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. 2026 Mar 27;26:397. doi: 10.1186/s12872-026-05779-9

Table 1.

Baseline demographic and clinical characteristics of patients stratified by ACAG levels

ACAG (< 12) ACAG (12–20) ACAG (> 20) P
N = 836 N = 3674 N = 496
Age 68.0 [61.0;76.0] 70.0 [61.0;78.0] 70.0 [59.0;78.0] <0.001
Body Mass Index 27.7 [24.4;31.4] 28.1 [24.8;32.2] 28.1 [24.4;32.0] 0.029
Insurance: <0.001
 Medicaid 65 (7.78%) 341 (9.28%) 63 (12.7%)
 Medicare 444 (53.1%) 2153 (58.6%) 304 (61.3%)
 Other 26 (3.11%) 86 (2.34%) 6 (1.21%)
 Private 301 (36.0%) 1094 (29.8%) 123 (24.8%)
Race: 0.007
 Asian 13 (1.56%) 64 (1.74%) 9 (1.81%)
 Black 27 (3.23%) 118 (3.21%) 21 (4.23%)
 Hispanic 17 (2.03%) 105 (2.86%) 14 (2.82%)
 Other 225 (26.9%) 1095 (29.8%) 183 (36.9%)
 White 554 (66.3%) 2292 (62.4%) 269 (54.2%)
Marital status: <0.001
 Divorced 59 (7.06%) 301 (8.19%) 44 (8.87%)
 Married 585 (70.0%) 2230 (60.7%) 275 (55.4%)
 Single 139 (16.6%) 720 (19.6%) 106 (21.4%)
 Widowed 53 (6.34%) 423 (11.5%) 71 (14.3%)
Gender: <0.001
 Female 197 (23.6%) 1133 (30.8%) 189 (38.1%)
 Male 639 (76.4%) 2541 (69.2%) 307 (61.9%)
Urea nitrogen 14.3 [11.5;18.0] 17.0 [13.0;22.5] 27.0 [18.5;45.4] <0.001
Creatinine 0.85 [0.70;1.00] 0.93 [0.75;1.20] 1.43 [0.95;2.35] <0.001
Hemoglobin 10.6 [9.60;11.6] 10.5 [9.40;11.8] 10.4 [9.15;11.9] 0.214
Red blood cells 3.49 [3.12;3.84] 3.47 [3.12;3.90] 3.48 [3.04;4.01] 0.796
Platelet count 146 [123;178] 164 [132;207] 182 [131;248] <0.001
Sodium 138 [136;140] 138 [136;140] 138 [135;140] 0.065
Chloride 107 [105;109] 106 [103;108] 103 [99.0;107] <0.001
Glucose 118 [105;132] 122 [107;141] 144 [117;194] <0.001
Potassium 4.30 [4.10;4.55] 4.30 [4.05;4.60] 4.30 [3.95;4.77] 0.911
White blood cells 11.9 [9.46;14.7] 12.3 [9.68;15.5] 13.3 [9.70;17.0] <0.001
GCS score 15.0 [14.0;15.0] 15.0 [14.0;15.0] 15.0 [14.0;15.0] 0.694
SOFA score 4.00 [3.00;6.00] 5.00 [3.00;7.00] 7.00 [4.00;10.0] <0.001
SAPSII score 32.0 [25.0;39.2] 35.0 [28.0;42.0] 42.0 [34.0;53.0] <0.001
Heart rate 79.5 [73.5;84.7] 80.3 [73.8;88.1] 85.1 [74.9;95.3] <0.001
Respiratory rate 17.4 [15.8;19.0] 17.9 [16.2;20.0] 19.5 [17.3;22.0] <0.001
Spo2 97.6 [96.5;98.6] 97.6 [96.4;98.6] 97.0 [95.6;98.5] <0.001
AKI: <0.001
 No 239 (28.6%) 944 (25.7%) 83 (16.7%)
 Yes 597 (71.4%) 2730 (74.3%) 413 (83.3%)
CKD: <0.001
 No 743 (88.9%) 3009 (81.9%) 347 (70.0%)
