Hyperbaric Oxygen in Post-Stroke Patients: A Feasibility Study

Background: Hyperbaric oxygen therapy (HBOT) has been shown to improve the outcomes of certain stroke patients. Our objective was to assess the feasibility of employing HBOT in daily practice in unselected stroke patients with mild-to-moderate residual post-stroke symptoms, considering their ability...

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Main Authors: Jörg Schmutz, Stefan Engelter, Nils Peters, Patrick Schmucki, Marco Gelsomino
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Clinical and Translational Neuroscience
Subjects:
Online Access:https://www.mdpi.com/2514-183X/7/4/41
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author Jörg Schmutz
Stefan Engelter
Nils Peters
Patrick Schmucki
Marco Gelsomino
author_facet Jörg Schmutz
Stefan Engelter
Nils Peters
Patrick Schmucki
Marco Gelsomino
author_sort Jörg Schmutz
collection DOAJ
description Background: Hyperbaric oxygen therapy (HBOT) has been shown to improve the outcomes of certain stroke patients. Our objective was to assess the feasibility of employing HBOT in daily practice in unselected stroke patients with mild-to-moderate residual post-stroke symptoms, considering their ability to commute our center. Methods: This was an exploratory, interventional, prospective monocentric study on post-stroke patients who have completed their in-hospital stroke rehabilitation. We aimed to include 10 participants who were able to complete 40 daily HBOT sessions (2.0 ATA). Effectiveness was assessed using the National Institutes of Health Stroke Score (NIHSS) pre- and post-HBOT. Results: We recruited 13 patients (12 males) with a mean age of 61 years. Three patients dropped out (two never started HBOT and one withdrew after five sessions because of traveling distance). Post-stroke time was 4–251 months. Among the 10 patients completing the HBOT program, 8 improved their NIHSS by a mean of 1,3 (1–4), while 2 patients’ NIHSS remained unchanged. There were no serious adverse events and no side effects. Conclusions: HBOT was shown to be feasible for mobile post-stroke patients who have completed standard rehabilitation. In the absence of major safety concerns, HBOT seems to be an interesting option post-stroke, with the potential to further improve residual stroke severity.
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spelling doaj.art-bc94a47bdda0429791ecbaeb8969e6742023-12-22T14:02:16ZengMDPI AGClinical and Translational Neuroscience2514-183X2023-11-01744110.3390/ctn7040041Hyperbaric Oxygen in Post-Stroke Patients: A Feasibility StudyJörg Schmutz0Stefan Engelter1Nils Peters2Patrick Schmucki3Marco Gelsomino4Druckkammerzentrum Basel, Kleinhüningerstrasse 177, 4057 Basel, SwitzerlandNeurology and Neurorehabilitation, University Department of Geriatric Medicine FELIX PLATTER, University of Basel, 4003 Basel, SwitzerlandNeurology and Neurorehabilitation, University Department of Geriatric Medicine FELIX PLATTER, University of Basel, 4003 Basel, SwitzerlandNeurology and Neurorehabilitation, University Department of Geriatric Medicine FELIX PLATTER, University of Basel, 4003 Basel, SwitzerlandDruckkammerzentrum Basel, Kleinhüningerstrasse 177, 4057 Basel, SwitzerlandBackground: Hyperbaric oxygen therapy (HBOT) has been shown to improve the outcomes of certain stroke patients. Our objective was to assess the feasibility of employing HBOT in daily practice in unselected stroke patients with mild-to-moderate residual post-stroke symptoms, considering their ability to commute our center. Methods: This was an exploratory, interventional, prospective monocentric study on post-stroke patients who have completed their in-hospital stroke rehabilitation. We aimed to include 10 participants who were able to complete 40 daily HBOT sessions (2.0 ATA). Effectiveness was assessed using the National Institutes of Health Stroke Score (NIHSS) pre- and post-HBOT. Results: We recruited 13 patients (12 males) with a mean age of 61 years. Three patients dropped out (two never started HBOT and one withdrew after five sessions because of traveling distance). Post-stroke time was 4–251 months. Among the 10 patients completing the HBOT program, 8 improved their NIHSS by a mean of 1,3 (1–4), while 2 patients’ NIHSS remained unchanged. There were no serious adverse events and no side effects. Conclusions: HBOT was shown to be feasible for mobile post-stroke patients who have completed standard rehabilitation. In the absence of major safety concerns, HBOT seems to be an interesting option post-stroke, with the potential to further improve residual stroke severity.https://www.mdpi.com/2514-183X/7/4/41post-strokehyperbaric oxygen therapyfeasibilityoutpatient
spellingShingle Jörg Schmutz
Stefan Engelter
Nils Peters
Patrick Schmucki
Marco Gelsomino
Hyperbaric Oxygen in Post-Stroke Patients: A Feasibility Study
Clinical and Translational Neuroscience
post-stroke
hyperbaric oxygen therapy
feasibility
outpatient
title Hyperbaric Oxygen in Post-Stroke Patients: A Feasibility Study
title_full Hyperbaric Oxygen in Post-Stroke Patients: A Feasibility Study
title_fullStr Hyperbaric Oxygen in Post-Stroke Patients: A Feasibility Study
title_full_unstemmed Hyperbaric Oxygen in Post-Stroke Patients: A Feasibility Study
title_short Hyperbaric Oxygen in Post-Stroke Patients: A Feasibility Study
title_sort hyperbaric oxygen in post stroke patients a feasibility study
topic post-stroke
hyperbaric oxygen therapy
feasibility
outpatient
url https://www.mdpi.com/2514-183X/7/4/41
work_keys_str_mv AT jorgschmutz hyperbaricoxygeninpoststrokepatientsafeasibilitystudy
AT stefanengelter hyperbaricoxygeninpoststrokepatientsafeasibilitystudy
AT nilspeters hyperbaricoxygeninpoststrokepatientsafeasibilitystudy
AT patrickschmucki hyperbaricoxygeninpoststrokepatientsafeasibilitystudy
AT marcogelsomino hyperbaricoxygeninpoststrokepatientsafeasibilitystudy