Range for Normal Body Temperature in Hemodialysis Patients and Its Comparison with That of Healthy Individuals

Hasan, Rabia; Adhi, Mehreen; Mahmood, Syed Faisal; Noman, Fatima; Awan, Safia; Akhtar, F.; Naqvi, Anwar; Rizvi, A

doi:10.1159/000276583

Cited by 10 publications

(8 citation statements)

References 27 publications

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“…Besides, body temperature should be carefully measured before and after the bath/Hammam visit. Because dialysis patients have a disturbed temperature regulation, they are at higher risk to develop hyperthermia. No cases of skin burns were observed, and only eight out of 208 stimulated sweating sessions (3.8%) led to a body temperature >38.0°C, all in the same patient who did not follow the instruction to lower the temperature of bathing water when a body temperature >38°C was measured the first time, because he had no side effects.…”

Section: Discussionmentioning

confidence: 99%

Stimulated sweating as a therapy to reduce interdialytic weight gain and improve potassium balance in chronic hemodialysis patients: A pilot study

Pruijm

El-Housseini

Mahfoudh

et al. 2012

Hemodialysis International

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Controlling the extracellular volume in hemodialysis patients is a difficult task. The aim of this study was to evaluate the capacity of different methods of stimulated sweating to reduce mean interdialytic weight gain (IWG), to improve blood pressure regulation, and potassium/urea balance. Two center, crossover pilot study. In Lausanne, hemodialysis patients took four hot-water baths a week, 30 minutes each, on nondialysis days during 1 month. In Sfax, patients visited the local Hammam Center four times a week. Hemodynamic parameters were recorded, and weekly laboratory analysis was performed. Results were compared with a preceding 1-month control period. In Lausanne, five patients (all men, median age 55 years) participated. Bathing temperature was (mean ± standard deviation) 41.2 ± 3°C and sweating-induced weight loss 600 ± 500 g. Mean IWG (control vs. intervention period) decreased from 2.3 ± 0.9 to 1.8 ± 1 kg (P = 0.004), Systolic blood pressure from 139 ± 21 to 136 ± 22 mmHg (P = 0.4), and diastolic blood pressure form 79 ± 12 to 75 ± 13 mmHg (P = 0.08); antihypertensive therapy could be reduced from 2.8 ± 0.4 to 1.9 ± 0.5 antihypertensive drugs per patient (P = 0.01). In Sfax (n = 9, median age 46 years), weight loss per Hammam session was 420 ± 100 g. No differences were found in IWG or BP, but predialysis serum potassium level decreased from 5.9 ± 0.8 to 5.5 ± 0.9 mmol/L (P = 0.04) and urea from 26.9 ± 6 to 23.1 ± 6 mmol/L (P = 0.02). Hot-water baths appear to be a safe way to reduce IWG in selected hemodialysis patients. Hammam visits reduce serum potassium and urea levels, but not IWG. More data in larger patient groups are necessary before definite conclusion can be drawn.

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Section: Discussionmentioning

confidence: 99%

Stimulated sweating as a therapy to reduce interdialytic weight gain and improve potassium balance in chronic hemodialysis patients: A pilot study

Pruijm

El-Housseini

Mahfoudh

et al. 2012

Hemodialysis International

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“…Bacteremic patients with reduced renal function have been found to have a blunted febrile response compared to those with preserved renal function; however, patients receiving dialysis and/or having "rapid fluctuation of serum creatinine levels" were notably omitted from the study [3]. More recent evidence suggests that hemodialysis patients have higher basal temperatures compared to healthy controls [4], raising the possibility of dialyzed patients reaching higher maximum temperatures during episodes of infection than their nondialyzed counterparts.…”

Section: Introductionmentioning

confidence: 99%

Do Bacteremic patients with end-stage renal disease have a fever when presenting to the emergency department? A paired, retrospective cohort study

