Hyperbaric oxygen therapy as an immunomodulatory intervention in COVID-19-induced ARDS: Exploring clinical outcomes and transcriptomic signatures in a randomised controlled trial | Canada Hyperbarics
RCT Pulm Pharmacol Ther 2024

Hyperbaric oxygen therapy as an immunomodulatory intervention in COVID-19-induced ARDS: Exploring clinical outcomes and transcriptomic signatures in a randomised controlled trial

Kjellberg A, Zhao A, Lussier A, Hassler A, Al-Ezerjawi S, Boström E, et al. — Pulm Pharmacol Ther, 2024

Tier 1, Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

Swedish researchers randomly assigned 23 critically ill COVID-19 patients with moderate ARDS to receive either 5 HBOT sessions at 2.4 ATA for 80 minutes (within the first 7 days) plus standard care, or standard care alone, then analyzed blood cell gene activity.

What They Found

HBOT patients recovered faster and spent an average of 16 days in hospital compared to 26 days for controls (p = 0.045). HBOT also triggered a unique pattern of 791 gene changes related to how cells handle stress from viral infection. Oxygen levels in the blood improved significantly in the HBOT group.

What This Means for Canadian Patients

For COVID-19 patients admitted to hospital with breathing failure, HBOT could shorten hospital stays by 10 days on average. The molecular evidence suggests HBOT does not just improve oxygen levels but actually changes how the immune system responds to the virus.

Canadian Relevance

No direct Canadian connection identified.

Study Limitations

This was a small exploratory sub-study (17 patients analyzed), and the results need to be confirmed in a larger trial before changing clinical practice.

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Study Details

Study Type RCT
Category COVID-19 / Long COVID
Source Pubmed
PubMed ID 39393522
Year Published 2024
Journal Pulm Pharmacol Ther
MeSH Terms Humans; Hyperbaric Oxygenation; Male; COVID-19; Female; Middle Aged; Transcriptome; Respiratory Distress Syndrome; Aged; Treatment Outcome; Sweden; Length of Stay; SARS-CoV-2; Endoplasmic Reticulum Stress; Adult

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.