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Your search keyword '"Lotto, Robyn R."' showing total 19 results
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19 results on '"Lotto, Robyn R."'

11. Supermarket/Hypermarket Opportunistic Screening for Atrial Fibrillation (SHOPS-AF): A Mixed Methods Feasibility Study Protocol

Author

Jones, Ian D., primary, Lane, Deirdre A., additional, Lotto, Robyn R., additional, Oxborough, David, additional, Neubeck, Lis, additional, Penson, Peter E., additional, Czanner, Gabriela, additional, Shaw, Andy, additional, Johnston Smith, Emma, additional, Santos, Aimeris, additional, McGinn, Emily E., additional, Ajiboye, Aderonke, additional, Town, Nicola, additional, and Lip, Gregory Y. H., additional

Published
2022
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18. Pulmonary air leak associated with CPAP at term birth resuscitation.

Author

Budd, Judith L. S., Draper, Elizabeth S., Lotto, Robyn R., Berry, Laura E., and Smith, Lucy K.

Subjects
PREGNANCY complications, DOWN syndrome, NEONATAL mortality, PERINATAL care, REGRESSION analysis, THERAPEUTICS
Abstract

Objective: The Japan Resuscitation Council (JRC) Guidelines 2010 for neonatal resuscitation introduced continuous positive airway pressure (CPAP) in delivery room. The present study evaluated the effect of CPAP for pulmonary air leak at term birth. Design, setting and patients: This retrospective single-centre study used the data of term neonates who were born without major congenital anomalies at our centre between 2008 and 2009, and between 2011 and 2012. Interventions: Resuscitation according to the JRC Guidelines 2010. Main outcome measures: We examined the association between the JRC Guidelines 2010, CPAP by face mask and pulmonary air leak. Results: A total of 5038 infants were analysed. The frequency of CPAP by face mask increased after the update of the JRC Guidelines in 2010 (1.7% vs 11.1%; p<0.001). Pulmonary air leak increased at early term (37 weeks: 1.0% vs 3.5%, p=0.02; 38 weeks: 0.7% vs 2.2%, p=0.02). While adjusting for confounders, the JRC Guidelines 2010 was associated with pulmonary air leak in early-term neonates (37 weeks: adjusted OR (aOR) 4.37; 95% CI 1.40 to 17.45; 38 weeks: aOR 2.80; 95% CI 1.04 to 8.91), but this association disappeared while adjusting for face mask CPAP additionally (37 weeks: aOR 1.90; 95% CI 0.47 to 8.71; 38 weeks: aOR 1.66; 95% CI 0.54 to 5.77). Conclusions: Following the update of the JRC guidelines on neonatal resuscitation, we observed an increased use of CPAP via face mask, which was associated with a higher prevalence of pulmonary air leak in early-term neonates in our centre. [ABSTRACT FROM AUTHOR]

Published
2015
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19. Abstract WP83: The Challenges Of Stroke Prevention Following Intracerebral Haemorrhage; A Qualitative Study Exploring Physicians’ Decision Making.

Author

Ivany, Elena, Lotto, Robyn R, Lip, Gregory Y, and Lane, Deirdre A

Abstract

Introduction:Initiating long-term oral anticoagulation (OAC) therapy in intracerebral haemorrhage (ICH) survivors who have atrial fibrillation (AF) has clinical equipoise for stroke physicians internationally, given the lack of clinical trial evidence. Understanding how physicians make decisions about stroke prevention in these patients will support and improve current decision-making practice and inform future guidelines.Aim:To explore physicians’ decision-making around prescription of long-term OAC for stroke prevention in patients with AF following an ICH.Methods:Qualitative sub-study of the PREvention of STroke in Intracerebral haemorrhaGE survivors with Atrial Fibrillation (PRESTIGE-AF) trial [NCT NCT03996772]. Semi-structured interviews with data analysed using Framework analysis.Results:Twenty stroke physicians (women n = 6 (30%), consultant in stroke medicine n =10, head of stroke department n = 6, geriatrician working in stroke n = 2, residents in neurology n = 2) across five European countries (Spain, France, Germany, Austria, UK) participated. The overarching theme ‘Managing Uncertainty’ highlights the difficulties faced by physicians. It draws together three sub-themes: ‘Computing the risks’, focusing on how physicians weigh-up the risks and benefits of long-term OAC; ‘The patient perspective’, which considers patients’ experiences and preferences; ‘Making the decision together’, which focuses on issues of communication between physicians and patients.Conclusion:The need to balance risks/benefits in the absence of data from randomised controlled trials and the uncertainty surrounding long-term outcomes of OAC were key challenges for physicians. Physicians rely on past personal clinical experience and collegiate advice to aid decision making. Physicians strive to ensure that patients understand the decision-making process. Future practice should support physicians in communicating clinical uncertainty to patients and encourage patients and physicians to work together to understand individual patients’ needs. Funding:This project has received funding from the European Union’s Horizon 2020 research and innovation programme under Grant Agreement No. 754517.

Published
2022
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