2020

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Background: Fever is a common symptom when patients present to Emergency Departments. It is unclear if the febrile response of bacteremic hemodialysis-dependent patients differs from bacteremic patients not receiving hemodialysis. The objective of this study was to compare Emergency Departments triage temperatures of patients with and without hemodialysis-dependent end-stage rental disease who have Staphylococcus aureus bacteremia and determine the incidence of afebrile S. aureus bacteremia. Methods: Paired, retrospective cohort study of 37 patients with and 37 patients without hemodialysis hospitalized with Methicillin-resistant or Methicillin-susceptible S. aureus bacteremia. Emergency Department triage temperatures were reviewed for all patients, as were potential confounding variables. Results: 54% (95% CI, 38-70%) and 82% (95% CI 65-91%) of hemodialysis and non-hemodialysis patients did not have a detectable fever (<100.4°F) at triage. Triage temperatures were 100.5°F (95% CI 99.9-101.2°F) and 99.0°F (95% CI 98.4-99.6°F) in the hemodialysis and non-hemodialysis cohorts, respectively (p < 0.001). Triage temperature in patients with and without diabetes mellitus was 99.2°F (95% CI 98.4-99.9°F) and 100.4°F (95% CI 99.7-101.0°F), respectively (p = 0.03). We were unable to detect a significant effect of diabetes mellitus and other potential confounding variables on differences in temperature between the hemodialysis and non-hemodialysis cohorts (all interactions p > 0.19). Conclusions: Hemodialysis-dependent patients with S. aureus bacteremia had significantly higher temperatures than non-hemodialysis-dependent end stage renal disease patients but more than half of patients were without detectable fever at triage, possibly reflecting use of insensitive methods for measuring temperature. Absence of fever at presentation to the Emergency Department should not delay blood culture acquisition in patients who are at increased risk of S. aureus bacteremia.

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“…The precise mechanisms of action of hypothermia for neurological protection are largely unknown (Polderman, 2008a). during the course of each day (Hasan, 2010). Central body temperature is thought to be under hypothalamic control.…”

Section: Models Of Global Cerebral Ischaemiamentioning

confidence: 99%

03 Temperature post out-of-hospital cardiac arrest: the TOPCAT study

Lyon

Richardson

Gowens³

et al. 2011

Emergency Medicine Journal

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BackgroundOut-of-hospital cardiac arrest (OHCA) remains the leading cause of sudden death faced by EMS personnel. Therapeutic hypothermia has been shown to improve neurological outcome and survival in certain patients after out-of-hospital cardiac arrest. The natural progression of core body temperature, particularly in the pre-hospital setting, post OHCA has yet to be established. Pre-hospital core body temperature will influence the need for possible pre-hospital cooling post OHCA.AimsTo establish the natural progression of core body temperature after OHCA.MethodsOne year, prospective observational study across the Lothians region of Scotland. A research doctor was tasked by the Emergency Medical Dispatch Centre to attend patients in OHCA together with the attending ambulance crew. An oesophageal core body temperature probe was inserted to continuously monitor core body temperature from the earliest opportunity in the field to arrival of the patient on the Intensive Care Unit (ICU). Therapeutic hypothermia was commenced after admission to the ICU.Results147 OHCA were included. 13 patients survived to reach hospital discharge (8.8%). After return of spontaneous circulation (ROSC) core body temperature increased until therapeutic cooling commenced. Re-warming occurred faster in survivors. There was no significant pre-hospital core body temperature difference between survivors (33.03°C) and non-survivors (33.58°C). Patients surviving to discharge had a higher core body temperature on arrival in ITU compared to non-survivors (35.44°C vs 34.25°C, p<0.05).ConclusionsOHCA patients in our area remain cool (<35C) during the pre-hospital phase. This may suggest that pre-hospital cooling is not required for these patients. This is the first study of its kind to report on core body temperature after OHCA. Survivors rewarming faster has not yet been described and the mechanisms underlying this required further investigation. Further research is warranted into the mechanisms of action of therapeutic hypothermia, particularly the optimum timing and method of cooling.

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Range for Normal Body Temperature in Hemodialysis Patients and Its Comparison with That of Healthy Individuals

Cited by 10 publications

References 27 publications

Stimulated sweating as a therapy to reduce interdialytic weight gain and improve potassium balance in chronic hemodialysis patients: A pilot study

Stimulated sweating as a therapy to reduce interdialytic weight gain and improve potassium balance in chronic hemodialysis patients: A pilot study

Do Bacteremic patients with end-stage renal disease have a fever when presenting to the emergency department? A paired, retrospective cohort study

03 Temperature post out-of-hospital cardiac arrest: the TOPCAT study

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