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8% vs 4.5%, P 0.001). The adjusted absolute difference in risk of death was 2.3% [95% confidence interval (CI) 0.8-3.9] at 90 days and 4.7% (95% CI 2.6-6.7) at 1 year. DSWI was independently associated with 90-day [adjusted relative risk (aRR) 1.89 (95% CI 1.38-2.59)], 1-year [aRR 2.13 (95% CI 1.68-2.71)] and long-term all-cause mortality [adjusted hazard ratio 1.56 (95% CI 1.30-1.88)]. Both short- and long-term mortality risks are higher in DSWI patients compared to non-DSWI patients. These results stress the importance of preventing