Abstract:

Purpose: A rise in blood ammonia levels is a condition that occurs in patients with hepatic dysfunction. In this study, we aimed at investigating whether there is a relationship between the increased blood ammonia levels in emergency services and the prognosis of these patients. Method: In this study, patients with an increase in blood ammonia levels between January 1, 2016 and January 1, 2017 were studied retrospectively at the Medical Emergency Clinic of the Law of the University of Health Sciences of Sultan Süleyman Education and Research Hospital. The NCSS 2007 (Kaysville, Utah, USA) program was used for statistical analysis. The value was estimated at a minimum of p<0.05 level. Results: 42% of the 88 patients surveyed in the study were women (n=37) and 58% (n=51) were men. The average age was 61.42±15.69 years. In 70.5 percent of cases (n=62) sirosis, 23 percent. 9 (n=21) had malignity in the liver and 26.1% (n=23) had other chronic diseases. The average blood sugar level of patients was 153.84 ±118.44 mg/dl and the average ammonia level (NH3) was 194.19 ±113.42. 37.5 percent of patients (n=33) died, 54.5 percent (n=48) died and 8 percent (n=7) died. The average blood ammonia value of patients was 194.19±113.42, whereas 61.4 percent (n=54) resulted in mortality within six months, while 38.6 percent (n=34) observed that mortality did not develop within six months. The result: We consider that increased blood ammonia levels in emergency don’t have prognostic value except for patients with primary or metastatic liver malignity.

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