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Fig 1.

Illustration of the RR intervals (RRIs) and the definitions of RRnI and RRnIm, where 1 ≤ n ≤ 3, 1 ≤ m ≤ 2.

Parameter m indicates the non-overlapping portion between two successive RRnIm sequences.

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Fig 2.

Patient recruitment flowchart.

ECG: Electrocardiogram; ED: Emergency department; IHM: In-hospital mortality; SIRS: Systemic inflammatory response syndrome.

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Table 1.

Baseline characteristics and clinical parameters.

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Table 2.

Descriptive analyses of heart rate variability (HRV) and heart rate n-variability (HRnV) parameters.

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Table 3.

Univariable analysis of HRV and HRnV parameters.

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Table 3 Expand

Table 4.

Multivariable analysis of HRV and HRnV parameters on 30-day in-hospital mortality.

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Fig 3.

ROC curves for HRnV-based prediction models, alongside other disease severity scoring systems.

APACHE II: Acute Physiology and Chronic Health Evaluation II; AUC: Area under the receiver operating characteristic curve; HRnV: Heart rate n-variability; MEWS: Modified Early Warning Score; NEWS: National Early Warning Score; SOFA: Sequential Organ Failure Assessment; qSOFA(w): Worst quick SOFA score.

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