title: [Predictors of physical incapacity degree to chronic hemodialysis patients in Kinshasa : Key role of the residual diuresis].
abstract: OBJECTIVE
  Identifying predictors of physical incapacity degree in patients on chronic hemodialysis in Kinshasa.
  
  
  METHODS
  Bicentric analytical study, between January 2007 and July 2013. Degree of physical handicap was evaluated at 6months of hemodialysis based on the scale of Rosser. Logistic regression sought the predictors of no or light physical incapacity (Rosser<3) vs. moderate to maximum (Rosser≥3). P was set at 0.05.
  
  
  RESULTS
  One hundred twenty-seven patients (127) patients received at least 6months of hemodialysis (53.3±11years; 73.2 % male), 79 (62.2 %) had no or light incapacity and 48 (37.8 %) moderate to maximum. Predictors of lower physical incapacity in univaried analysis were: secured funding, high socioeconomic level, lack of diabetes mellitus, high body weight, normal systolic and diastolic blood pressure, residual diuresis 3months later, hemoglobin and hematocrit, low comorbidity, arteriovenous fistula, erythropoietin, at least 12hours of hemodialysis per week and lack of intradialytic complications. After logistic regression, a high residual diuresis 3months of hemodialysis has proved an independent predictor of lower physical Incapacity (aOR 0.998; P=0.024) next to the lack of diabetes mellitus (aOR 0.239; P=0.024), good control of systolic (aOR 0.958; P=0.013) and diastolic (aOR 1.089; P=0.003) blood pressure and the use of erythropoietin (aOR 5.687; P=0.004).
  
  
  CONCLUSIONS
  Preserving residual diuresis is associated with lower physical incapacity and must be integrated in the management in hemodialysis.
authors: Service de néphrologie, université de Kinshasa, cliniques universitaires de Kinshasa, BP 123, Kin XI, République Démocratique de Kinshasa; Unité d'hémodialyse, Ngaliema Medical Center, BP 969, Kin I, République Démocratique de Kinshasa. Electronic address: vieux.mokoli@gmail.com.
authors: Vieux Momeme
authors: VM
authors: Mokoli
authors: Service de néphrologie, université de Kinshasa, cliniques universitaires de Kinshasa, BP 123, Kin XI, République Démocratique de Kinshasa.
authors: Justine Busanga
authors: JB
authors: Bukabau
authors: Service de néphrologie, université de Kinshasa, cliniques universitaires de Kinshasa, BP 123, Kin XI, République Démocratique de Kinshasa.
authors: Patrick Parmba Osa
authors: PP
authors: Izeidi
authors: Unité d'hémodialyse, hôpital général provincial de référence de Kinshasa, BP 169, Kin I, République Démocratique de Kinshasa.
authors: Jeanine Losa
authors: JL
authors: Luse
authors: Unité d'hémodialyse, hôpital général provincial de référence de Kinshasa, BP 169, Kin I, République Démocratique de Kinshasa.
authors: Stéphane Kalambay
authors: SK
authors: Mukendi
authors: École de santé publique, université de Kinshasa, BP 11850, Kin I, République Démocratique de Kinshasa.
authors: Désiré Kulimba
authors: DK
authors: Mashinda
authors: Service de néphrologie, université de Kinshasa, cliniques universitaires de Kinshasa, BP 123, Kin XI, République Démocratique de Kinshasa; Unité d'hémodialyse, Ngaliema Medical Center, BP 969, Kin I, République Démocratique de Kinshasa.
authors: Jean Robert Rissassy
authors: JR
authors: Makulo
authors: Service de néphrologie, université de Kinshasa, cliniques universitaires de Kinshasa, BP 123, Kin XI, République Démocratique de Kinshasa.
authors: Ernest Kiswaya
authors: EK
authors: Sumaili
authors: Service de néphrologie, université de Kinshasa, cliniques universitaires de Kinshasa, BP 123, Kin XI, République Démocratique de Kinshasa.
authors: François Bompeka
authors: FB
authors: Lepira
authors: Service de néphrologie, université de Kinshasa, cliniques universitaires de Kinshasa, BP 123, Kin XI, République Démocratique de Kinshasa.
authors: Nazaire Mangani
authors: NM
authors: Nseka
mesh_terms: D000328:Adult; D000368:Aged; D015023:Democratic Republic of the Congo; D004185:Disability Evaluation; D004231:Diuresis; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010809:Physical Fitness; D011237:Predictive Value of Tests; D006435:Renal Dialysis / Q000379:methods; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index
keywords: Diurèse résiduelle; Hemodialysis; Hémodialyse; Incapacité physique; Kinshasa; Physical incapacity; Residual diuresis; Rosser