Barely Significant
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Can Blood Ammonia Level, Prehospital Time, and Return of Spontaneous Circulation Predict Neurological Outcomes of Out-of-Hospital Cardiac Arrest Patients? A Nationwide, Retrospective Cohort Study.

J Clin Med · 2022 · PMC9105173 · PMID 35566692

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a slight trendno p-value reported
The favorable outcomes group showed a slight trend towards increase in blood ammonia levels as prehospital time increased, while a stronger correlation was noted in the poor outcomes group; blood ammonia levels were markedly increased as a result of prolonged prehospital time.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.