Evidence map›Paper›PMID 38800592›Full record

ArticleJournal of inflammation research2024

Development and Validation of a Nomogram for Predicting the Severity of the First Episode of Hyperlipidemic Acute Pancreatitis.

Yongxu Lin, Yaling Liu, Qiuyan Lin, Mingrong Wang, Pingying Jiang, Kaiyi Mao, Fenglin Chen, Jian Ding, Dan Li

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Article in Journal of inflammation research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yongxu LinDepartment of Gastroenterology, Fujian Medical University Union Hospital, Fuzhou, People's Republic of China.ORCID 0000-0003-1834-5210
Yaling LiuDepartment of Gastroenterology, the First Affiliated Hospital, Fujian Medical University, Fuzhou, People's Republic of China.
Qiuyan LinDepartment of Gastroenterology, Fujian Medical University Union Hospital, Fuzhou, People's Republic of China.
Mingrong WangDepartment of Gastroenterology, Fujian Medical University Union Hospital, Fuzhou, People's Republic of China.
Pingying JiangDepartment of Gastroenterology, Fujian Medical University Union Hospital, Fuzhou, People's Republic of China.
Kaiyi MaoDepartment of Gastroenterology, Fujian Medical University Union Hospital, Fuzhou, People's Republic of China.
Fenglin ChenDepartment of Gastroenterology, Fujian Medical University Union Hospital, Fuzhou, People's Republic of China.
Jian DingDepartment of Gastroenterology, the First Affiliated Hospital, Fujian Medical University, Fuzhou, People's Republic of China.
Dan LiDepartment of Gastroenterology, Fujian Medical University Union Hospital, Fuzhou, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Early detection of hyperlipidemic acute pancreatitis (HLAP) with exacerbation tendency is crucial for clinical decision-making and improving prognosis. The aim of this study was to establish a reliable model for the early prediction of HLAP severity. Patients and Methods: A total of 225 patients with first-episode HLAP who were admitted to Fujian Medical University Union Hospital from June 2012 to June 2023 were included. Patients were divided into mild acute pancreatitis (MAP) or moderate-severe acute pancreatitis and severe acute pancreatitis (MSAP+SAP) groups. Independent predictors for progression to MSAP or SAP were identified through univariate analysis and least absolute shrinkage and selection operator regression. A nomogram was established through multivariate logistic regression analysis to predict this progression. The calibration, receiver operating characteristic(ROC), and clinical decision curves were employed to evaluate the model's consistency, differentiation, and clinical applicability. Clinical data of 93 patients with first-episode HLAP who were admitted to the First Affiliated Hospital of Fujian Medical University from October 2015 to October 2022 were collected for external validation. Results: White blood cell count, lactate dehydrogenase, albumin, serum creatinine, serum calcium, D-Dimer were identified as independent predictors for progression to MSAP or SAP in patients with HLAP and used to establish a predictive nomogram. The internally verified Harrell consistency index (C-index) was 0.908 (95% CI 0.867-0.948) and the externally verified C-index was 0.950 (95% CI 0.910-0.990). The calibration, ROC, and clinical decision curves showed this nomogram's good predictive ability. Conclusion: We have established a nomogram that can help identify HLAP patients who are likely to develop MSAP or SAP at an early stage, with high discrimination and accuracy.

Indexed as

early predictionhyperlipidemic acute pancreatitisnomogramprognosisrisk factor

Identifiers

PMID38800592
PMCPMC11122203

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