哈尔滨行道树的空间异质性分析

城市行道树空间异质性分析是优化城市森林调查、科学管理与生态服务功能提升的基础。本研究以哈尔滨为例,基于网络街景测定哈尔滨市879个样方、26140棵行道树的树高、胸径、冠幅、冠下高等指标,半方差函数和分形分析相结合,旨在确定树木空间异质性特征,为分析城市森林合理采样布点提供依据。结果发现,不同指标存在明显的空间异质性,表现为自相关距离明显差异,但是没有明显的方向性(在0°、45°、90°、135°方向上各向同性)。这些空间异质性受结构、随机因素影响,但是不同指标明显不同,即:冠幅空间变化中随机因素占比为26.56%,而冠下高、树高、胸径的占比分别为8.16%、8.14%、12.80%,后者更多的受城市化相关的结构因素影响(>88%)。冠幅、冠下高、树高、胸径的变程分别为2340、1320、1470、1890m,考虑到采样间距应控制在变程之内就可以有效揭示空间格局特征,测量不同指标的最小采样数量为:冠幅156个样方;冠下高440个样方;树高360个样方;胸径224个样方。分形分析结果显示,哈尔滨树木冠幅、冠下高、树高、胸径的D值分别为1.957、1.961、1.961和1.971,都接近于2,说明空间变异主要发生在各个样方间(距离:666m),与半方差函数分析交互验证。我们的研究结果为哈尔滨市城市森林研究与管理提供了基础数据支持,有助于今后研究确定合理的采样方案。     

Mortality,Temporary Sterilization,and Maternal Effects of Sublethal Heat in Bed Bugs

Adult bed bugs were exposed to the sublethal temperatures 34.0°C, 35.5°C, 37.0°C, 38.5°C, or 40.0°C for 3, 6, or 9 days. The two uppermost temperatures induced 100% mortality within 9 and 2 days, respectively, whereas 34.0°C had no observable effect. The intermediate temperatures interacted with time to induce a limited level of mortality but had distinct effects on fecundity, reflected by decreases in the number of eggs produced and hatching success. Adult fecundity remained low for up to 40 days after heat exposure, and the time until fertility was restored correlated with the temperature-sum experienced during heat exposure. Three or 6 days of parental exposure to 38.5°C significantly lowered their offspring’s feeding and moulting ability, which consequently led to a failure to continue beyond the third instar. Eggs that were deposited at 22.0°C before being exposed to 37.0°C for 3 or 6 days died, whereas eggs that were exposed to lower temperatures were not significantly affected. Eggs that were deposited during heat treatment exhibited high levels of mortality also at 34.0°C and 35.5°C. The observed negative effects of temperatures between 34.0°C and 40.0°C may be utilized in pest management, and sublethal temperature exposure ought to be further investigated as an additional tool to decimate or potentially eradicate bed bug populations. The effect of parental heat exposure on progeny demonstrates the importance of including maternal considerations when studying bed bug environmental stress reactions.     

哈尔滨家燕mandschurica亚种繁殖生态特征

许多鸟种因具有较强的适应性而分布广泛,例如家燕(Hirundo rustica)。在不同纬度地区研究其繁殖生态学特征有助于了解家燕对不同环境的适应。家燕mandschurica亚种在国内仅分布于黑龙江省,且该亚种的繁殖资料少有报道,为此,于2016和2017年每年的4至10月,在哈尔滨对其繁殖生态特征开展研究,并与国内目前已发表的家燕gutturalis亚种繁殖生态特征进行对比。家燕mandschurica亚种4月底或5月初迁来哈尔滨,9月下旬或10月初南迁;窝卵数为4～6枚(n=19);卵长径(18.7±1.4)mm(15.9～22.5 mm)、卵短径(13.0±0.5)mm(12.2～14.2 mm),卵重(1.6±0.1)g(1.3～1.9 g),n=35;孵卵期为(16±2)d(14～18 d,n=19);育雏期为(17±1)d(16～18 d,n=6)。雏鸟的体长、翅长及尾羽长的生长曲线能与Logistic较好地拟合;体重、嘴峰和跗跖在5日龄左右生长最快,体长和翅长在7日龄左右增长最快,雏鸟的生长模式符合能量分配假说。与我国南方的家燕gutturalis亚种相比,在哈尔滨繁殖的mandschurica亚种的卵更小、更轻,二者孵卵期相似,但后者育雏期更短。这或许与不同地区食物丰富度及亲鸟喂食策略有关。     

