{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:48:24Z","timestamp":1787017704759,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,3,19]],"date-time":"2022-03-19T00:00:00Z","timestamp":1647648000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergency Medicine International"],"published-print":{"date-parts":[[2022,3,19]]},"abstract":"<jats:p>\n                    Background. This study aims to investigate the risk factors of pleural effusion (PE) secondary to severe acute pancreatitis (SAP) and to build a nomogram model. Methods. The clinical parameters of SAP patients admitted to the emergency department of the First Affiliated Hospital of Bengbu Medical College from January 2019 to August 2021 were retrospectively collected. The independence risk factors of PE secondary to SAP were analyzed by univariate analysis and multivariate logistic regression analysis. A nomogram risk prediction model was established and validated through the area under the ROC curve. Result. Two hundred twenty-two SAP patients were included for analysis, of which 65 patients experienced secondary PE. The incidence of PE secondary to SAP was 29.28% (65\/222). Logistic regression analysis showed that serum albumin (ALB) (OR\u2009=\u20090.830, 95% CI: 0.736\u223c0.936), fibrinogen (FIB) (OR\u2009=\u20094.573, 95% CI: 1.795\u223c11.648), C-reactive protein (CRP) (OR\u2009=\u20091.046, 95% CI: 1.009\u223c1.083), acute physiology, chronic health score system (APACHE-II) score (OR\u2009=\u20091.484, 95% CI: 1.106\u223c1.990), and sequential organ failure score (SOFA) (OR\u2009=\u200943.038, 95% CI: 2.030\u223c4.548) were independent risk factors for PE secondary to SAP (\n                    <jats:inline-formula>\n                      <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                        <a:mo>&lt;<\/a:mo>\n                        <a:mn>0.05<\/a:mn>\n                      <\/a:math>\n                    <\/jats:inline-formula>\n                    ) and entered into the nomogram. The nomogram showed robust discrimination with an index of concordance of 0.755 and an area under the receiver operating characteristic curve of 0.837 (95% CI: 0.779\u223c0.894). Conclusion. We developed a nomogram model for PE secondary to SAP with ALB, FIB, CRP, APACHE-II scores, and SOFA scores. The nomogram model showed good discrimination and consistency, and it can better predict the risk of PE secondary to SAP.\n                  <\/jats:p>","DOI":"10.1155\/2022\/4199209","type":"journal-article","created":{"date-parts":[[2022,3,19]],"date-time":"2022-03-19T15:50:06Z","timestamp":1647705006000},"page":"1-5","source":"Crossref","is-referenced-by-count":5,"title":["Construction of a Nomogram Model for Predicting Pleural Effusion Secondary to Severe Acute Pancreatitis"],"prefix":"10.1155","volume":"2022","author":[{"given":"Bing-Mei","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Emergency, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3928-0631","authenticated-orcid":true,"given":"Zhao-Lei","family":"Qiu","sequence":"additional","affiliation":[{"name":"Department of Emergency, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai-Xuan","family":"Niu","sequence":"additional","affiliation":[{"name":"Department of Emergency, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yin-E.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Emergency, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fu-Chen","family":"Jie","sequence":"additional","affiliation":[{"name":"Department of Emergency, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1007\/s11938-020-00322-x"},{"key":"2","article-title":"AB166. acute pancreatitis: a retrospective 5-year review of aetiology","volume":"4","author":"A. Dhannoon","year":"2020","journal-title":"Epidemiology and Management"},{"issue":"14","key":"3","first-page":"2773","article-title":"Correlation of disease severity with pleural effusion in patients with acute pancreatitis","volume":"17","author":"J. Yang","year":"2017","journal-title":"Progress in Modern Biomedicine"},{"key":"4","article-title":"Incidence and predictive value of ascites and pleural effusion for severity in acute pancreatitis","author":"I. K. Datta","year":"2018","journal-title":"Acute Biliary Pancreatitis"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.2529"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/8201096"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000009654"},{"issue":"9","key":"8","first-page":"819","article-title":"Chinese medical association journal, Chinese medical association gastroenterology branch, etc. Primary diagnosis and treatment guidelines for acute pancreatitis (2019)","volume":"18","author":"Chinese Medical Association","year":"2019","journal-title":"Chinese Journal of General Practitioners"},{"issue":"9","key":"9","first-page":"122","article-title":"Analysis of early risk factors for pleural effusion in patients with acute pancreatitis","volume":"25","author":"C. Ye","year":"2019","journal-title":"Hebei Medicine"},{"issue":"1","key":"10","first-page":"71","article-title":"Evaluation value of serum Ghrelin and pleural effusion in patients with acute pancreatitis","volume":"79","author":"G. Ming","year":"2015","journal-title":"Chongqing Medicine"},{"issue":"18","key":"11","first-page":"2194","article-title":"Factors influencing acute pancreatitis complicated with pleural effusion","volume":"22","author":"L. Zuo","year":"2019","journal-title":"Chinese General Practice"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.12659\/msm.928118"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.21037\/qims.2019.12.14"},{"key":"14","article-title":"Massive loculated pleural effusion in a patient with pancreatic pseudocyst due to alcohol-related chronic pancreatitis","volume":"9","author":"S. Lam","year":"2014","journal-title":"BMJ Case Rep"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.11569\/wcjd.v21.i24.2456"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.18203\/2320-6012.ijrms20211340"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1093\/gastro\/gox029"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1097\/meg.0000000000001753"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000015275"}],"container-title":["Emergency Medicine International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/emi\/2022\/4199209.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/emi\/2022\/4199209.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/emi\/2022\/4199209.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,19]],"date-time":"2022-03-19T15:50:12Z","timestamp":1647705012000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/emi\/2022\/4199209\/"}},"subtitle":[],"editor":[{"given":"Roberto","family":"Cirocchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,3,19]]},"references-count":19,"alternative-id":["4199209","4199209"],"URL":"https:\/\/doi.org\/10.1155\/2022\/4199209","relation":{},"ISSN":["2090-2859","2090-2840"],"issn-type":[{"value":"2090-2859","type":"electronic"},{"value":"2090-2840","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3,19]]}}}