Helmet Non-Invasive Ventilation for COVID-19 Patients (Helmet-COVID): study protocol for a multicentre randomised controlled trial

Introduction Non-invasive ventilation (NIV) delivered by helmet has been used for respiratory support of patients with acute hypoxaemic respiratory failure due to COVID-19 pneumonia. The aim of this study was to compare helmet NIV with usual care versus usual care alone to reduce mortality.Methods a...

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Main Authors: Yaseen M Arabi, Khalid Alghamdi, Eman Al Qasim, Fahad Al-Hameed, Haytham Tlayjeh, Mohammed Almaani, Zohair Al aseri, Sara Aldekhyl, Hasan M Al-Dorzi, Sheryl Ann Abdukahil, Mohammad Khulaif Al Harbi, Husain Al Haji, Mohammed Al Mutairi, Omar Al Zumai, Wedyan Al Wehaibi, Saad Al Qahtani, Jamal Chalabi, Mohammed Alshahrani, Talal Albrahim, Abdulrahman Alharthy, Ahmed Mady, Abdulhadi Bin Eshaq, Ali A Al bshabshe, Zainab Al Duhailib, Ayman Kharaba, Rakan Alqahtani, Adnan Al Ghamdi, Ali Altalag, Haifa Algethamy, Ahmad Al Aqeily, Faisal Al Baseet, Hashem Al Samannoudi, Mohammed Al Obaidi, Yassin T Ismaiel, Abdulrahman A Al-Fares
Format: Article
Language:English
Published: BMJ Publishing Group 2021-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/8/e052169.full
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author Yaseen M Arabi
Khalid Alghamdi
Eman Al Qasim
Fahad Al-Hameed
Haytham Tlayjeh
Mohammed Almaani
Zohair Al aseri
Sara Aldekhyl
Hasan M Al-Dorzi
Sheryl Ann Abdukahil
Mohammad Khulaif Al Harbi
Husain Al Haji
Mohammed Al Mutairi
Omar Al Zumai
Wedyan Al Wehaibi
Saad Al Qahtani
Jamal Chalabi
Mohammed Alshahrani
Talal Albrahim
Abdulrahman Alharthy
Ahmed Mady
Abdulhadi Bin Eshaq
Ali A Al bshabshe
Zainab Al Duhailib
Ayman Kharaba
Rakan Alqahtani
Adnan Al Ghamdi
Ali Altalag
Haifa Algethamy
Ahmad Al Aqeily
Faisal Al Baseet
Hashem Al Samannoudi
Mohammed Al Obaidi
Yassin T Ismaiel
Abdulrahman A Al-Fares
author_facet Yaseen M Arabi
Khalid Alghamdi
Eman Al Qasim
Fahad Al-Hameed
Haytham Tlayjeh
Mohammed Almaani
Zohair Al aseri
Sara Aldekhyl
Hasan M Al-Dorzi
Sheryl Ann Abdukahil
Mohammad Khulaif Al Harbi
Husain Al Haji
Mohammed Al Mutairi
Omar Al Zumai
Wedyan Al Wehaibi
Saad Al Qahtani
Jamal Chalabi
Mohammed Alshahrani
Talal Albrahim
Abdulrahman Alharthy
Ahmed Mady
Abdulhadi Bin Eshaq
Ali A Al bshabshe
Zainab Al Duhailib
Ayman Kharaba
Rakan Alqahtani
Adnan Al Ghamdi
Ali Altalag
Haifa Algethamy
Ahmad Al Aqeily
Faisal Al Baseet
Hashem Al Samannoudi
Mohammed Al Obaidi
Yassin T Ismaiel
Abdulrahman A Al-Fares
author_sort Yaseen M Arabi
collection DOAJ
description Introduction Non-invasive ventilation (NIV) delivered by helmet has been used for respiratory support of patients with acute hypoxaemic respiratory failure due to COVID-19 pneumonia. The aim of this study was to compare helmet NIV with usual care versus usual care alone to reduce mortality.Methods and analysis This is a multicentre, pragmatic, parallel randomised controlled trial that compares helmet NIV with usual care to usual care alone in a 1:1 ratio. A total of 320 patients will be enrolled in this study. The primary outcome is 28-day all-cause mortality. The primary outcome will be compared between the two study groups in the intention-to-treat and per-protocol cohorts. An interim analysis will be conducted for both safety and effectiveness.Ethics and dissemination Approvals are obtained from the institutional review boards of each participating institution. Our findings will be published in peer-reviewed journals and presented at relevant conferences and meetings.Trial registration number NCT04477668.
