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An alternative approach has differentiated a hyperinflammatory subphenotype in about 30% of the patients which was typical with high plasma levels of inflammatory biomarkers (IL-6, IL-8, and soluble TNF receptor 1), low protein C, high prevalence of shock and metabolic acidosis, and higher mortality, and a hypoinflammatory subphenotype in about 70% of the patients which was characterized by lower levels of the inflammatory biomarkers and lower occurrence of acidosis and vasopressor-dependent shock [18,19,20]
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