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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Tackling the harms associated with Acute Kidney Injury (AKI) is a global priority. AKI affects around half a million people in England each year, contributing to 7 in 100 unplanned hospital admissions. However, despite the high risk of complications and a decade of improvement initiatives in the United Kingdom, little is known about the quality of post-discharge follow-up care for people affected by AKI. Our population-based study investigated adherence to guideline-recommended post-AKI care in general practices in England.
Using English hospital admission data (2017-2021), we created a cohort of discharged patients (≥18 years) with a hospital diagnostic code of AKI. Using linked Clinical Practice Research Datalink Aurum primary care data, we examined the percentages of AKI episodes meeting criteria representing high quality post-AKI care, covering: diagnostic coding of AKI in primary care, post-discharge primary care contacts, monitoring blood pressure and kidney health status, and guideline-indicated prescribing. Variations according to demographic and clinical characteristics were quantified using binomial mixed regression.
209,222 patients (48.0% females; mean age 74.1 years) were included, representing 279,187 AKI inpatient episodes. Only 19.5% of episodes had AKI coded in primary care within 30 days of discharge, while 72.6% having a documented contact with their general practice. At 90±30 days after discharge, serum creatinine was measured in 34.2% of episodes, blood pressure in 34.6%, and albumin-creatinine ratios in 4.2%. Testing was more common amongst older patients and those with comorbid conditions. Renin-angiotensin system inhibitor prescribing rates were low in patients likely to benefit.
There are multiple missed opportunities for identifying and improving patient care following hospital discharge after AKI. Rates of measuring albuminuria were particularly low, despite its strong association with subsequent kidney and cardiovascular events. The little post-AKI clinical activity amongst younger patients and those without comorbidities poses a barrier to the prevention and early intervention of chronic kidney diseases. Clearer arrangements at discharge, including case-specific guidance on discharge summaries, and the development and evaluation of concerted implementation strategies spanning secondary and primary care are needed.
A related abstract was presented at the Society for Academic Primary Care, Cardiff, United Kingdom, July 2025 (https://sapc.ac.uk/doi/10.37361/asm.2025.1.1)
