Respiratory failure & ventilation

Long-term outcomes of patients with COVID-19 treated with helmet noninvasive ventilation or usual respiratory support: follow-up study of the Helmet-COVID randomized clinical trial

Intensive Care MedPublished Secondary analysis of the Helmet-COVID randomised trial

Primary result · 180-day mortalityResult — go to the resultRisk difference - 1.5% 95% CI - 12.3, 9.3

Authors' conclusion

Helmet noninvasive ventilation did not reduce 180-day mortality or improve HRQoL compared to usual respiratory support among patients with acute hypoxemic respiratory failure due to COVID-19 pneumonia.

Study context

Population
Adults with acute hypoxemic respiratory failure due to COVID-19 pneumonia3 lost to follow-up
Participants
320 adults
Comparison
Helmet NIV vs usual respiratory support
  • Helmet NIVn = 159
  • Usual respiratory supportn = 158reference
Primary endpoint
Mortality
Follow-up
180 days
Methodological detailspre-planned follow-up study, multicentre
  • Pre-planned follow-up study
  • Multicentre

Primary result

180-day mortality

Risk difference

- 1.5%

95% CI - 12.3, 9.3

P = 0.78

Events by treatment group

As reported in the abstract

Further findings

Median

OutcomeHelmet NIVUsual respiratory supportMedian difference (95% CI)P value
EQ-5D-5L index values (non-survivors assigned 0) · 180 daysModified intention-to-treat0.68 (IQR 0.00–1.00)0.67 (IQR 0.00–1.00)0.00 (- 0.32, 0.32)P = 0.91
EQ-VAS scores (non-survivors assigned 0) · 180 daysModified intention-to-treat70 (IQR 0–93)70 (IQR 0–90)0.00 (- 31.92, 31.92)P = 0.55

Original publication

Long-term outcomes of patients with COVID-19 treated with helmet noninvasive ventilation or usual respiratory support: follow-up study of the Helmet-COVID randomized clinical trial. Intensive Care Med. Published 23 February 2023. doi:10.1007/s00134-023-06981-5

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