#METABOLOMICS WORKBENCH YuHongMia_20240502_010210 DATATRACK_ID:4809 STUDY_ID:ST003189 ANALYSIS_ID:AN005237 PROJECT_ID:PR001985 VERSION 1 CREATED_ON May 6, 2024, 7:50 pm #PROJECT PR:PROJECT_TITLE Serum metabolites for septic shock detection in emergency department PR:PROJECT_TYPE Untargeted metabolomics analysis PR:PROJECT_SUMMARY Septic shock is a life-threatening condition that arises from a dysregulated PR:PROJECT_SUMMARY host response to infection, resulting in the failure of multiple organ systems PR:PROJECT_SUMMARY and the rapid decline of the patient’s health status. As a medical emergency, PR:PROJECT_SUMMARY early recognition and timely interventions are crucial for improving patient PR:PROJECT_SUMMARY outcomes, particularly in the emergency department setting where septic patients PR:PROJECT_SUMMARY are initially treated. Despite the importance of early identification, current PR:PROJECT_SUMMARY diagnostic tools remain challenges in predicting septic shock at the time of PR:PROJECT_SUMMARY admission. To address these limitations, this study aimed to develop a highly PR:PROJECT_SUMMARY sensitive and specific platform for predicting septic shock in the emergency PR:PROJECT_SUMMARY department using machine learning techniques applied to the metabolic profile. PR:PROJECT_SUMMARY This approach has the potential to optimize the clinical management of septic PR:PROJECT_SUMMARY shock. PR:INSTITUTE National Taiwan University PR:DEPARTMENT Department of Chemistry PR:LABORATORY Cheng-Chih Hsu's lab PR:LAST_NAME Hong PR:FIRST_NAME Yu PR:ADDRESS No. 1, Sec. 4, Roosevelt Rd., Taipei, Taipei, 106, Taiwan PR:EMAIL f07223179@ntu.edu.tw PR:PHONE +886-2-3366-1681 #STUDY ST:STUDY_TITLE Untargeted Metabolomic Profile of Septic Shock in the Emergency Department ST:STUDY_SUMMARY Septic shock is a life-threatening condition that arises from a dysregulated ST:STUDY_SUMMARY host response to infection, resulting in the failure of multiple organ systems ST:STUDY_SUMMARY and the rapid decline of the patient’s health status. As a medical emergency, ST:STUDY_SUMMARY early recognition and timely interventions are crucial for improving patient ST:STUDY_SUMMARY outcomes, particularly in the emergency department setting where septic patients ST:STUDY_SUMMARY are initially treated. Despite the importance of early identification, current ST:STUDY_SUMMARY diagnostic tools remain challenges in predicting septic shock at the time of ST:STUDY_SUMMARY admission. To address these limitations, this study aimed to develop a highly ST:STUDY_SUMMARY sensitive and specific platform for predicting septic shock in the emergency ST:STUDY_SUMMARY department. By implementing a supervised algorithm to the metabolic profile, a ST:STUDY_SUMMARY model based on a 22-metabolite panel was developed to accurately predict septic ST:STUDY_SUMMARY shock. This approach has the potential to optimize the clinical management of ST:STUDY_SUMMARY septic shock in the emergency department. ST:INSTITUTE National Taiwan University ST:DEPARTMENT Department of Chemistry ST:LABORATORY Cheng-Chih Hsu's lab ST:LAST_NAME Hong ST:FIRST_NAME Yu ST:ADDRESS No. 1, Sec. 4, Roosevelt Rd., Taipei, Taipei, 106, Taiwan ST:EMAIL f07223179@ntu.edu.tw ST:PHONE +886-2-3366-1681 ST:NUM_GROUPS 2 ST:TOTAL_SUBJECTS 124 #SUBJECT SU:SUBJECT_TYPE Human SU:SUBJECT_SPECIES Homo sapiens SU:TAXONOMY_ID 9606 SU:GENDER Male and female SU:HUMAN_RACE Asian #FACTORS #SUBJECT_SAMPLE_FACTORS: SUBJECT(optional)[tab]SAMPLE[tab]FACTORS(NAME:VALUE pairs separated by |)[tab]Raw file names and additional sample data SUBJECT_SAMPLE_FACTORS - 1 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=1.mzXML SUBJECT_SAMPLE_FACTORS - 2 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=2.mzXML SUBJECT_SAMPLE_FACTORS - 4 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=4.mzXML SUBJECT_SAMPLE_FACTORS - 17 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=17.mzXML SUBJECT_SAMPLE_FACTORS - 23 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=23.mzXML SUBJECT_SAMPLE_FACTORS - 32 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=32.mzXML SUBJECT_SAMPLE_FACTORS - 36 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=36.mzXML SUBJECT_SAMPLE_FACTORS - 38 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=38.mzXML SUBJECT_SAMPLE_FACTORS - 42 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=42.mzXML