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. 2021 Jul 5;11(7):e046738. doi: 10.1136/bmjopen-2020-046738

Table 1.

COVID-19-HBO: overview of inclusion and exclusion criteria

Inclusion criteria


Aged 18–90 years
PaO2/FiO2 (PFI) below 200 mm Hg (26.7 kPa) (based on ABG measurement)
Suspected or verified SARS-CoV-2 infection
At least two risk factors for increased morbidity/mortality
  • Age above 50 years

  • Hypertension

  • Cardiovascular disease

  • Diabetes or prediabetes

  • Active or cured cancer

  • Asthma/COPD

  • Smoking

  • D-Dimer >1.0 mg/L

  • Autoimmune disease

Exclusion criteria








ARDS/pneumonia caused by other viral infections (positive for other virus)
ARDS/pneumonia caused by other non-viral infections or trauma
Known pregnancy or positive pregnancy test in women of childbearing age
Patients with previous CT verified lung fibrosis more than 10%
CT-verified or spirometry-verified severe COPD with emphysema
Contraindication for HBO according to local guidelines*
Not likely to need ICU admission within 7 days of screening (subjective criteria that may exclude any patients who fulfil the other inclusion criteria but where the treating physician suspect a spontaneous recovery)
Mental inability, reluctance or language difficulties that result in difficulty understanding the meaning of study participation
Prisoner
Unable/risk to move patient to hyperbaric chamber

*Contraindications are described in the Standard Operations Procedure for each centre; generally, includes claustrophobia, pneumothorax, severe COPD.

ARDS, acute respiratory distress syndrome; HBO, hyperbaric oxygen.