Age-Specific Mortality During the 1918 Influenza Pandemic: Unravelling the Mystery of High Young Adult Mortality

The worldwide spread of a novel influenza A (H1N1) virus in 2009 showed that influenza remains a significant health threat, even for individuals in the prime of life. This paper focuses on the unusually high young adult mortality observed during the Spanish flu pandemic of 1918. Using historical records from Canada and the U.S., we report a peak of mortality at the exact age of 28 during the pandemic and argue that this increased mortality resulted from an early life exposure to influenza during the previous Russian flu pandemic of 1889–90. We posit that in specific instances, development of immunological memory to an influenza virus strain in early life may lead to a dysregulated immune response to antigenically novel strains encountered in later life, thereby increasing the risk of death. Exposure during critical periods of development could also create holes in the T cell repertoire and impair fetal maturation in general, thereby increasing mortality from infectious diseases later in life. Knowledge of the age-pattern of susceptibility to mortality from influenza could improve crisis management during future influenza pandemics.

“The war is over – and I must go” Egon Schiele, 1890–1918.

     

Increased Mortality Exposure within the Family Rather than Individual Mortality Experiences Triggers Faster Life-History Strategies in Historic Human Populations

Life History Theory predicts that extrinsic mortality risk is one of the most important factors shaping (human) life histories. Evidence from contemporary populations suggests that individuals confronted with high mortality environments show characteristic traits of fast life-history strategies: they marry and reproduce earlier, have shorter birth intervals and invest less in their offspring. However, little is known of the impact of mortality experiences on the speed of life histories in historical human populations with generally higher mortality risk, and on male life histories in particular. Furthermore, it remains unknown whether individual-level mortality experiences within the family have a greater effect on life-history decisions or family membership explains life-history variation.In a comparative approach using event history analyses, we study the impact of family versus individual-level effects of mortality exposure on two central life-history parameters, ages at first marriage and first birth, in three historical human populations (Germany, Finland, Canada). Mortality experience is measured as the confrontation with sibling deaths within the natal family up to an individual''s age of 15.Results show that the speed of life histories is not adjusted according to individual-level mortality experiences but is due to family-level effects. The general finding of lower ages at marriage/reproduction after exposure to higher mortality in the family holds for both females and males. This study provides evidence for the importance of the family environment for reproductive timing while individual-level mortality experiences seem to play only a minor role in reproductive life history decisions in humans.     

许家窑遗址马科动物的死亡年龄

普氏野马(Equus przewalskii)和野驴(Equus hemionus)是许家窑遗址动物群中的优势属种。本文基于对这两种动物牙齿材料的测量与分析,确定了遗址中马科动物的死亡年龄,并对上、下文化层的死亡年龄分布进行了研究,以期探知古人类获取肉食资源的方式与特点。通过与马科动物在自然生存状态下以及死于不同原因(如疾病或营养衰竭、食肉动物猎杀、现代人类狩猎等)的年龄结构对比,结果表明:古人类在许家窑文化早期(下文化层)可能通过捡拾自然死亡的动物尸体、与食肉类动物抢夺猎物、主动狩猎等多种方式获取马科动物,而在许家窑文化晚期(上文化层)可能以主动狩猎作为获取马科动物的主要方式。此外,古人类在遗址的早期就可能已经具有捕获整个马科动物居群中任意年龄个体的能力,并能做出最优化判断,有选择地去捕猎脂肪和肉量较高的壮年动物群体。     

Increased Childhood Mortality and Arsenic in Drinking Water in Matlab,Bangladesh: A Population-Based Cohort Study

Background

Arsenic in drinking water was associated with increased risk of all-cause, cancer, and cardiovascular death in adults. However, the extent to which exposure is related to all-cause and deaths from cancer and cardiovascular condition in young age is unknown. Therefore, we prospectively assessed whether long-term and recent arsenic exposures are associated with all-cause and cancer and cardiovascular mortalities in Bangladeshi childhood population.