SUBJECT_SAMPLE_FACTORS - 43 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=43.mzXML SUBJECT_SAMPLE_FACTORS - 46 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=46.mzXML SUBJECT_SAMPLE_FACTORS - 52 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=52.mzXML SUBJECT_SAMPLE_FACTORS - 61 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=61.mzXML SUBJECT_SAMPLE_FACTORS - 63 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=63.mzXML SUBJECT_SAMPLE_FACTORS - 64 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=64.mzXML SUBJECT_SAMPLE_FACTORS - 67 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=67.mzXML SUBJECT_SAMPLE_FACTORS - 70 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=70.mzXML SUBJECT_SAMPLE_FACTORS - 74 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=74.mzXML SUBJECT_SAMPLE_FACTORS - 76 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=76.mzXML SUBJECT_SAMPLE_FACTORS - 79 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=79.mzXML SUBJECT_SAMPLE_FACTORS - 80 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=80.mzXML SUBJECT_SAMPLE_FACTORS - 97 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=97.mzXML SUBJECT_SAMPLE_FACTORS - 100 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=100.mzXML SUBJECT_SAMPLE_FACTORS - 105 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=105r.mzXML SUBJECT_SAMPLE_FACTORS - 109 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=109.mzXML SUBJECT_SAMPLE_FACTORS - 116 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=116.mzXML SUBJECT_SAMPLE_FACTORS - 123 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=123.mzXML SUBJECT_SAMPLE_FACTORS - 126 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=126.mzXML SUBJECT_SAMPLE_FACTORS - 127 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=127.mzXML SUBJECT_SAMPLE_FACTORS - 133 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=133.mzXML SUBJECT_SAMPLE_FACTORS - 145 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=145.mzXML SUBJECT_SAMPLE_FACTORS - 151 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=151.mzXML SUBJECT_SAMPLE_FACTORS - 153 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=153.mzXML SUBJECT_SAMPLE_FACTORS - 155 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=155.mzXML SUBJECT_SAMPLE_FACTORS - 161 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=161.mzXML SUBJECT_SAMPLE_FACTORS - 162 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=162.mzXML SUBJECT_SAMPLE_FACTORS - 165 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=165.mzXML SUBJECT_SAMPLE_FACTORS - 166 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=166.mzXML SUBJECT_SAMPLE_FACTORS - 167 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=167.mzXML SUBJECT_SAMPLE_FACTORS - 168 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=168.mzXML SUBJECT_SAMPLE_FACTORS - 169 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=169.mzXML SUBJECT_SAMPLE_FACTORS - 172 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=172.mzXML SUBJECT_SAMPLE_FACTORS - 174 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=174.mzXML SUBJECT_SAMPLE_FACTORS - 175 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=175.mzXML SUBJECT_SAMPLE_FACTORS - 177 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=177.mzXML SUBJECT_SAMPLE_FACTORS - 180 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=180.mzXML SUBJECT_SAMPLE_FACTORS - 184 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=184.mzXML SUBJECT_SAMPLE_FACTORS - 186 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=186.mzXML SUBJECT_SAMPLE_FACTORS - 191 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=191.mzXML SUBJECT_SAMPLE_FACTORS - 192 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=192.mzXML SUBJECT_SAMPLE_FACTORS - 194 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=194.mzXML SUBJECT_SAMPLE_FACTORS - 196 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=196.mzXML SUBJECT_SAMPLE_FACTORS - 200 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=200.mzXML SUBJECT_SAMPLE_FACTORS - 204 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=204.mzXML SUBJECT_SAMPLE_FACTORS - 205 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=205.mzXML SUBJECT_SAMPLE_FACTORS - 206 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=206.mzXML SUBJECT_SAMPLE_FACTORS - 210 