{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:27:18Z","timestamp":1792801638098,"version":"4.5.0"},"reference-count":31,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T00:00:00Z","timestamp":1599782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Laboratory Analysis"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Hepatic encephalopathy (HE) is a common feature of acute liver failure and has been reported to be associated with poor outcomes. Ammonia is thought to be central to the pathogenesis of HE, but its role in hepatitis B virus\u2010related acute\u2010on\u2010chronic liver failure (HBV\u2010ACLF) is unclear. The present study aimed to assess the prognostic role of ammonia level for patients with HBV\u2010ACLF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively recruited 127 patients diagnosed with HBV\u2010ACLF for the present study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ammonia levels at the time of admission were higher among non\u2010surviving participants than in survivors. Increased ammonia level was found to be associated with severe liver disease and was identified as an independent predictor for mortality in patients with HBV\u2010ACLF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results suggest that high ammonia level at admission is an independent factor for predicting short\u2010term mortality in patients with HBV\u2010ACLF. Therefore, ammonia levels may represent a therapeutic target for this condition.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcla.23553","type":"journal-article","created":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T18:28:38Z","timestamp":1600972118000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Ammonia predicts poor outcomes in patients with hepatitis B virus\u2010related acute\u2010on\u2010chronic liver failure"],"prefix":"10.1002","volume":"34","author":[{"given":"JinFei","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Clinical Laboratory Shengzhou People's Hospital Shengzhou Branch of the First Affiliated Hospital of Zhejiang University Shengzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"XiaoLu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory College of Medicine The First Affiliated Hospital Zhejiang 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