Methods and Findings

We assembled a cohort of 58406 children aged 5–18 years from the Health and Demographic Surveillance System of icddrb in Bangladesh and followed during 2003–2010. There were 185 non-accidental deaths registered in-about 0.4 million person-years of observation. We calculated hazard ratios for cause-specific death in relation to exposure at baseline (µg/L), time-weighted lifetime average (µg/L) and cumulative concentration (µg-years/L). After adjusting covariates, hazard ratios (HRs) for all-cause childhood deaths comparing lifetime average exposure 10–50.0, 50.1–150.0, 150.1–300.0 and ≥300.1µg/L were 1.37 (95% confidence interval [CI], 0.74–2.57), 1.44 (95% CI, 0.88–2.38), 1.22 (95% CI, 0.75–1.98) and 1.88 (95% CI, 1.14–3.10) respectively. Significant increased risk was also observed for baseline (P for trend = 0.023) and cumulative exposure categories (P for trend = 0.036). Girls had higher mortality risk compared to boys (HR for girls 1.79, 1.21, 1.64, 2.31; HR for boys 0.52, 0.53, 1.14, 0.99) in relation to baseline exposure. For all cancers and cardiovascular deaths combined, multivariable adjusted HRs amounted to 1.53 (95% CI 0.51–4.57); 1.29 (95% CI 0.43–3.87); 2.18 (95%CI 1.15–4.16) for 10.0–50.0, 50.1–150.0, and ≥150.1, comparing lowest exposure as reference (P for trend = 0.009). Adolescents had higher mortality risk compared to children (HRs = 1.53, 95% CI 1.03–2.28 vs. HRs = 1.30, 95% CI 0.78–2.17).

Conclusions

Arsenic exposure was associated with substantial increased risk of deaths at young age from all-cause, and cancers and cardiovascular conditions. Girls and adolescents (12–18 years) had higher risk compared to boys and child.     

Effects of Insufficient Physical Activity on Mortality and Life Expectancy in Jiangxi Province of China, 2007-2010

Background

Physical inactivity remains an under-researched field in terms of studying burden of disease at provincial level, and no studies have examined the effects of inactivity on life expectancy (LE) in China. The purpose of this study was to estimate mortality risk and LE effects associated with insufficient levels of physical activity in Jiangxi province.

Methods/Findings

Prevalence of risk factors and mortality counts were extracted from Chronic Diseases and Risk Factors Surveillance Survey (CDRFSS) and Disease Surveillance Points system (DSP), respectively. Insufficient physical activity (IPA) was defined as less than 150 minutes of moderate-intensity physical activity or 60 minutes of vigorous-intensity physical activity per week, accumulated across work, home, transport and discretionary domains. Population-attributable fractions (PAF) were used to calculate the mortality attributable to risk factors, and life table methods were used to estimate the LE gains and LE shifts. Monte Carlo simulation techniques were used for uncertainty analysis. Overall, 5 885 (95% uncertainly interval (UI), 5 047–6 506) and 8 578 (95% UI, 8 227–9 789) deaths in Jiangxi province were attributable to IPA in 2007 and 2010, respectively. The LE gains for elimination of attributable deaths were 0.68 (95% UI, 0.61–076) in 2007, and increased to 0.91 (95% UI, 0.81–1.10) in 2010. If the prevalence of IPA in 2010 had been decreased by 50% or 30%, 3 678 (95% UI, 3 220–4 229) or 2 090 (95% UI, 1 771–2 533) deaths would be avoided, and 0.40 (95% UI, 0.34–0.53) or 0.23 (95% UI, 0.16–0.31) years of LE gained, respectively.

Conclusions

Adults in Jiangxi province of China have a high and increasing prevalence of IPA. Due to the deaths and potential LE gains associated with IPA, there is an urgent need to promote physical activity, one of the most modifiable risk factors, within China''s health care reform agenda.     

苔草草丘恢复湿地的景观格局变化——以哈尔滨太阳岛为例

湿地景观变化是湿地生态学领域研究的重要内容。湿地景观要素在不同时间和空间的变化过程研究是揭示湿地演变规律,开展生态恢复实践的重要科学基础。以哈尔滨太阳岛苔草草丘恢复湿地为例,采用野外调查与3S技术相结合的方法,选取草丘面积、斑块形状特征、草丘数量及形态特征等指标,探究草丘湿地恢复过程中的景观变化,为开展湿地恢复提供了重要的科学依据。结果表明:经过8年的恢复,苔草草丘景观变化明显。草丘数量增多,丘墩高度、直径、植株高度、冠幅显著增加(P0.05);湿地恢复后,苔草群落向外扩展722 m~2,苔草草丘总面积达2222 m~2,扩展率为48.13%;在湿地微地貌和水文条件等因素的综合作用下,草丘群落扩展方向具有一定规律性,斑块边界和质心分别向西南方向扩展了29.91 m和迁移了5.9 m,扩展度和曲线边界比重不断增加,斑块形状和边界趋于复杂,景观空间异质性增强;利用根茎克隆繁殖结合水位调控可实现苔草草丘的快速恢复。     

