{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T18:09:41Z","timestamp":1762625381418,"version":"3.44.0"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T00:00:00Z","timestamp":1744934400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Identifying new early predictive markers for the development of severe forms in acute pancreatitis remains a major challenge. The aim of this study was to evaluate the performance of inferior vena cava (IVC) measurement to predict severe acute pancreatitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a single\u2010center retrospective study including patients consecutively hospitalized for acute pancreatitis between 2014 and 2019 who had an abdominal scan within 24\u2009h after admission, before any significant fluid resuscitation. We calculated the ratio of inferior vena cava diameters (IVCR) by dividing the transverse diameter by the anteroposterior. Admission parameters associated with the occurrence of severe acute pancreatitis (persistent organ failure or necrosis infection) were identified by multivariate logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 404 included patients, 64 (15.8%) progressed to severe pancreatitis. IVCR in these patients was significantly higher (2.2\u2009\u00b1\u20090.6 vs. 1.7\u2009<jats:italic>\u00b1<\/jats:italic>\u20090.9, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). In multivariate analysis, IVCR was independently associated with severe pancreatitis (OR\u2009=\u20092.27 95% CI [1.38\u20133.72], <jats:italic>p<\/jats:italic>\u2009=\u2009.001), as well as visual analog scale, creatinine, albumin, and bicarbonates. The areas under the Receiver Operating Characteristic (ROC) curve of IVCR was 0.67, inferior to systemic inflammatory response syndrome (0.76; <jats:italic>p<\/jats:italic>\u2009=\u2009.03) and Bedside Index for Severe Acute Pancreatitis (BISAP) (0.80; <jats:italic>p<\/jats:italic>\u2009=\u2009.002) in predicting severe acute pancreatitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>IVCR is associated with the development of severe acute pancreatitis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.12146","type":"journal-article","created":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T00:51:07Z","timestamp":1745023867000},"page":"602-610","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prognostic value of the measurement at admission of the inferior vena cava in acute pancreatitis"],"prefix":"10.1002","volume":"32","author":[{"given":"Augustin","family":"Meria","sequence":"first","affiliation":[{"name":"D\u00e9partement d'H\u00e9pato\u2010Gastroent\u00e9rologie et Nutrition CHU de Caen Normandie, Normandie Univ, UNICAEN  Caen France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Fournier","sequence":"additional","affiliation":[{"name":"Department of Infectious and Tropical Diseases CHU de Caen Normandie, Normandie Univ, UNICAEN  Caen France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Chaigneau","sequence":"additional","affiliation":[{"name":"D\u00e9partement d'H\u00e9pato\u2010Gastroent\u00e9rologie et Nutrition CHU de Caen Normandie, Normandie Univ, UNICAEN  Caen France"},{"name":"\u2018Anticipe\u2019 U1086 INSERM\u2010UCBN UNICAEN, Normandie Univ  Caen 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