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Data for this study were obtained from the MIMIC-IV and eICU-CRD databases, with the former being a multiparametric, structured single-center critical-care database published in 2003 that includes clinically available data on more than 380,000 patients during 2008–2019. There was no requirement to obtain permission from individual patients or ethical approval statements because the initiative had no impact on clinical care and none of the patients in the database could be identified (11). Our study also followed the guidelines of the Declaration of Helsinki and Transparent Reporting of a Multivariate Prediction Model for Individual Prognosis or Diagnosis (12).

The eICU-CRD database contains data from the ICU wards of numerous hospitals in the US. It contains routine data on 200,859 patients obtained from more than 300 hospitals in the US during 2014 and 2015 (13). No specific patient permission was needed because both databases use anonymous health data.

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