The effects of hyperbaric oxygen therapy (HBOT) on coronavirus disease-2019 (COVID-19): a systematic review.


Journal

European journal of medical research
ISSN: 2047-783X
Titre abrégé: Eur J Med Res
Pays: England
ID NLM: 9517857

Informations de publication

Date de publication:
19 Aug 2021
Historique:
received: 12 06 2021
accepted: 10 08 2021
entrez: 20 8 2021
pubmed: 21 8 2021
medline: 7 9 2021
Statut: epublish

Résumé

Oxygenation serves as a cornerstone in the treatment of COVID-19, and several methods have been extensively studied so far. Herein, we aimed to systematically review the studies discussing hyperbaric oxygen therapy (HBOT) to examine its reported efficacy and adverse events in patients with COVID-19. We systematically searched and retrieved the relevant articles using keywords on the online databases, including PubMed, Scopus, Embase, Web of Science, and Cochrane databases up to April 11th, 2021. The retrieved records underwent a two-step title/abstract and full-text screening process, and the eligible papers were identified. National Institutes of health (NIH) quality assessment tool was used for this study. This study was registered in the International Prospective Register of Systematic Reviews (PROSPERO) with ID CRD42021269821. Eight articles from three countries were included. All the included studies had good and fair quality scores, with no poor studies included in this systematic review (Good: n = 5, Fair: n = 3). Studies were divided into clinical trials and case reports/series. Most of the studies used HBOT less than 1.5-2 absolute atmospheres (ATA) for 90 min sessions and thereafter sessions were decreased to 60 min. Trials demonstrated most of the patients recovered after receiving HBOT, and blood oxygen saturation increased after several sessions of HBOT. Overall, HBOT seems to be a safe and effective oxygenation method in patients with COVID-19. However, there is limited knowledge and evidence regarding the effects and mechanism of HBOT in COVID-19 treatment, and further evaluations require extensive well-designed studies.

Sections du résumé

BACKGROUND BACKGROUND
Oxygenation serves as a cornerstone in the treatment of COVID-19, and several methods have been extensively studied so far. Herein, we aimed to systematically review the studies discussing hyperbaric oxygen therapy (HBOT) to examine its reported efficacy and adverse events in patients with COVID-19.
METHODS METHODS
We systematically searched and retrieved the relevant articles using keywords on the online databases, including PubMed, Scopus, Embase, Web of Science, and Cochrane databases up to April 11th, 2021. The retrieved records underwent a two-step title/abstract and full-text screening process, and the eligible papers were identified. National Institutes of health (NIH) quality assessment tool was used for this study. This study was registered in the International Prospective Register of Systematic Reviews (PROSPERO) with ID CRD42021269821.
RESULTS RESULTS
Eight articles from three countries were included. All the included studies had good and fair quality scores, with no poor studies included in this systematic review (Good: n = 5, Fair: n = 3). Studies were divided into clinical trials and case reports/series. Most of the studies used HBOT less than 1.5-2 absolute atmospheres (ATA) for 90 min sessions and thereafter sessions were decreased to 60 min. Trials demonstrated most of the patients recovered after receiving HBOT, and blood oxygen saturation increased after several sessions of HBOT.
CONCLUSION CONCLUSIONS
Overall, HBOT seems to be a safe and effective oxygenation method in patients with COVID-19. However, there is limited knowledge and evidence regarding the effects and mechanism of HBOT in COVID-19 treatment, and further evaluations require extensive well-designed studies.

Identifiants

pubmed: 34412709
doi: 10.1186/s40001-021-00570-2
pii: 10.1186/s40001-021-00570-2
pmc: PMC8374420
doi:

Substances chimiques

Oxygen S88TT14065

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

96

Informations de copyright

© 2021. The Author(s).

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Auteurs

Shahram Oliaei (S)

HBOT Research Center, Golestan Hospital, Islamic Republic of Iran, Navy and AJA Medical University, Tehran, Iran.

SeyedAhmad SeyedAlinaghi (S)

Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.

Mohammad Mehrtak (M)

Healthcare Services Management, School of Medicine and Allied Medical Sciences, Ardabil University of Medical Sciences, Ardabil, Iran.

Amirali Karimi (A)

School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Tayebeh Noori (T)

Department of Health Information Technology, Zabol University of Medical Sciences, Zabol, Iran.

Pegah Mirzapour (P)

Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.

Alireza Shojaei (A)

Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.

Mehrzad MohsseniPour (M)

Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.

Seyed Peyman Mirghaderi (SP)

School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Sanam Alilou (S)

School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Parnian Shobeiri (P)

School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Hadiseh Azadi Cheshmekabodi (H)

Health Information Technology, School of Health Information Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Esmaeil Mehraeen (E)

AMAD Research Institute, Supreme National Defense University, Tehran, Iran. es.mehraeen@gmail.com.
Department of Health Information Technology, Khalkhal University of Medical Sciences, 1419733141, Khalkhal, Iran. es.mehraeen@gmail.com.

Omid Dadras (O)

Department of Global Health and Socioepidemiology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

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Classifications MeSH