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Table 2 Top-ranked metabolites linked with survival ranked by ensemble machine learning-derived summary importance score (defined as those with importance score ≥ 0.5), with corresponding median (interquartile range) normalized levels among septic patients who survived (N = 35) and those who died (N = 25)

From: Machine learning approaches to the human metabolome in sepsis identify metabolic links with survival

Metabolite

Ensemble metabolite importance score

Median (IQR) normalized level among sepsis patients who survived (N = 35)

Median (IQR) normalized level among sepsis patients who died (N = 25)

p value

3-Hydroxyisobutyrate1

0.875

252,438.3 (205,768.5–330,512.0)

447,733.7 (317,285.8–649,937.2)

 < 0.001

Glycolithocholate sulfate1

0.875

25,510.2 (10,242.8–134,807.9)

79,337.8 (43,853.3–180,873.5)

0.013

Kynurenine

0.875

1,210,710.5 (842,693.3–1,538,991.4)

2,157,986.3 (1,661,243.8–3,509,181.0)

 < 0.001

Glycochenodeoxycholate

0.75

272,981.5 (167,008.1–465,149.2)

732,421.1 (438,467.2–1,813,588.0)

0.007

Phenylalanine

0.75

32,946,718 (28,021,921–39,246,282)

43,833,240 (35,133,532–66,127,232)

0.001

Beta-hydroxyisovalerate

0.625

144,346.7 (99,003.9–176,673.7)

211,728.6 (136,285.5–467,855.3)

0.006

Bilirubin

0.625

49,090.9 (26,390.4–76,850.4)

114,271.2 (48,093.5–529,768.6)

0.01

Indoleacetate1

0.625

74,409.6 (51,108.5–84,809.9)

102,489.8 (81,114.9–136,096.5)

0.002

Taurocholenate sulfate

0.625

102,518.9 (50,764.5–297,900.4)

468,138.2 (101,984.3–639,836.3)

0.009

3-Methoxytyrosine

0.5

65,256.5 (50,705.4–74,069.8)

72,094.6 (58,031.8–96,055.7)

0.024

Fucose1

0.5

148,841.4 (80,563.7–216,589.1)

260,624.5 (134,398.9–312,514.6)

0.004

Hydroxyisovaleroylcarnitine1

0.5

127,932.2 (81,047.1–183,819.4)

237,218.2 (107,023.4–276,240.9)

0.024

Lactate

0.5

91,420,816 (60,458,968–113,868,176)

147,947,760 (76,580,752–235,829,728)

0.012

  1. 1Of these top identified metabolites, 4/13 (3-hydroxyisobutyrate, glycolithocholate sulfate, indoleacetate, and fucose) have not been previously correlated with sepsis survivorship. The remaining 9 metabolites have been previously identified in metabolomic studies in this and other cohorts.12,13