 Yes 93 (11.1%) 665 (18.1%) 149 (30.0%)
Heart failure: <0.001
 No 660 (78.9%) 2343 (63.8%) 188 (37.9%)
 Yes 176 (21.1%) 1331 (36.2%) 308 (62.1%)
Myocardial infarction: <0.001
 No 647 (77.4%) 2734 (74.4%) 318 (64.1%)
 Yes 189 (22.6%) 940 (25.6%) 178 (35.9%)
IHD: 0.047
 No 221 (26.4%) 872 (23.7%) 139 (28.0%)
 Yes 615 (73.6%) 2802 (76.3%) 357 (72.0%)
Hypertension: <0.001
 No 361 (43.2%) 1839 (50.1%) 348 (70.2%)
 Yes 475 (56.8%) 1835 (49.9%) 148 (29.8%)
Stroke: 0.665
 No 775 (92.7%) 3385 (92.1%) 453 (91.3%)
 Yes 61 (7.30%) 289 (7.87%) 43 (8.67%)
COPD: 0.002
 No 761 (91.0%) 3261 (88.8%) 420 (84.7%)
 Yes 75 (8.97%) 413 (11.2%) 76 (15.3%)
T1DM: <0.001
 No 830 (99.3%) 3641 (99.1%) 478 (96.4%)
 Yes 6 (0.72%) 33 (0.90%) 18 (3.63%)
T2DM: <0.001
 No 640 (76.6%) 2447 (66.6%) 292 (58.9%)
 Yes 196 (23.4%) 1227 (33.4%) 204 (41.1%)
Cancer: 0.624
 No 727 (87.0%) 3173 (86.4%) 422 (85.1%)
 Yes 109 (13.0%) 501 (13.6%) 74 (14.9%)
Ventilation: <0.001
 No 68 (8.13%) 423 (11.5%) 79 (15.9%)
 Yes 768 (91.9%) 3251 (88.5%) 417 (84.1%)
NSAID Use: <0.001
 No 322 (38.5%) 1949 (53.0%) 338 (68.1%)
 Yes 514 (61.5%) 1725 (47.0%) 158 (31.9%)
Antihypertensive Use: 0.002
 No 299 (35.8%) 1309 (35.6%) 217 (43.8%)
 Yes 537 (64.2%) 2365 (64.4%) 279 (56.2%)
Antibiotic Use: <0.001
 No 233 (27.9%) 1616 (44.0%) 224 (45.2%)
 Yes 603 (72.1%) 2058 (56.0%) 272 (54.8%)
Glucocorticoid Use: <0.001
 No 830 (99.3%) 3572 (97.2%) 462 (93.1%)
 Yes 6 (0.72%) 102 (2.78%) 34 (6.85%)
Death: <0.001
 No 823 (98.4%) 3462 (94.2%) 357 (72.0%)
 Yes 13 (1.56%) 212 (5.77%) 139 (28.0%)
Surgery Type: <0.001
 Arrhythmia Device 201 (5.47%) 32 (3.83%) 41 (8.27%)
 Coronary Artery Surgery 1542 (42.0%) 385 (46.1%) 128 (25.8%)
 Other Cardiac Surgery 1389 (37.8%) 240 (28.7%) 276 (55.6%)
 Valve Surgery 542 (14.8%) 179 (21.4%) 51 (10.3%)
OS 28.0 [28.0;28.0] 28.0 [28.0;28.0] 28.0 [18.9;28.0] <0.001
ACAG 11.0 [10.0;11.5] 15.2 [13.8;17.0] 22.5 [21.0;24.5] <0.001

ACAG Albumin-Corrected Anion Gap, BMI Body Mass Index, GCS Glasgow Coma Scale, SOFA Sequential Organ Failure Assessment, SAPSII Simplified Acute Physiology Score II, AKI Acute Kidney Injury, CKD Chronic Kidney Disease, IHD Ischemic Heart Disease, COPD Chronic Obstructive Pulmonary Disease, T1DM Type 1 Diabetes Mellitus, T2DM Type 2 Diabetes Mellitus, NSAID Non-Steroidal Anti-Inflammatory Drug, OS Overall Survival