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Hyperbaric oxygen therapy for the treatment of long COVID : early evaluation of a highly promising intervention

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Robbins, Tim, Gonevski, Michael, Clark, Cain, Baitule, Sudhanshu, Sharma, Kavi, Magar, Angel, Patel, Kiran, Sankar, Sailesh, Kyrou, Ioannis, Ali, Asad and Randeva, Harpal S. (2021) Hyperbaric oxygen therapy for the treatment of long COVID : early evaluation of a highly promising intervention. Clinical Medicine, 21 (6). e629-e632. doi:10.7861/clinmed.2021-0462 ISSN 1470-2118.

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Official URL: https://doi.org/10.7861/clinmed.2021-0462

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Abstract

Long COVID is a common occurrence following COVID-19 infection. The most common symptom reported is fatigue. Limited interventional treatment options exist. We report the first evaluation of hyperbaric oxygen therapy (HBOT) for long COVID treatment. A total of 10 consecutive patients received 10 sessions of HBOT to 2.4 atmospheres over 12 days. Each treatment session lasted 105 minutes, consisting of three 30-minute exposures to 100% oxygen, interspersed with 5-minute air breaks. Validated fatigue and cognitive scoring assessments were performed at day 1 and 10. Statistical analysis was with Wilcoxon signed-rank testing reported alongside effect sizes. HBOT yielded a statistically significant improvement in the Chalder fatigue scale (p=0.0059; d=1.75 (very large)), global cognition (p=0.0137; d=-1.07 (large)), executive function (p=0.0039; d=-1.06 (large)), attention (p=0.0020; d=-1.2 (very large)), information processing (p=0.0059; d=-1.25 (very large)) and verbal function (p=0.0098; d=-0.92 (large)). Long COVID-related fatigue can be debilitating, and may affect young people who were previously in economic employment. The results presented here suggest potential benefits of HBOT, with statistically significant results following 10 sessions.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Journal or Publication Title: Clinical Medicine
Publisher: Royal College of Physicians
ISSN: 1470-2118
Official Date: 3 December 2021
Dates:
DateEvent
3 December 2021Published
Volume: 21
Number: 6
Page Range: e629-e632
DOI: 10.7861/clinmed.2021-0462
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)

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