When participants were stratified by age (P for interaction = 0.12), gender (P for interaction = 0.22), smoking status (P for interaction = 0.63), hypertension (P for interaction = 0.43), DM (P for interaction = 0.67), ALT (P for interaction = 0.67), and Cr (P for interaction = 0.15), the association between ALI and all-cause mortality did not change. This evidence concerns the gene GPT and acute respiratory distress syndrome.