Evidence map›Paper›PMID 37510965›Full record

ArticleJournal of clinical medicine2023

COVID-19-Induced Acute Respiratory Distress Syndrome Treated with Hyperbaric Oxygen: Interim Safety Report from a Randomized Clinical Trial (COVID-19-HBO).

Anders Kjellberg, Johan Douglas, Adrian Hassler, Sarah Al-Ezerjawi, Emil Boström, Lina Abdel-Halim, Lovisa Liwenborg, Eric Hetting, Anna Dora Jonasdottir Njåstad, Jan Kowalski and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04327505 (A Randomized, Controlled, Open Label, Multicentre Clinical Trial to Explore Safety and Efficacy of Hyperbaric Oxygen for Preventing ICU Admission, Morbidity and Mortality in Adult Patients With COVID-19), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04327505 phase2 / phase3terminatednot on this map

A Randomized, Controlled, Open Label, Multicentre Clinical Trial to Explore Safety and Efficacy of Hyperbaric Oxygen for Preventing ICU Admission, Morbidity and Mortality in Adult Patients With COVID-19

TypeinterventionalSponsorKarolinska InstitutetRan2020 to 2022Enrolled34ConditionsSARS (Severe Acute Respiratory Syndrome), Cytokine Storm, ARDS, Human, COVID-19ArmsHyperbaric oxygen
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Anders KjellbergDepartment of Physiology and Pharmacology, Karolinska Institutet, 171 77 Stockholm, Sweden.ORCID 0000-0002-4819-1024
Johan DouglasDepartment of Anaesthesia and Intensive Care, Blekingesjukhuset, 371 85 Karlskrona, Sweden.
Adrian HasslerDepartment of Physiology and Pharmacology, Karolinska Institutet, 171 77 Stockholm, Sweden.
Sarah Al-EzerjawiAcute and Reparative Medicine, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Emil BoströmAcute and Reparative Medicine, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Lina Abdel-HalimDepartment of Physiology and Pharmacology, Karolinska Institutet, 171 77 Stockholm, Sweden.
Lovisa LiwenborgDepartment of Physiology and Pharmacology, Karolinska Institutet, 171 77 Stockholm, Sweden.
Eric HettingDepartment of Physiology and Pharmacology, Karolinska Institutet, 171 77 Stockholm, Sweden.
Anna Dora Jonasdottir NjåstadDepartment of Anaesthesia and Intensive Care, Blekingesjukhuset, 371 85 Karlskrona, Sweden.
Jan KowalskiJK Biostatistics AB, 113 35 Stockholm, Sweden.
Sergiu-Bogdan CatrinaDepartment of Molecular Medicine and Surgery, Karolinska Institutet, 171 76 Stockholm, Sweden.ORCID 0000-0002-6914-3902
Kenny A Rodriguez-WallbergDepartment of Oncology and Pathology, Karolinska Institutet, 171 64 Stockholm, Sweden.ORCID 0000-0003-4378-6181
Peter LindholmDepartment of Physiology and Pharmacology, Karolinska Institutet, 171 77 Stockholm, Sweden.
Karolinska Institutet · SEKarolinska University Hospital · SEBlekingesjukhuset · SEStatistics Sweden · SE

Funding

Swedish Research Council KBF 2019-00446
6 · The paper itself

Abstract

backgroundA few prospective trials and case series have suggested that hyperbaric oxygen therapy (HBOT) may be efficacious for the treatment of severe COVID-19, but safety is a concern for critically ill patients. We present an interim analysis of the safety of HBOT via a randomized controlled trial (COVID-19-HBO).

methodsA randomized controlled, open-label, clinical trial was conducted in compliance with good clinical practice to explore the safety and efficacy of HBOT for severe COVID-19 in critically ill patients with moderate acute respiratory distress syndrome (ARDS). Between 3 June 2020, and 17 May 2021, 31 patients with severe COVID-19 and moderate-to-severe ARDS, a ratio of arterial oxygen partial pressure to fractional inspired oxygen (PaO

resultsAdverse events (AEs) were common. Hypoxia was the most common adverse event reported. There was no statistically significant difference between the groups. Numerically, serious adverse events (SAEs) and barotrauma were more frequent in the control group, and the differences between groups were in favor of the HBOT in PaO

conclusionHBOT appears to be safe as an intervention for critically ill patients with moderate-to-severe ARDS induced by COVID-19. CLINICAL

trial registrationNCT04327505 (31 March 2020) and EudraCT 2020-001349-37 (24 April 2020).

Indexed as

ARDSclinical trialCOVID-19HBOThyperbaric oxygen therapyoxygen toxicityrespiratory distress syndromesafety

Identifiers

PMID37510965
PMCPMC10381696
OpenAlexW4385212357

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.