Evidence map›Paper›PMID 42846429›Full record

ArticleFrontiers in medicine2026

A clinical study on the application of new inflammatory markers SII, SIRI, AISI, and MII in the identification of severe acute pancreatitis.

Jingwei Wang, Shujia Chen, Xin Zhao, Jian Lu, Yalong Zhang, Zhengrong Guo

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Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Jingwei Wang *Shijiazhuang People's Hospital Affiliated to Hebei Medical University, Shijiazhuang, Hebei, China.
Shujia Chen *Department of Gastroenterology, Shijiazhuang People's Hospital, Shijiazhuang, Hebei, China.
Xin ZhaoDepartment of Gastroenterology, Shijiazhuang People's Hospital, Shijiazhuang, Hebei, China.
Jian LuShijiazhuang People's Hospital Affiliated to Hebei Medical University, Shijiazhuang, Hebei, China.
Yalong ZhangShijiazhuang People's Hospital Affiliated to Hebei Medical University, Shijiazhuang, Hebei, China.
Zhengrong GuoShijiazhuang People's Hospital Affiliated to Hebei Medical University, Shijiazhuang, Hebei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute pancreatitis (AP) is an inflammatory disease characterized by sudden onset. The mortality rate increases significantly if it progresses to severe acute pancreatitis (SAP). Current clinical scoring systems are complex. Consequently, there is a clinical need for novel inflammatory markers that are inexpensive, fast, accurate, and easy to use. Herein, we aimed to evaluate the clinical value of the following novel inflammatory markers for predicting SAP at admission and assessing AP severity at 48 h after admission: the systemic immune-inflammation index (SII), systemic inflammatory response index (SIRI), aggregate index of systemic inflammation (AISI), multi-inflammatory index-I (MII-1), multi-inflammatory index-II (MII-2), multi-inflammatory index-III (MII-3). Methods: A retrospective analysis was conducted on 374 patients with AP hospitalized at Shijiazhuang People's Hospital, including 58 cases in the severe group and 316 cases in the non-severe group. Receiver operating characteristic curve analysis and pairwise DeLong tests were used to compare marker performance. Separate multivariable logistic regression models were constructed for each inflammatory marker with adjustment for clinical factors. Internal validation of the adjusted models was performed using 2,000 bootstrap resamples. Results: The SII, SIRI, AISI, MII-1, MII-2, and MII-3 emerged as statistically significant ( Conclusion: MII-1, MII-2, and MII-3 showed moderate-to-good discriminatory performance for assessing AP severity at 48 h after admission, particularly MII-1, and their associations with SAP remained significant after adjustment for clinical factors. These findings should be considered exploratory and hypothesis-generating, and further studies are needed to validate the potential value of MII indices in AP severity assessment.

Indexed as

acute pancreatitisAISIinflammatory markersMIISIISIRI

Identifiers

PMID42846429
PMCPMC13642693

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