Cochrane · systematic review · CD012598
Dialysate temperature reduction for intradialytic hypotension for people with chronic kidney disease requiring haemodialysis
Tsujimoto, Y, Tsujimoto, H, Nakata, Y, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
Kidney and TransplantAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
3
No studies
6
Included studies
NR
No studies 6 · 50%Ungraded 3 · 25%Very low 3 · 25%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Fixed reduction of dialysate temperature compared to standard dialysate temperature for patients requiring haemodialysis
Population: patients requiring haemodialysis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Intradialytic hypotension rate Fixed reduction of dialysate temperature vs standard dialysate temperature | RR 0.52 [0.34, 0.8] | 8 studies · 153 participants | Very low Downgraded: risk of bias |
Discomfort rate Fixed reduction of dialysate temperature vs standard dialysate temperature | Rate ratio 8.31 [1.86, 37.12] | 4 studies · 81 participants | Very low Downgraded: risk of bias |
Dropout due to adverse events Fixed reduction of dialysate temperature vs standard dialysate temperature | no estimate extracted | 9 studies · 268 participants | Ungraded |
Death (all causes) Fixed reduction of dialysate temperature vs standard dialysate temperature | no estimate extracted | NR | No studies |
Acute coronary syndrome Fixed reduction of dialysate temperature vs standard dialysate temperature | no estimate extracted | NR | No studies |
Stroke Fixed reduction of dialysate temperature vs standard dialysate temperature | no estimate extracted | NR | No studies |
Isothermal dialysate compared to thermoneutral dialysate in patients requiring haemodialysis
Population: patients requiring haemodialysis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Intradialytic hypotension rate Isothermal dialysate vs thermoneutral dialysate | Rate ratio 0.68 [0.6, 0.76] | 2 studies · 133 participants | Very low Downgraded: risk of bias |
Discomfort rate Isothermal dialysate vs thermoneutral dialysate | no estimate extracted | 1 study · 17 participants | Ungraded |
Dropout due to adverse event Isothermal dialysate vs thermoneutral dialysate | no estimate extracted | 2 studies · 133 participants | Ungraded |
Death (all causes) Isothermal dialysate vs thermoneutral dialysate | no estimate extracted | NR | No studies |
Acute coronary syndrome Isothermal dialysate vs thermoneutral dialysate | no estimate extracted | NR | No studies |
Stroke Isothermal dialysate vs thermoneutral dialysate | no estimate extracted | NR | No studies |