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DC Field | Value | Language |
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dc.contributor.author | Mutwiri, K. | - |
dc.contributor.author | Itsura, P. | - |
dc.contributor.author | Tonui, P. | - |
dc.date.accessioned | 2024-05-07T06:50:09Z | - |
dc.date.available | 2024-05-07T06:50:09Z | - |
dc.date.issued | 2022-01-01 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/9054 | - |
dc.description.abstract | Objective: To evaluate renal complications of women managed for severe preeclampsia at MTRH, Eldoret. Design: Prospective cohort study. Setting: Moi Teaching and Referral Hospital (MTRH), Eldoret Participants: The study recruited 61 (exposed) women with severe preeclampsia and 121 (non- exposed) women without severe preeclampsia all at ≥28 weeks gestation. Outcome: Acute kidney injury (AKI) and their outcomes which included spontaneous kidney recovery, medical intervention without dialysis, need for dialysis, need for continued dialysis at 6 weeks post-partum. Results: Complete data for 175 participants (57 exposed and 118 non-exposed) was available for analysis. Mean age was 28.57 (18-43) years. The incidence of AKI among the exposed was 26.3% and 5.9% among the non-exposed. The exposed were more likely to develop AKI than the non-exposed (RR 4.4 [95% CI 1.92 – 10.27]). Among those who had AKI in the exposed group, 85.7% recovered with medical intervention (without dialysis) while 14.3% underwent dialysis. History of preeclampsia in previous pregnancy (RR 18.18[95% CI 2.26 – 157.95]) and diagnosis of severe preeclampsia at <37 weeks gestation (RR 0.02 [95% CI 0.01 – 0.70]) were statistically associated with AKI in severe preeclampsia. Conclusion: Incidence of AKI in patients with severe preeclampsia was 26.3%. Severe preeclampsia increased the risk of AKI 4.4 fold. Among those with AKI, 85.7% recovered with medical intervention while 14.3% underwent dialysis.in previous pregnancy and diagnosis of severe preeclampsia at <37 weeks gestation. Factors associated with AKI in severe preeclampsia were history of preeclampsia | en_US |
dc.language.iso | en | en_US |
dc.publisher | East African Medical journal | en_US |
dc.subject | Severe preeclampsia | en_US |
dc.subject | Renal complications | en_US |
dc.title | Renal complications among women with severe preeclampsia managed at Moi teaching and Referral Hospital, Eldoret | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
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MUTWIRI.pdf | 469.68 kB | Adobe PDF | View/Open |
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