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=210.mzXML SUBJECT_SAMPLE_FACTORS - 212 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=212.mzXML SUBJECT_SAMPLE_FACTORS - 214 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=214.mzXML SUBJECT_SAMPLE_FACTORS - 220 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=220.mzXML SUBJECT_SAMPLE_FACTORS - 222 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=222.mzXML SUBJECT_SAMPLE_FACTORS - 223 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=223.mzXML SUBJECT_SAMPLE_FACTORS - 224 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=224.mzXML SUBJECT_SAMPLE_FACTORS - 226 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=226.mzXML SUBJECT_SAMPLE_FACTORS - 227 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=227.mzXML SUBJECT_SAMPLE_FACTORS - 235 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=235.mzXML SUBJECT_SAMPLE_FACTORS - 238 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=238.mzXML SUBJECT_SAMPLE_FACTORS - 241 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=241.mzXML SUBJECT_SAMPLE_FACTORS - 242 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=242.mzXML SUBJECT_SAMPLE_FACTORS - 248 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=248.mzXML SUBJECT_SAMPLE_FACTORS - 272 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=272.mzXML SUBJECT_SAMPLE_FACTORS - 274 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=274.mzXML SUBJECT_SAMPLE_FACTORS - 281 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=281.mzXML SUBJECT_SAMPLE_FACTORS - 286 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=286.mzXML SUBJECT_SAMPLE_FACTORS - 289 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=289.mzXML SUBJECT_SAMPLE_FACTORS - 293 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=293.mzXML SUBJECT_SAMPLE_FACTORS - 294 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=294.mzXML SUBJECT_SAMPLE_FACTORS - 295 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=295.mzXML SUBJECT_SAMPLE_FACTORS - 298 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=298.mzXML SUBJECT_SAMPLE_FACTORS - 299 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=299.mzXML SUBJECT_SAMPLE_FACTORS - 308 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=308.mzXML SUBJECT_SAMPLE_FACTORS - 309 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=309.mzXML SUBJECT_SAMPLE_FACTORS - 311 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=311.mzXML SUBJECT_SAMPLE_FACTORS - 316 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=316.mzXML SUBJECT_SAMPLE_FACTORS - 317 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=317.mzXML SUBJECT_SAMPLE_FACTORS - 323 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=323.mzXML SUBJECT_SAMPLE_FACTORS - 328 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=328.mzXML SUBJECT_SAMPLE_FACTORS - 336 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=336.mzXML SUBJECT_SAMPLE_FACTORS - 339 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=339.mzXML SUBJECT_SAMPLE_FACTORS - 353 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=353.mzXML SUBJECT_SAMPLE_FACTORS - 355 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=355.mzXML SUBJECT_SAMPLE_FACTORS - 356 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=356.mzXML SUBJECT_SAMPLE_FACTORS - 361 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=361.mzXML SUBJECT_SAMPLE_FACTORS - 362 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=362.mzXML SUBJECT_SAMPLE_FACTORS - 368 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=368.mzXML SUBJECT_SAMPLE_FACTORS - 375 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=375.mzXML SUBJECT_SAMPLE_FACTORS - 383 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=383.mzXML SUBJECT_SAMPLE_FACTORS - 384 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=384.mzXML SUBJECT_SAMPLE_FACTORS - 388 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=388.mzXML SUBJECT_SAMPLE_FACTORS - 400 Subject_ID:Non-septic shock | Sample source:Serum Disease=Negative control; RAW_FILE_NAME(Raw file name)=400.mzXML SUBJECT_SAMPLE_FACTORS - 405 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=405.mzXML SUBJECT_SAMPLE_FACTORS - 411 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=411.mzXML SUBJECT_SAMPLE_FACTORS - 430 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=430.mzXML