Main Article Content
Objective: To examine the association of serum ammonia with hepatic encephalopathy.
Material and Methods: This descriptive study was accomplished at Medical Unit A of Khyber Teaching Hospital,
Peshawar from July to December, 2016. The study included 100 patients with viral hepatic encephalopathy. Serum
ammonia levels were checked for every patient. SPSS version 23 was used for data analysis while taking P value of
less than 0.05 as significant. The Spearman's correlation test was run to assess any association of serum ammonia
with the grade of hepatic coma.
Results: Out of 100 total patients, 12 (12%) presented in grade 1 hepatic encephalopathy, 39 (39%) in grade 2 hepatic
encephalopathy, 34 (34%) in grade 3 encephalopathy and 15 (15%) in grade 4 encephalopathy. The serum ammonia
levels of these patients widely ranged between 14 and 178 mcg/dl, at the mean values of 74.17 mcg/dl in grade I, 57.79
mcg/dl in grade II, 71.88 mcg/dl in grade III, and 81.13 mcg/dl in grade IV hepatic encephalopathy. The spearman
correlation was 0.097.
Conclusion: Increasing serum ammonia levels were not related to higher grades of hepatic encephalopathy.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
CopyRight . © 2008-2020 Khyber Medical College Peshawar | All Rights Reserved