Post-Heading Heat Stress in Rice of South China during 1981-2010

Frequent extreme heat events are the serious threat to rice production, but the historical trend of heat stress associated with phenology shift and its impact on rice yield over a long period are poorly known. Based on the analysis of observed climate and phenology data from 228 stations in South China during 1981-2010, the spatio-temporal variation of post-heading heat stress was investigated among two single-season rice sub-regions in the northern Middle and Lower Reaches of Yangtze River (S-NMLYtz) and Southwest Plateau (S-SWP), and two double-season early rice sub-regions in the southern Middle and Lower Reaches of Yangtze River (DE-SMLYtz) and Southern China (DE-SC). Post-heading heat stress was more severe in DE-SMLYtz, west S-NMLYtz and east S-SWP than elsewhere, because of rice exposure to the hot season during post-heading stage. The spatial variation of post-heading heat stress was greater in single-season rice region than in double-season early rice region due to the greater spatial variation of heading and maturity dates. Post-heading heat stress increased from 1981 to 2010 in most areas, with significant increases in the east of double-season early rice region and west S-SWP. Phenology shift during 1981-2010 mitigated the increasing trends of heat stress in most areas, but not in west S-SWP. Post-heading heat stress played a dominated role in the reduction of rice yield in South China. Grain yield was more sensitive to post-heading heat stress in double-season early rice region than that in single-season rice region. Rice yield decreased by 1.5%, 6.2%, 9.7% and 4.6% in S-NMLYtz, S-SWP, DE-SMLYtz and DE-SC, respectively, because of post-heading heat stress during 1981-2010, although there were some uncertainties. Given the current level and potential increase of post-heading heat stress in South China, the specific adaptation or mitigation strategies are necessary for different sub-regions to stabilize rice production under heat stress.     

哈尔滨人工湖泊中原生动物群落变化规律

2003年3月~2004年2月调查了哈尔滨人工湖泊原生动物群落多样性的变化规律,应用PFU法研究了原生动物群落季节变化演替的特征。共观察到各类原生动物120种,其中鞭毛虫53种,占原生动物总数的44%,肉足虫9种占原生动物总数的8%,纤毛虫58种占原生动物总数的48%,分析了原生动物在该湖的组成特点。原生动物在此人工湖泊中1个周年内的表现规律为植物性鞭毛虫多,动物性鞭毛虫少;纤毛虫多,肉足虫少。原生动物群落的结构参数(种类组成、个体丰度和多样性指数)因水质的变化而发生变化。在此湖中原生动物的优势种为喇叭虫属(S tentor)、眼虫属(E ug lena)、游仆虫属(E up lote)、隐滴虫属(C ryp tom onas),常年的居留种为眼虫属(E ug lena)、弹跳虫属(H a lteria)、侠盗虫属(S trobilid ium)、隐滴虫属(C ryp tom onas)。全年3个采样站的生物多样性指数在1.912~7.473之间。原生动物在1个周年中平均个体丰度出现的规律依次递减的顺序是秋季、夏季、春季、冬季。采样站1的平均个体丰度在四个季节中均高于采样站2、3。     

Encephalitis Hospitalization Rates and Inpatient Mortality in the United States, 2000-2010

Background

Encephalitis rates by etiology and acute-phase outcomes for encephalitis in the 21^st century are largely unknown. We sought to evaluate cause-specific rates of encephalitis hospitalizations and predictors of inpatient mortality in the United States.

Methods

Using the Nationwide Inpatient Sample (NIS) from 2000 to 2010, a retrospective observational study of 238,567 patients (mean [SD] age, 44.8 [24.0] years) hospitalized within non-federal, acute care hospitals in the U.S. with a diagnosis of encephalitis was conducted. Hospitalization rates were calculated using population-level estimates of disease from the NIS and population estimates from the United States Census Bureau. Adjusted odds of mortality were calculated for patients included in the study.