SUBJECT_SAMPLE_FACTORS - 431 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=431.mzXML SUBJECT_SAMPLE_FACTORS - 432 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=432.mzXML SUBJECT_SAMPLE_FACTORS - 433 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=433.mzXML SUBJECT_SAMPLE_FACTORS - 452 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=452.mzXML SUBJECT_SAMPLE_FACTORS - 463 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=463.mzXML SUBJECT_SAMPLE_FACTORS - 464 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=464.mzXML SUBJECT_SAMPLE_FACTORS - 492 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=492.mzXML SUBJECT_SAMPLE_FACTORS - 495 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=495.mzXML SUBJECT_SAMPLE_FACTORS - 499 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=499.mzXML SUBJECT_SAMPLE_FACTORS - 502 Subject_ID:Non-septic shock | Sample source:Serum Disease=Sepsis; RAW_FILE_NAME(Raw file name)=502.mzXML SUBJECT_SAMPLE_FACTORS - 503 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=503.mzXML SUBJECT_SAMPLE_FACTORS - 504 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=504.mzXML SUBJECT_SAMPLE_FACTORS - 505 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=505.mzXML SUBJECT_SAMPLE_FACTORS - 508 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=508.mzXML SUBJECT_SAMPLE_FACTORS - 509 Subject_ID:Non-septic shock | Sample source:Serum Disease=Infection; RAW_FILE_NAME(Raw file name)=509.mzXML SUBJECT_SAMPLE_FACTORS - 510 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=510.mzXML SUBJECT_SAMPLE_FACTORS - 511 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=511.mzXML SUBJECT_SAMPLE_FACTORS - 512 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=512.mzXML SUBJECT_SAMPLE_FACTORS - 513 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=513.mzXML SUBJECT_SAMPLE_FACTORS - 514 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=514.mzXML SUBJECT_SAMPLE_FACTORS - 515 Subject_ID:Septic shock | Sample source:Serum Disease=Septic shock; RAW_FILE_NAME(Raw file name)=515.mzXML #COLLECTION CO:COLLECTION_SUMMARY Adult patients who visited the emergency department of Taipei Veterans General CO:COLLECTION_SUMMARY Hospital between Nov. 2018 and Feb. 2019 were prospectively enrolled with CO:COLLECTION_SUMMARY approval from the Institutional Review Board. Blood samples were obtained during CO:COLLECTION_SUMMARY routine clinical testing upon admission before initial treatment. These samples CO:COLLECTION_SUMMARY were collected in serum separator tubes, left to clot at room temperature for 1 CO:COLLECTION_SUMMARY h, and then centrifuged at 3000 rpm at 4 °C for 20 min. The resulting CO:COLLECTION_SUMMARY supernatant sera were promptly stored at -80°C before subsequent analysis. CO:SAMPLE_TYPE Blood (serum) #TREATMENT TR:TREATMENT_SUMMARY The samples detailed in this study did not undergo any treatment. #SAMPLEPREP SP:SAMPLEPREP_SUMMARY An aliquot of 5uL serum was extracted by 50 µL of methanol. After vortexing for SP:SAMPLEPREP_SUMMARY 10 s, samples were centrifuged for 2 min at 12,000 rpm to precipitate proteins, SP:SAMPLEPREP_SUMMARY and the supernatant was collected for mass spectrometry-based metabolomics SP:SAMPLEPREP_SUMMARY analysis. #CHROMATOGRAPHY CH:CHROMATOGRAPHY_SUMMARY Chromatography methods for serum extract CH:CHROMATOGRAPHY_TYPE HILIC CH:INSTRUMENT_NAME Thermo Dionex Ultimate 3000 CH:COLUMN_NAME Waters ACQUITY UPLC BEH Amide (150 x 2.1mm,1.7um) CH:SOLVENT_A 100% water; 0.1% formic acid; 5 mM ammonium acetate CH:SOLVENT_B 90% acetonitrile + 10% water; 0.1% formic acid; 5 mM ammonium acetate CH:FLOW_GRADIENT 0-0.5 min, 95% B; 0.5-11 min, 95-50% B; 11-14 min, 50% B; 14-14.5 min, 50-95% B; CH:FLOW_GRADIENT 14.5-20 min, 95% B CH:FLOW_RATE 0.3 mL/min CH:COLUMN_TEMPERATURE 30 °C CH:SAMPLE_INJECTION 5 μL #ANALYSIS AN:ANALYSIS_TYPE MS #MS MS:INSTRUMENT_NAME Thermo Q Exactive Orbitrap MS:INSTRUMENT_TYPE Orbitrap MS:MS_TYPE ESI MS:ION_MODE POSITIVE MS:MS_COMMENTS Compound Discoverer 2.1 software (Thermo Fisher Scientific) was used for peak MS:MS_COMMENTS area integration. MS:CAPILLARY_TEMPERATURE 250 °C MS:ION_SOURCE_TEMPERATURE 200 °C MS:ION_SPRAY_VOLTAGE 3.5 kV MS:SOURCE_TEMPERATURE 200 °C MS:SPRAY_VOLTAGE 3.5 kV MS:MS_RESULTS_FILE ST003189_AN005237_Results.txt UNITS:peak area Has m/z:Neutral masses Has RT:Yes RT units:Minutes #END