Hyperbaric Oxygen Treatment for Long-COVID syndrome: A Systematic Review of Current Evidence on Cognitive Decline

Fernanda Valeriano Zamora1, Ana Clara Felix de Farias Santos2, Andres Villca Zamora3

  • 1Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil.

Insights

Hyperbaric oxygen (HBO) therapy shows promise for long-COVID syndrome (LCS) patients, improving cognitive function and reducing fatigue and pain. This safe treatment warrants further investigation in larger randomized trials.

Area of Science:

  • Hyperbaric medicine
  • Neurology
  • Pulmonology

Background:

  • Long-COVID syndrome (LCS) lacks specific treatments.
  • Hyperbaric oxygen (HBO) therapy is being explored as a potential intervention for LCS.

Purpose of the Study:

  • To systematically review the existing literature on the benefits of HBO therapy in patients with LCS.

Main Methods:

  • A systematic search of PubMed, Embase, and Cochrane databases was conducted until April 2024.
  • Included studies were assessed for risk of bias and GRADE quality.
  • The review was registered with PROSPERO (ID: CRD42024530421).

Main Results:

  • Seven studies involving 199 participants were analyzed.
  • HBO protocols varied (2.0-2.5 ATA, 10-60 sessions).
  • Improvements were noted in memory, executive function, attention, fatigue, and pain; side effects were minimal and not serious.

Conclusions:

  • HBO therapy presents a potential and safe treatment option for LCS.
  • Further large-scale randomized controlled trials are recommended to confirm efficacy.
Abstract

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