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spelling doaj-art-4d65b23820e1441ca8076e70005693eb2025-08-20T02:31:02ZengBMJ Publishing GroupBMJ Open2044-60552021-08-0111810.1136/bmjopen-2021-052169Helmet Non-Invasive Ventilation for COVID-19 Patients (Helmet-COVID): study protocol for a multicentre randomised controlled trialYaseen M Arabi0Khalid Alghamdi1Eman Al Qasim2Fahad Al-Hameed3Haytham Tlayjeh4Mohammed Almaani5Zohair Al aseri6Sara Aldekhyl7Hasan M Al-Dorzi8Sheryl Ann Abdukahil9Mohammad Khulaif Al Harbi10Husain Al Haji11Mohammed Al Mutairi12Omar Al Zumai13Wedyan Al Wehaibi14Saad Al Qahtani15Jamal Chalabi16Mohammed Alshahrani17Talal Albrahim18Abdulrahman Alharthy19Ahmed Mady20Abdulhadi Bin Eshaq21Ali A Al bshabshe22Zainab Al Duhailib23Ayman Kharaba24Rakan Alqahtani25Adnan Al Ghamdi26Ali Altalag27Haifa Algethamy28Ahmad Al Aqeily29Faisal Al Baseet30Hashem Al Samannoudi31Mohammed Al Obaidi32Yassin T Ismaiel33Abdulrahman A Al-Fares34College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaIntensive Care Department, King Faisal Specialist Hospital and Research Centre, Jeddah, Saudi ArabiaIntensive Care Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaIntensive Care Department, Ministry of National Guard Health Affairs, Jeddah, Saudi ArabiaIntensive Care Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaDepartment of Pulmonary and Critical Care Medicine, King Fahad Medical City, Riyadh, Saudi ArabiaDepartments of Emergency Medicine and Critical Care, College of Medicine, King Saud University, Riyadh, Saudi ArabiaIntensive Care Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaIntensive Care Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaIntensive Care Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaCollege of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi ArabiaRespiratory Services Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaRespiratory Services Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaRespiratory Services Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaIntensive Care Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaIntensive Care Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaIntensive Care Department, Ministry of National Guard Health Affairs, Al Ahsa, Saudi Arabiaprofessor of critical care and emergency medicineDepartment of Critical Care, Imam Abdulrahman Bin Faisal University, King Fahad Hospital of the University, Al Khobar, Saudi ArabiaIntensive Care Department, King Saud Medical City, Riyadh, Saudi ArabiaIntensive Care Department, King Saud Medical City, Riyadh, Saudi ArabiaIntensive Care Department, King Khalid Hospital Najran, Najran, Saudi ArabiaIntensive Care Department, Aseer Central Hospital, Abha, Saudi Arabiaconsultant intensivistPulmonary and Critical Care Departments, King Fahad Hospital Madinah, Madinah, Saudi ArabiaDepartment of Critical Care Medicine, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, Saudi ArabiaDepartment of Intensive Care Services, Prince Sultan Military Medical City, Riyadh, Saudi ArabiaDepartment of Anesthesia and Critical Care, King Abdulaziz University Hospital, Jeddah, Saudi ArabiaRespiratory Services Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaRespiratory Services Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaRespiratory Services Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaRespiratory Services Department, Ministry of National Guard Health Affairs, Riyadh, Saudi ArabiaRespiratory Services Department, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia17 Departments of Anesthesia, Critical Care Medicine and Pain Medicine, Al-Amiri Hospital, Kuwait City, KuwaitIntroduction Non-invasive ventilation (NIV) delivered by helmet has been used for respiratory support of patients with acute hypoxaemic respiratory failure due to COVID-19 pneumonia. The aim of this study was to compare helmet NIV with usual care versus usual care alone to reduce mortality.Methods and analysis This is a multicentre, pragmatic, parallel randomised controlled trial that compares helmet NIV with usual care to usual care alone in a 1:1 ratio. A total of 320 patients will be enrolled in this study. The primary outcome is 28-day all-cause mortality. The primary outcome will be compared between the two study groups in the intention-to-treat and per-protocol cohorts. An interim analysis will be conducted for both safety and effectiveness.Ethics and dissemination Approvals are obtained from the institutional review boards of each participating institution. Our findings will be published in peer-reviewed journals and presented at relevant conferences and meetings.Trial registration number NCT04477668.https://bmjopen.bmj.com/content/11/8/e052169.full
spellingShingle Yaseen M Arabi
Khalid Alghamdi
Eman Al Qasim
Fahad Al-Hameed
Haytham Tlayjeh
Mohammed Almaani
Zohair Al aseri
Sara Aldekhyl
Hasan M Al-Dorzi
Sheryl Ann Abdukahil
Mohammad Khulaif Al Harbi
Husain Al Haji
Mohammed Al Mutairi
Omar Al Zumai
Wedyan Al Wehaibi
Saad Al Qahtani
Jamal Chalabi
Mohammed Alshahrani
Talal Albrahim
Abdulrahman Alharthy
Ahmed Mady
Abdulhadi Bin Eshaq
Ali A Al bshabshe
Zainab Al Duhailib
Ayman Kharaba
Rakan Alqahtani
Adnan Al Ghamdi
Ali Altalag
Haifa Algethamy
Ahmad Al Aqeily
Faisal Al Baseet
Hashem Al Samannoudi
Mohammed Al Obaidi
Yassin T Ismaiel
Abdulrahman A Al-Fares
Helmet Non-Invasive Ventilation for COVID-19 Patients (Helmet-COVID): study protocol for a multicentre randomised controlled trial
BMJ Open
title Helmet Non-Invasive Ventilation for COVID-19 Patients (Helmet-COVID): study protocol for a multicentre randomised controlled trial
title_full Helmet Non-Invasive Ventilation for COVID-19 Patients (Helmet-COVID): study protocol for a multicentre randomised controlled trial
title_fullStr Helmet Non-Invasive Ventilation for COVID-19 Patients (Helmet-COVID): study protocol for a multicentre randomised controlled trial
title_full_unstemmed Helmet Non-Invasive Ventilation for COVID-19 Patients (Helmet-COVID): study protocol for a multicentre randomised controlled trial
title_short Helmet Non-Invasive Ventilation for COVID-19 Patients (Helmet-COVID): study protocol for a multicentre randomised controlled trial
title_sort helmet non invasive ventilation for covid 19 patients helmet covid study protocol for a multicentre randomised controlled trial
url https://bmjopen.bmj.com/content/11/8/e052169.full
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