{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T02:27:21Z","timestamp":1774924041936,"version":"3.50.1"},"reference-count":0,"publisher":"Termedia Sp. z.o.o.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Med Sci"],"abstract":"Introduction<\/jats:title>Previous studies have found that RAP may be at reduced risk for a clinically severe course and have reduced mortality. However, there is still a lack of data related to RAP admitted to ICU.<\/jats:p><\/jats:sec>Material and methods<\/jats:title>Baseline characteristics of patients diagnosed with IAP and RAP from the MIMIC-IV database were extracted. In-hospital mortality and length of hospital\/ICU stay were identified as outcomes. Binomial logistic regression analysis was performed to clarify the independent risk factors for in-hospital mortality in both groups, and we determined the best scoring system for prognosis prediction by plotting the ROC curves and DCA curves.<\/jats:p><\/jats:sec>Results<\/jats:title>The in-hospital mortality rate was 13.96% in patients with IAP and 3.57% in patients with RAP. For IAP, the CCI, the BISAP score, and the SIRS score on the first day of admission were independent risk factors for in-hospital mortality. The SAPS II score almost always showed a higher net clinical benefit than the other scoring systems (BISAP, LODS, and OASIS). The BISAP score almost always showed a higher net clinical benefit than the others for RAP.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>RAP is less severe and has a lower risk of in-hospital mortality than IAP. The CCI, the BISAP score, and the SIRS score on the first day of admission were all independent risk factors for in-hospital mortality in patients with IAP. The SAPS II score was a better scoring system for predicting in-hospital mortality in patients with IAP. The BISAP score showed potential for predicting in-hospital mortality in patients with RAP.<\/jats:p><\/jats:sec>","DOI":"10.5114\/aoms\/192728","type":"journal-article","created":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T22:37:24Z","timestamp":1725662244000},"source":"Crossref","is-referenced-by-count":1,"title":["Comparison of differences between initial and recurrent acute pancreatitis in the intensive care unit"],"prefix":"10.5114","author":[{"given":"Wei","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Emergency, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lan","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Emergency, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shengyi","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Emergency, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Gao","sequence":"additional","affiliation":[{"name":"Division of Critical Care, Nanxiang Hospital of Jiading District, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Medical Center on Aging, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine; International Laboratory in Hematology and Cancer, Shanghai Jiao Tong University School of Medicine\/Ruijin Hospital\/CNRS\/Inserm\/C\u00f4te d\u2019Azur University, China"},{"name":"The State Key Laboratory of Medical Genomics, P\u00f4le Sino-Fran\u00e7ais de Recherche en Sciences Du Vivant et G\u00e9nomique, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiming","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Emergency, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, China"},{"name":"Division of Critical Care, Nanxiang Hospital of Jiading District, China"},{"name":"The State Key Laboratory of Medical Genomics, P\u00f4le Sino-Fran\u00e7ais de Recherche en Sciences Du Vivant et G\u00e9nomique, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3061","published-online":{"date-parts":[[2024,9,6]]},"container-title":["Archives of Medical Science"],"original-title":[],"link":[{"URL":"https:\/\/www.archivesofmedicalscience.com\/pdf-192728-113838","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.archivesofmedicalscience.com\/pdf-192728-113838","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T22:37:25Z","timestamp":1725662245000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.archivesofmedicalscience.com\/Comparison-of-differences-between-initial-and-recurrent-acute-pancreatitis-in-the,192728,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,6]]},"references-count":0,"alternative-id":["192728"],"URL":"https:\/\/doi.org\/10.5114\/aoms\/192728","relation":{},"ISSN":["1734-1922","1896-9151"],"issn-type":[{"value":"1734-1922","type":"print"},{"value":"1896-9151","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,6]]}}}