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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.
Background: Pregnancy-related acute kidney injury (PRAKI) remains a preventable cause of maternal morbidity and mortality in low-resource settings where diagnostic tools are limited. Readily available hematological parameters from a complete blood count may offer a simple, low-cost means for early risk identification. This study evaluated the diagnostic performance of common hematological biomarkers in detecting PRAKI in Zanzibar.
Methods: We conducted a hospital-based cross-sectional study across eight secondary and tertiary hospitals in Zanzibar from January 2024 to January 2025. Pregnant and postpartum women were screened for AKI using KDIGO criteria. Hemoglobin, platelet count, and white blood cell (WBC) count were extracted from routine laboratory records. Logistic regression was used to determine associations with PRAKI, and adjusted odds ratios (aOR) with 95% confidence intervals (CI) were reported.
Results: Among 1,338 women screened, 121 (9.0%) met KDIGO criteria for PRAKI. Anemia (70%), thrombocytopenia (73%), and leukocytosis (74%) were frequent abnormalities. In multivariable analysis, thrombocytopenia showed a strong independent association with PRAKI (aOR 18.1; 95% CI 10.2–32.0; p < 0.001), while anemia and leukocytosis lost significance after adjustment.
Conclusion: PRAKI affected nearly one in ten obstetric admissions in Zanzibar and was strongly linked to thrombocytopenia. Platelet count, a universally available, inexpensive biomarker showed outstanding diagnostic performance in identifying women at risk of PRAKI. Incorporating routine platelet monitoring into antenatal and obstetric care could enable earlier detection, timely nephrology referral, and improved maternal survival. These findings advance the ISN 0by25 vision of eliminating preventable AKI deaths by translating simple laboratory tests into life-saving interventions for mothers in resource-limited settings.
