CONCLUSIONS:":[254],"Early":[255],"independent":[261],"predictor":[262],"ARDS.":[269],"constructed":[272],"based":[273],"on":[274],"evolution":[278],"has":[279],"predictive":[281],"efficacy":[282],"applicability,":[285],"can":[287],"provide":[288],"quantitative":[290],"tool":[291],"intervention":[295],"high-risk":[297],"patients.":[298]},"counts_by_year":[],"updated_date":"2026-07-13T07:31:44.756512","created_date":"2026-03-21T00:00:00"}
