Updated chart of probable hospital-acquired COVID-19
(diagnosed over 7 days after hospital admission)

English Acute Trusts with over 300 total cases since August 2020

Can we share learning points from the Trusts near the bottom? Image
Updated chart (data to 31st Jan 21)

Probable hospital acquired COVID-19 (diagnosed >7 days after admission).
English Acute Trusts with over 300 cases since August 2020

Chart shows percentage of cases that are probable HAI, and total case numbers. Image
As requested by @elinlowri - were busier trusts worse?

(divided total cases by acute overnight beds open September 2020)

Answer appears to be the opposite (though frankly it's a pretty poor correlation and looks strongly affected by a few outliers)

1/ Image
The fact any correlation seems to be driven by the *very* busy trusts supports @MarkGregsonPara 's point that - if trusts were totally full of Covid-19 patients there wouldn't be any room for HAI as everyone already has it!

2/
Major flaw with this is that it's using total cases over the Aug-Jan period without differentiating hospitals that were hit in big spikes versus hospitals that had a more steady demand.

n/
New data (to 7th Feb 21)

I've restricted this to the last 28 days for comparison with @ChrisMusson looking at this in Scotland, and to show trusts making changes.

Probable hospital-acquired COVID-19, English Acute Trusts with over 40 cases in the 28 day period. Probable HAI ranging from n...
Total COVID-19 cases admitted to English Acute Trusts for the 28 day period: 74,475

Total cases diagnosed day 8 or beyond (ie probably hospital-acquired): 8,974

HAI rate of 12% of cases

Period 10th Jan 2021 to 7th Feb 2021

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More from @LawtonTri

11 Jan
A quick thread on running in masks

I should start by saying I'm not advocating for masks outside; but like all good scientists I reserve the right to change my opinion.

However there are rumours UK rules may change, and I've done this before...

1/

yorkshireeveningpost.co.uk/health/coronav…
So after being tagged in some discussions I ran home today testing three different masks to remind myself of my original run (which was in a "nan's curtains" 3-layer cloth mask)

But first a few tips on masked running:

2/
It feels weird at first. It restricts flow to a degree and can reduce top speed.
However, it does not drop your oxygen levels!

It helps to breathe in more slowly (ie change breathing pattern to in slow, out quick) so you can still take deep breaths.

Start slow and build up.

3/
Read 10 tweets
4 May 20
There is an urban myth in anaesthesia about August Bier, his assistant Hildebrandt, and the invention of spinal anaesthesia. We were having a giggle about it on Covid ICU this weekend – but it turns out the truth is so much better:

(a thread, edited from the paper) (1/n)
At 7:38 p.m. I injected 0.5 cc. of a 1 per cent solution of cocaine. This resulted in Hildebrandt experiencing a feeling of warmth in both legs.

After 7 minutes: Needle pricks in the thigh were perceived as pressure; tickling of the the sole of the foot was barely felt. (2/n)
After 8 minutes: A small incision in the skin of the thigh was felt as pressure; introduction of a large, blunt, curved needle into the soft tissues of the thigh produced no pain at all.

(7 minutes is how we often check. 8 is a reasonable test of anaesthesia) (3/n)
Read 19 tweets

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