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. 2021 May 27;11:11214. doi: 10.1038/s41598-021-90806-2

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© The Author(s) 2021

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Decision curve analysis (DCA) of the four scoring systems for all cases in the cohort study. The net benefit curves for the four scoring systems are shown. X-axis indicates the threshold probability for clinical outcome and Y-axis indicates the net benefit. Solid red line = SOFA, solid green line = LODS, solid blue line = SIRS, solid purple line = SAPS II. The preferred scoring system is SAPS II, the net benefit of which was the largest among the four scoring systems.