Results

In the U.S. from 2000–2010, there were 7.3±0.2 encephalitis hospitalizations per 100,000 population (95% CI: 7.1–7.6). Encephalitis hospitalization rates were highest among females (7.6±0.2 per 100,000) and those <1 year and >65 years of age with rates of 13.5±0.9 and 14.1±0.4 per 100,000, respectively. Etiology was unknown for approximately 50% of cases. Among patients with identified etiology, viral causes were most common (48.2%), followed by Other Specified causes (32.5%), which included predominantly autoimmune conditions. The most common infectious agents were herpes simplex virus, toxoplasma, and West Nile virus. Comorbid HIV infection was present in 7.7% of hospitalizations. Average length of stay was 11.2 days with mortality of 5.6%. In regression analysis, patients with comorbid HIV/AIDS or cancer had increased odds of mortality (odds ratio [OR]  = 1.70; 95% CI: 1.30–2.22 and OR = 2.26; 95% CI: 1.88–2.71, respectively). Enteroviral, postinfectious, toxic, and Other Specified causes were associated with lower odds vs. herpes simplex encephalitis.

Conclusions

While encephalitis and encephalitis-related mortality impose a considerable burden in the U.S. in the 21^st Century, the reported demographics of hospitalized encephalitis patients may be changing.     

More Ornamented Males Exhibit Increased Predation Risk and Antipredatory Escapes,but not Greater Mortality

Secondary sexual traits not only confer benefits to their bearer through increased mate acquisition, but may also have inherent costs, including the attraction of predators. Here, we examined the relationship between conspicuous secondary sexual traits and predation costs using two male morphs of Schizocosa wolf spiders: brush‐legged and non‐ornamented. In the field, we ran two predation experiments using artificial enclosures to directly test mortality costs of predation on the two male morphs. Using a natural predator, a larger wolf spider in the genus Hogna, we found no difference in predation on brush‐legged vs. non‐ornamented males. However, predation was depends on environmental conditions. More individuals were preyed upon at night (vs. during the day) and on rock litter (vs. leaf litter), but the two male morphs were preyed upon equally to each other across environmental treatments. A laboratory experiment incorporated staged interactions between a single predator (Hogna) and each male morph to examine finer details of predation events. Again, we found no differential mortality between brush‐legged and non‐ornamented males. However, brush‐legged males were attacked sooner and were more likely to escape the attack. Our results show an association between sexual ornamentation and predation risk as well as escape behavior.     

Species Dynamics During Early Secondary Forest Succession: Recruitment, Mortality and Species Turnover

The "Initial Floristic Composition" hypothesis is applied to secondary tropical rain forest succession in abandoned agricultural fields with light previous land-use and close to seed sources. This hypothesis predicts that both pioneer and shade-tolerant species colonize a site directly after abandonment, and as the canopy closes, the recruitment of pioneers sharply declines, while recruitment of shade-tolerant species continues. It also predicts higher mortality among pioneers. Consequently, recruited and dead trees are expected to differ in species composition, with highest species richness for the recruits. During 18 mo, we monitored recruitment and mortality of trees with height ≥ 1.5 m in eight plots in abandoned cornfields with initial fallow age of 1–5 yr, in SE Mexico. Shade-tolerant species established in the first years of succession, albeit in low numbers. As predicted, recruited and dead trees differed in species richness and composition, and in shade-tolerant frequency. In contrast to our expectations, over 50 percent of recruits were from pioneer species, as high stand-level mortality opened new opportunities for continued pioneer colonization. Species turnover starts very early in succession but is not always a gradual and continuous process, complicating prevailing succession models. The strong spatial and temporal variability of succession emphasizes the need to monitor these dynamics in permanent plots across a range of initial stand ages, with multiple plots in a given age class.     

Excess Winter Mortality and Cold Temperatures in a Subtropical City,Guangzhou, China

Background

A significant increase in mortality was observed during cold winters in many temperate regions. However, there is a lack of evidence from tropical and subtropical regions, and the influence of ambient temperatures on seasonal variation of mortality was not well documented.

Methods

This study included 213,737 registered deaths from January 2003 to December 2011 in Guangzhou, a subtropical city in Southern China. Excess winter mortality was calculated by the excess percentage of monthly mortality in winters over that of non-winter months. A generalized linear model with a quasi-Poisson distribution was applied to analyze the association between monthly mean temperature and mortality, after controlling for other meteorological measures and air pollution.

