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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.
In intensive care units (ICUs), renal dysfunction increases the risk of death, yet simple stratification tools are limited in low-resource settings. The value of admission serum creatinine as a predictor of in-hospital ICU mortality was assessed.
This was a monocentric, retrospective cohort study conducted at the Cliniques Spécialisées de Kinshasa in the Democratic Republic of the Congo (DRC) from 1 January 2024 to 1 January 2025. Adults (aged ≥18 years) with an admission creatinine level measured by the Jaffé method were included, while those with stage 5D chronic kidney disease (CKD) were excluded. The optimal creatinine threshold for predicting death was determined using ROC curves and the Youden index. Cox regression was used to study predictors of mortality.
Of the 253 patients included in the study, 31 (12.3%) died. The best-performing admission creatinine threshold for predicting mortality was 1.4 mg/dL (≈124 µmol/L). Compared with patients with creatinine levels of ≤1.4 mg/dL, those with levels of >1.4 mg/dL had a higher in-hospital mortality rate (20.8%) and more frequent comorbidities (e.g. sepsis, heart failure and stroke). Multivariate analysis revealed that creatinine levels above 1.4 mg/dL were independently associated with death (hazard ratio (HR) 6.39; 95% confidence interval (CI) 2.30–17.72), as were age above 65 years, sepsis, heart failure, and stroke (significant HR).
In this African setting, admission creatinine levels of more than 1.4 mg/dL indicate a high risk of in-hospital ICU mortality. This simple and widely available marker can provide early risk stratification and guide the intensification of care. However, multicentre validation with standardization of assays is required.
