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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.
Pregnancy-related acute kidney injury (PRAKI) remains a major contributor to maternal morbidity and mortality in low- and middle-income countries despite global advances in obstetric and renal care. In Ghana, current data are scarce, limiting the understanding of its clinical spectrum and outcomes. This study evaluated the demographic, clinical, biochemical, and obstetric predictors of renal recovery and maternal survival among women with PRAKI managed at the Komfo Anokye Teaching Hospital (KATH), Kumasi.
This hospital-based retrospective cross-sectional study was conducted among 108 women diagnosed with PRAKI at the renal clinic of KATH between 2020 and 2024. Data on sociodemographic, clinical, obstetric, biochemical, and pharmacological parameters were extracted from medical records. Continuous variables were summarized as medians (IQR) and categorical variables as frequencies and percentages. Bivariate analyses were performed using the Chi-square and Kruskal–Wallis tests, followed by multinomial logistic regression to identify independent predictors of chronic kidney disease (CKD), end-stage kidney disease (ESKD), or death. A p-value <0.05 was considered statistically significant.
The mean age of participants was 32.1 ± 6.6 years, with most aged 31–40 years, married (83.2%), and of Akan ethnicity (85.9%). Sepsis (39.3%), pre-eclampsia/eclampsia (35.9%), and HELLP (14.6%) were the leading causes of PRAKI. Hypertension (50.5%) and anaemia (35.4%) were the most frequent comorbidities. Laboratory parameters such as creatinine, haemoglobin, platelet count, and white blood cell count significantly differed across outcome categories. Postpartum presentation was associated with higher recovery compared with antepartum diagnosis (p = 0.017). Second-trimester presentation, pre-existing CKD, malignant hypertension, and ICU admission were significantly associated with adverse outcomes (p < 0.05). Multinomial regression confirmed pregnancy status and ICU admission as independent predictors of mortality, and pre-existing CKD as the strongest predictor of poor renal recovery. Most patients (90.7%) were managed conservatively, while 10.3% required haemodialysis.
PRAKI in KATH predominantly affected women in their reproductive prime and was largely driven by preventable hypertensive and septic complications. Despite advances in obstetric care, mortality and incomplete renal recovery remain high. Early identification of high-risk pregnancies, prompt management of hypertensive and infectious complications, and improved access to renal replacement therapy are crucial to reducing the burden of PRAKI and its long-term sequelae in Ghana and similar resource-limited settings.
