Robert Hatch

[Robert Hatch @dr_rob_hatch]

Unsurprisingly, #COVID19 is no different to other severe acute respiratory infections, the sicker you get, the greater chance of long-term psychological impact.

Highlighting the need to understand and treat long-term sequalae of all critical illnesses!

https://t.co/C2lakKnqiU

[Robert Hatch @dr_rob_hatch]

The variant that contributed to the #uk second wave over christmas 2020 was associated with higher rates of #ICU admissions!

[OxCritCareResearch @KadoorieCentre]

The #secondwave #Covid variant (B.1.1.7) in the #uk was associated with more #ICU admissions and higher mortality. Published in @TheLancetInfDis

https://t.co/ilgwNpptYA

@NDCNOxford @JuliaHCox @wellcometrust @OUHospitals @ICNARC @OxPrimaryCare

[OxCritCareResearch @KadoorieCentre]

New international study will help improve diagnosis of illnesses affecting blood pressure in pregnancy.

Funded by @gatesfoundation and @OxfordBRC
https://t.co/TShp2j71cZ
@NDCNOxford

[OxCritCareResearch @KadoorieCentre]

Many thanks to our funders @wellcometrust @DHSCgovuk @OxfordBRC and our collaborators @OUHospitals @QAHospitalNews @icu_portsmouth @NDCNOxford @oxengsci @portsmouthuni ! We are exicited about the future of HAVEN!

[Robert Hatch @dr_rob_hatch]

Great to see the HAVEN model published! A great testament to the amount of work that went into creating the research database, training/validating the algorithm and building the real-time clinical system.
Looking forward to @RBNHSFT and @LancsHospitals joining the HAVEN family!

[OxCritCareResearch @KadoorieCentre]

#MachineLearning reliably detects patients at risk of cardiac arrest and emergency #ICU admission, without increasing #clinical workload.
Validated using #BigData from large #NHS hospitals thanks
@OUHospitals @QAHospitalNews !
https://t.co/pS8ssNpLbS

[Robert Hatch @dr_rob_hatch]

A great reminder than critical illness does not stop at ICU discharge! A great bit of collaboration with
@OUHospitals @ICU_Reading and @nhsuhcw. Well done!

[OxCritCareResearch @KadoorieCentre]

The REFLECT study: #icu survivors experience a high rate of avoidable problems that contribute to their death post #CriticalCare

Addressing multi-disciplinary problems in post-ICU ward care could improve #outcome and experience

https://t.co/NzrNxhHJB1
@NDCNOxford @NIHRcommunity

[Robert Hatch @dr_rob_hatch]

Postal questionnaire identifies undiagnosed #PTSD, #anxiety & #depression post critical illness and #ICU discharge. When alerted to severe symptoms GPs treat 27% and surveil 18% in those without a prior diagnosis.

@NDCNOxford @OxfordBRC @CritCareReviews
https://t.co/0HHToRuPLA

[Robert Hatch @dr_rob_hatch]

Excited to share our study that used #EHR data to study the manner in which patients suffering from #COVID19 deteriorate in hospital, resulting in them requiring #ICU.

[OxCritCareResearch @KadoorieCentre]

Physiological trajectories in patients with #COVID19 show a quicker deterioration than seen in other viral pneumonias, with higher oxygen requirements to maintain SpO2 (sats) and only minor abnormalities in other vital signs.

https://t.co/nzn3YjHHNd

@NDCNOxford @OxEngineering

[OxCritCareResearch @KadoorieCentre]

Physiological trajectories in patients with #COVID19 show a quicker deterioration than seen in other viral pneumonias, with higher oxygen requirements to maintain SpO2 (sats) and only minor abnormalities in other vital signs.

https://t.co/nzn3YjHHNd

@NDCNOxford @OxEngineering

[Robert Hatch @dr_rob_hatch]

Thanks @ICU_Reading for collaborating!

[Jon Bedford @JonBedford]

Even brief periods of new-onset atrial fibrillation during an ICU stay are independently associated with hospital mortality
https://t.co/TO9DtkH8m3

@KadoorieCentre @dr_rob_hatch @IanRechner

[Robert Hatch @dr_rob_hatch]

Great use of EHR data to dispel yet another piece of #COVID19 misinformation/speculation/fear. If #COVID has taught us anything, we need to stick to the science (and not get our medicine from twitter alone😉)

[OxCritCareResearch @KadoorieCentre]

Our 8 million patient #COVID cohort study demonstrates that ACE inhibitors and ARB drugs are associated with reduced risk of hospitalisation but unchanged risk of #ICU admission once hospitalised. Collaboration with @ICNARC & @JuliaHCox
https://t.co/rg2zO3VHcT
@OxfordBRC @BBCNews

[Robert Hatch @dr_rob_hatch]

Important work from @NDCNOxford and @CSMOxford. Congratulations!

