#6070 PREDICTIVE MODEL OF OBSTETRIC ACUTE RENAL FAILURE IN THE INTENSIVE CARE UNIT

Abstract Background and Aims Obstetric acute renal failure (OARF) remains a frequent serious complication that engages the maternal fetal prognosis. The objective of our work is to develop predictive model obstetric in intensive care setting. Method To meet we conducted retrospective comparative analytical study spread over period 7 years, from January 2014 September 2021 within resuscitation department ABDERRAHIM HAROUCHI hospital CHU Ibn Rochd Casablanca. We have thus distinguished two groups parturients: • Group 1 “ OARF + ” : parturients with ARF (n = 863) 2 -” without 1856 Results During this 2719 admissions were collected including 863 cases classified according KDIGO classification percentage stages I, II III respectively 45.2%, 28.5% 25.3% cases. average age OARF+ sample was 28.6±5.4 years. 40% group primiparous 60% multiparous, majority occurring between 20 28 weeks' gestation (32%). associated pre-eclampsia 57% cases, hemorrhagic shock 37.19% severe sepsis 31.74% Extra purification necessary 148 (17.2%) mortality rate 26.18%. In univariate analysis, clinico-biological risk factors for occurrence haemostasis disorders (p < 0.001), hypertension oligo-anuria 0.002), anaemia 0.001) thrombocytopenia 0.001). As etiological factors, analysis allowed us retain Hellp Syndrome 0.002) DIC 0.002). Conclusion Pre-eclampsia, pre- postpartum hemorrhage, represent main etiologies ARF, which ICU setting responsible significant morbidity mortality. determination such detect prevent patients at risk.