COVID-19
Conditions
Keywords
covid-19
Brief summary
Patients who meet inclusion criteria will be randomized into treatment vs control group. Treatment groups will undergo Hyperbaric Oxygen Therapy (HBOT) and compared to the control group.
Detailed description
After enrollment, patients will be randomized into treatment vs control group. Both populations will receive the same inpatient medical treatment. All patients in the treatment group will undergo hyperbaric oxygen therapy under the same treatment protocol. After completion of the treatment protocol, specific study endpoints will be compared between the treatment and control groups.
Interventions
Hyperbaric Oxygen Therapy delivered at a specific uniformed pressure and duration.
Sponsors
Study design
Masking description
The biostatistician and radiologist will not know which group received HBOT.
Intervention model description
This study will utilize a single-center sequential two-parallel-group (HBOT/Standard care) randomized controlled design with 2 looks to allow for early stop due to clear benefit/harm.
Eligibility
Inclusion criteria
* Adult inpatients \>18 years old * Positive PCR COVID-19 testing * CT evidence of interstitial opacity * Oxygen saturation \<90% on room air * pO2 = 55-70.
Exclusion criteria
* Increased oxygen requirements * Hemodynamic instability (MAP\<65) * Bradycardia (HR\<50) * History of seizure disorder * Pneumothorax * GFR\<30 * Hemodialysis * Refractory anxiety/claustrophobia * Current pregnancy * Uncorrectable hypoglycemia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Decrease incidence of intubation by 30% or greater | one month | Compare rates of intubation between treatment and control groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Decrease renal injury | one month | Measure Glomerular Filtration Rate (GFR) and compare between treatment and control groups |
Countries
United States