Results

The mortality rate in the winter was 26% higher than the average rate in other seasons. On average, there were 1,848 excess winter deaths annually, with around half (52%) from cardiovascular diseases and a quarter (24%) from respiratory diseases. Excess winter mortality was higher in the elderly, females and those with low education level than the young, males and those with high education level, respectively. A much larger winter increase was observed in out-of-hospital mortality compared to in-hospital mortality (45% vs. 17%). We found a significant negative correlation of annual excess winter mortality with average winter temperature (r_s=-0.738, P=0.037), but not with air pollution levels. A 1 °C decrease in monthly mean temperature was associated with an increase of 1.38% (95%CI:0.34%-2.40%) and 0.88% (95%CI:0.11%-1.64%) in monthly mortality at lags of 0-1 month, respectively.

Conclusion

Similar to temperate regions, a subtropical city Guangzhou showed a clear seasonal pattern in mortality, with a sharper spike in winter. Our results highlight the role of cold temperature on the winter mortality even in warm climate. Precautionary measures should be strengthened to mitigate cold-related mortality for people living in warm climate.     

Jellyfish Stings Trigger Gill Disorders and Increased Mortality in Farmed Sparus aurata (Linnaeus, 1758) in the Mediterranean Sea

Jellyfish are of particular concern for marine finfish aquaculture. In recent years repeated mass mortality episodes of farmed fish were caused by blooms of gelatinous cnidarian stingers, as a consequence of a wide range of hemolytic, cytotoxic, and neurotoxic properties of associated cnidocytes venoms. The mauve stinger jellyfish Pelagia noctiluca (Scyphozoa) has been identified as direct causative agent for several documented fish mortality events both in Northern Europe and the Mediterranean Sea aquaculture farms. We investigated the effects of P. noctiluca envenomations on the gilthead sea bream Sparus aurata by in vivo laboratory assays. Fish were incubated for 8 hours with jellyfish at 3 different densities in 300 l experimental tanks. Gill disorders were assessed by histological analyses and histopathological scoring of samples collected at time intervals from 3 hours to 4 weeks after initial exposure. Fish gills showed different extent and severity of gill lesions according to jellyfish density and incubation time, and long after the removal of jellyfish from tanks. Jellyfish envenomation elicits local and systemic inflammation reactions, histopathology and gill cell toxicity, with severe impacts on fish health. Altogether, these results shows P. noctiluca swarms may represent a high risk for Mediterranean finfish aquaculture farms, generating significant gill damage after only a few hours of contact with farmed S. aurata. Due to the growth of the aquaculture sector and the increased frequency of jellyfish blooms in the coastal waters, negative interactions between stinging jellyfish and farmed fish are likely to increase with the potential for significant economic losses.     

Hyperglycemia is Associated With Increased Mortality in Critically Ill Patients With COVID-19

ObjectiveTo explore the relationship between hyperglycemia in the presence and absence of diabetes mellitus (DM) and adverse outcomes in critically ill patients with coronavirus disease 2019 (COVID-19).MethodsThe study included 133 patients with COVID-19 admitted to an intensive care unit (ICU) at an urban academic quaternary-care center between March 10 and April 8, 2020. Patients were categorized based on the presence or absence of DM and early-onset hyperglycemia (EHG), defined as a blood glucose >180 mg/dL during the first 2 days after ICU admission. The primary outcome was 14-day all-cause in-hospital mortality; also examined were 60-day all-cause in-hospital mortality and the levels of C-reactive protein, interleukin 6, procalcitonin, and lactate.ResultsCompared to non-DM patients without EHG, non-DM patients with EHG exhibited higher adjusted hazard ratios (HRs) for mortality at 14 days (HR 7.51, CI 1.70-33.24) and 60 days (HR 6.97, CI 1.86-26.13). Non-DM patients with EHG also featured higher levels of median C-reactive protein (306.3 mg/L, P = .036), procalcitonin (1.26 ng/mL, P = .028), and lactate (2.2 mmol/L, P = .023).ConclusionAmong critically ill COVID-19 patients, those without DM with EHG were at greatest risk of 14-day and 60-day in-hospital mortality. Our study was limited by its retrospective design and relatively small cohort. However, our results suggest the combination of elevated glucose and lactate may identify a specific cohort of individuals at high risk for mortality from COVID-19. Glucose testing and control are important in individuals with COVID-19, even those without preexisting diabetes.