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Background/Aims:Hepatitis B related acute-on-chronic liver failure has a poor prognosis with very high mortality.Unfortunately,most prognostic predictive models of liver failure are complicated and offer suboptimal sensitivity.Experience in entecavir-treated patients with HBV-ACLF is limited.This study was designed to evaluate the efficacy and safety of entecavir in patients with HBV-ACLF and to develop a novel model (Tongji prognostic predictory model,TPPM) for prognostic prediction of HBV-ACLF patients.