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Hyperbaric oxygen effectively addresses the pathophysiology of long COVID: clinical review
Alan A Katz1,2, Sandra Wainwright3, Matthew P Kelly4
1Hyperbaric Medical Solutions, New York, NY, United States.
Insights
Long COVID, affecting millions with persistent symptoms, shows significant improvement with Hyperbaric Oxygen Therapy (HBO). Research indicates HBO is a safe and promising adjunctive treatment for post-COVID-19 syndrome.
Area of Science:
- Pulmonology
- Infectious Diseases
- Nephrology
Background:
- Long COVID is defined as persistent symptoms lasting over 3 months post-SARS-CoV-2 infection, impacting millions globally.
- Patients experience ongoing symptoms for over 12 weeks without alternative diagnoses, leading to reduced quality of life.
- Currently, no definitive therapeutics effectively treat the underlying pathophysiology of long COVID.
Purpose of the Study:
- To evaluate the efficacy of Hyperbaric Oxygen Therapy (HBO) as a treatment for long COVID.
- To review existing literature on the use of HBO for managing post-COVID-19 syndrome.
Main Methods:
- A comprehensive literature search was conducted using PubMed and Google Scholar.
- Articles published between November 2021 and January 2024, using keywords "long covid" and "hyperbaric oxygen," were reviewed.
- Included studies encompassed case series and randomized controlled trials.
Main Results:
- Published studies indicate that Hyperbaric Oxygen Therapy (HBO) significantly improves outcomes for patients with long COVID.
- Review of case series and randomized trials demonstrates positive effects of HBO on long COVID symptoms.
Conclusions:
- A significant patient cohort suffers from long COVID (post-COVID-19 syndrome) with limited treatment options.
- Hyperbaric Oxygen Therapy (HBO) is a safe treatment modality that may benefit this population.
- Further research into HBO as an adjunctive treatment for long COVID is warranted.
Background:
The World Health Organization defines long COVID as "the continuation or development of new symptoms 3 months after the initial SARS-CoV-2 infection, with these symptoms lasting for at least 2 months with no other explanation." Estimations of approximately 50 million individuals suffer from long COVID, reporting low health-related quality of life. Patients develop ongoing persistent symptoms that continue for more than 12 weeks that are not explained by another alternative diagnosis. To date, no current therapeutics are effective in treating the underlying pathophysiology of long COVID.
Discussion:
A comprehensive literature search using PubMed and Google Scholar was conducted and all available articles from November 2021 to January 2024 containing keywords long covid and hyperbaric oxygen were reviewed. These published studies, including case series and randomized trials, demonstrate that utilizing Hyperbaric Oxygen Therapy (HBO) provided significant improvement in patients with long COVID.
Conclusion:
A large cohort of patients suffer from long COVID or post-COVID-19 syndrome after recovery from their acute infection with no effective treatment options. HBO is a safe treatment and may provide benefit for this population and should continue to be researched for adjunctive treatment of long COVID.
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