WCN25-4201 POST-PARTUM THROMBOTIC MICROANGIOPATHY: IN THE ERA OF COMPLEMENT INHIBITORS, PLASMA EXCHANGE IS STILL WORTH TRYING IN DEVELOPING COUNTRIES

Physical Functioning (mean score increased from 32.72 to 52.66, P < 0.001), Role Physical (31.08 to 46.90, P < 0.001), and Energy (28.64 to 51.66, P < 0.001).Emotional recovery was also prominent, with Role Emotional scores improving from 28.18 to 50.32 (P < 0.001), and Emotional Well-being from 31.69 to 48.76 (P < 0.001).Though there was significant improvement in domain functioning by 3 months, the comparison between 3 and 12 months showed a plateau, with no further statistically significant improvement in any domain.Physical Functioning scores slightly decreased from 52.66 to 49.97, and General Health remained stable at 50.12 to 50.06 (P > 0.95 for all domains).Renal replacement therapy was required in 77% of the patients.Overall, there was a notable lack of further improvement in QOL at 12 months, indicating that despite initial gains, the long-term recovery was limited.Conclusions: The study demonstrates that women recovering from PRAKI experience significant improvements in quality of life within the first 3 months postpartum.The improvement was statistically significant in those with positive pregnancy outcome, familysupportand higher education.However, the plateau in recovery from 3 to 12 months highlights the need for sustained interventions beyond the early recovery phase and including a trained counsellor may be a value addition to post-partum care for ensuring optimal long-term maternal health outcomes.Ours is the first study to assess QOL among Pregnancy-Related Acute Kidney Injury (PRAKI) patients.I have no potential conflict of interest to disclose.I did not use generative AI and AI-assisted technologies in the writing process.

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Publication Details

Journal
Kidney International Reports
Published
2025-01-27
DOI
https://doi.org/10.1016/j.ekir.2024.11.845
Primary Topic
Complement system in diseases
Type
article
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article

WCN25-4201 POST-PARTUM THROMBOTIC MICROANGIOPATHY: IN THE ERA OF COMPLEMENT INHIBITORS, PLASMA EXCHANGE IS STILL WORTH TRYING IN DEVELOPING COUNTRIES

Raman Kumar, Adarsh Kumar, Sanjiv Mahajan
Kidney International Reports
Complement system in diseases
article

WCN25-4201 POST-PARTUM THROMBOTIC MICROANGIOPATHY: IN THE ERA OF COMPLEMENT INHIBITORS, PLASMA EXCHANGE IS STILL WORTH TRYING IN DEVELOPING COUNTRIES

Raman Kumar, Adarsh Kumar, Sanjiv Mahajan
article en

Abstract

Physical Functioning (mean score increased from 32.72 to 52.66, P < 0.001), Role Physical (31.08 to 46.90, P < 0.001), and Energy (28.64 to 51.66, P < 0.001).Emotional recovery was also prominent, with Role Emotional scores improving from 28.18 to 50.32 (P < 0.001), and Emotional Well-being from 31.69 to 48.76 (P < 0.001).Though there was significant improvement in domain functioning by 3 months, the comparison between 3 and 12 months showed a plateau, with no further statistically significant improvement in any domain.Physical Functioning scores slightly decreased from 52.66 to 49.97, and General Health remained stable at 50.12 to 50.06 (P > 0.95 for all domains).Renal replacement therapy was required in 77% of the patients.Overall, there was a notable lack of further improvement in QOL at 12 months, indicating that despite initial gains, the long-term recovery was limited.Conclusions: The study demonstrates that women recovering from PRAKI experience significant improvements in quality of life within the first 3 months postpartum.The improvement was statistically significant in those with positive pregnancy outcome, familysupportand higher education.However, the plateau in recovery from 3 to 12 months highlights the need for sustained interventions beyond the early recovery phase and including a trained counsellor may be a value addition to post-partum care for ensuring optimal long-term maternal health outcomes.Ours is the first study to assess QOL among Pregnancy-Related Acute Kidney Injury (PRAKI) patients.I have no potential conflict of interest to disclose.I did not use generative AI and AI-assisted technologies in the writing process.

Kidney International ReportsVol. 10(2)
Safdarjang Hospital (IN)
Partnerships for the goals
Openalex Percentile: Top 98%
Complement system in diseases
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WCN25-4201 POST-PARTUM THROMBOTIC MICROANGIOPATHY: IN THE ERA OF COMPLEMENT INHIBITORS, PLASMA EXCHANGE IS STILL WORTH TRYING IN DEVELOPING COUNTRIES — Raman Kumar, Adarsh Kumar, et al. · Kidney International Reports (2025) | TGRS Research Map | TGRS