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Interaction and subgroup analyses demonstrated consistent results in patients with different APACHE IV scores, with or without hepatic diseases. Elevated serum ammonia level in critically ill patients upon admission was an early risk factor for higher ICU and in-hospital mortality. Elevated serum ammonia level in critically ill patients upon admission was an early risk factor for higher ICU and in-hospital mortality. Sepsis remains amongst the most common causes of death worldwide. It has been described as a disease of the elderly, but c
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