[OxCritCareResearch @KadoorieCentre]

Our systematic review of Early Warning Scores studies is published today in @bmj_latest.

The quality of methods and reporting is often inadequate, and we should be cautious about using them in clinical practice. https://t.co/SmOB0Tkpty

@CSMOxford @GSCollins @NIHRresearch

[Robert Hatch @dr_rob_hatch]

Another great use of large amounts of routinely collected electronic health care data #EHR, challenging previously held beliefs about the consequences of #ICU following critical illness. Congratulations @MiraeHarford @KadoorieCentre

[OxCritCareResearch @KadoorieCentre]

A new, large retrospective cohort study funded by @OxfordBRC finds that, contrary to previous evidence, admission to #ICU is associated with a depressed but detectable circadian rhythm upon discharge. https://t.co/HaFIA6mEhR
@NDCNOxford @OxEngineering

[Robert Hatch @dr_rob_hatch]

Excellent opportunity to use large amounts of routinely collected health care data to study the genuine risk factors associated with #COVID and disprove some of the fiction. This sort of data is a great strength of the @NHS / #uk and could genuinely help patients.

[OxCritCareResearch @KadoorieCentre]

We are delighted to announce an important collaboration between @ICNARC, https://t.co/7HjPMK7poI and ourselves linking #ICU and #primarycare data for patients with #COVIDー19, studying effects of comorbidities and routine drugs on outcome.
@NDCNOxford @OxPrimaryCare @juliahcox

[Robert Hatch @dr_rob_hatch]

@ben_millette @avkwong @Gas_Craic @PARADicmSHIFT @iceman_ex @strachanjamie @hughgifford @bryan_reidy @Wilkinsonjonny @WhistlingDixie4 @aroradrn @ICS_updates @matthewjrowland Thanks both, complex problem and definitely worth further discussion. Referrals are closely associated with EWS and local practice. Our digital system gives us a greater understanding of the problem. Look out for future publications! Ping @JMalycha

[Robert Hatch @dr_rob_hatch]

Great use of data to challenge some long held views on what constitutes `normal` during pregnancy!

[OxCritCareResearch @KadoorieCentre]

We are excited to share this study of vital signs in #pregnancy. We refute the existence of a clinically significant #bp drop from 12 weeks of #gestation, facilitating earlier recognition of unwell #pregnant #women

https://t.co/tnc8aSjQvA
@NDCNOxford @OxfordBRC @CSMOxford

[Robert Hatch @dr_rob_hatch]

Exciting glance into the future of monitoring in the ICU!

[OxCritCareResearch @KadoorieCentre]

We are excited to share this paper applying multi-task #deeplearning algorithms to monitor heart and respiratory rate in #preterm #infants in the #neonatal #ICU using only video!
https://t.co/a5R9sZa0SV

@wellcometrust @EPSRC @NDCNOxford @OxfordBRC @oxengsci

[Robert Hatch @dr_rob_hatch]

Congratulations @JodyEdeOx and team!

[Dr Jody Ede @JodyEdeOx]

Excited to present our paper describing escalation of care in the acute ward setting. Recognition of deterioration may not be as problematic as re-escalating abnormal NEWS scores @sarah_vollam @KadoorieCentre @OxCritCare

https://t.co/26yjkSzo01

[Robert Hatch @dr_rob_hatch]

Great to see outcomes other than death being properly discussed with reference to this devastating condition

[𝚌𝚑𝚛𝚒𝚜 𝚊𝚗𝚍𝚎𝚛𝚜𝚎𝚗 @chrisando1]

Asking all stakeholders - 𝙞𝙣𝙘𝙡𝙪𝙙𝙞𝙣𝙜 𝙥𝙖𝙩𝙞𝙚𝙣𝙩𝙨 - what outcomes measures are most important improves research

#CoreOutcomeSets #SAH #PROM

@COMETinitiative @OMERACT @NINDSnews @TheLancetNeuro @neurocritical @KadoorieCentre @NDCNOxford

https://t.co/zKsYPc7Eth

[Robert Hatch @dr_rob_hatch]

Great to see the important and cutting edge work by Prof Watkinson and the HAVEN team based at @KadoorieCentre and being discussed in an open forum.

Getting to the right patient at the right time has never been more important to intensivists and outreach teams.
@wellcometrust