Dr Robyn Lotto
Nursing and Advanced Practice
Faculty of Health
Email: R.R.Lotto@ljmu.ac.uk
Telephone: 0151 231 4435
ORCID
Robyn has worked in healthcare for over thirty years; in a clinical capacity, as a nurse, specialising in cardiothoracic nursing, and subsequently in the research setting. She has a Masters in Health Sciences from Newcastle University, where she undertook a quantitative study examining variations in clinical practice within the Primary Care setting. Following a period working at the University of Leicester’s Cardiovascular Biomedical Research Unit, she was awarded a joint grant by SAPPHIRE (Social Science Applied to Healthcare Improvement Research) and TIMMS (The Infant Mortality and Morbidity Studies) research groups to undertake a PhD exploring reasons for the observed variations in neonatal and infant mortality between socioeconomic groups. She was awarded a Florence Nightingale Fellowship in 2016/2017 to support her work into risk perception in congenital cardiac surgery. She is currently a Reader/Associate Professor at Liverpool's John Moores University.
Her broad research interests include:
Cardiovascular care
Health inequalities
Variations in clinical practice
Patient and Public Involvement
Degrees
2018, Liverpool John Moores University, United Kingdom, PGCert Learning and Teaching in Higher Education
2017, University of Portsmouth, Portsmouth, United Kingdom, PGCert in Cochrane Systematic Reviews and Meta Analysis
2015, University of Leicester, United Kingdom, PhD
2006, Newcastle University, United Kingdom, MSc, Health Sciences
2003, University of Southampton, United Kingdom, BA hons, Nursing
1994, City University London, United Kingdom, Registered Nurse - Adult
Academic appointments
Reader in Cardiovascular Care, Liverpool John Moores University, 2022 - present
Journal article
Ivany E, Lotto R, Lane D. 2025. Patients’ views on stroke prevention for atrial fibrillation after an intracerebral haemorrhage: A qualitative study European Journal of Cardiovascular Nursing, :1-7 DOI Author Url Publisher Url Public Url
Lotto R, Mercer J, Morgan D. 2024. A qualitative exploration of the views of paramedics regarding the use of dark humour British Paramedic Journal, 9 :37-43 DOI Author Url Publisher Url Public Url
Ortega-Martorell S, Olier I, Lip GYH. 2024. A European network to develop virtual twin technology for personalized stroke management in atrial fibrillation: the TARGET consortium European Heart Journal, DOI Author Url Publisher Url Public Url
Rooney N, Lotto R. 2024. Student nurses’ experiences of restraint – a qualitative study British Journal of Mental Health Nursing, 13 DOI Publisher Url Public Url
McCunnell L, Vann M, Lotto R. 2024. Experiences of known bystanders during out-of-hospital cardiac arrest: a scoping review and narrative synthesis British Journal of Cardiac Nursing, DOI Publisher Url Public Url
Bellfield RAA, Olier I, Lotto R, Jones ID, Dawson EA, Li G, Tuladhar AM, Lip GYH, Ortega-Martorell S. 2024. AI-based derivation of atrial fibrillation phenotypes in the general and critical care populations eBioMedicine, 107 DOI Author Url Publisher Url Public Url
Jones ID, Lane DA, Lotto R, Oxborough D, Neubeck L, Penson P, Johnston Smith E, Santos A, McGinn EE, Ajiboye A, Town N, Czanner G, Shaw A, El-Masr H, Lip GYH. 2024. Supermarket/Hypermarket Opportunistic Screening for Atrial Fibrillation (SHOPS-AF) using sensors embedded in the handles of supermarket trolleys: A feasibility study American Heart Journal, 271 :164-177 DOI Author Url Publisher Url Public Url
Wafa HA, Marshall I, Wolfe CDA, Xie W, Johnson CO, Veltkamp R, Wang Y, Harvey KH, Korompoki E, D'Anna L, Halse O, Harvey ER, Hügen K, Malzahn U, Ullmann S, Schuhmann C, Todd GP, Brinz H, Fiessler C, Heuschmann PU, Haas K, Rücker V, Enzinger C, Ropele S, Pinter D, Haidegger M, Gattringer T, Fandler-Höfler S, Montaner J, Palà E, Penalba A, Vallverdu ML, Pilco DG, Debette S, Sibon I, Renou P, Lachaize M, Milan L, Heyvang N, Ledure S, Michel P, Conhoc J, Donnadieu L, Hyves K, Caso V, Mosconi MG, Graziani M, Cancelloni V, Marchini L, Koehler BE, Nielsen PB, Larsen TB, Lip GYH, Horstmann S, Purrucker J, Ringleb P, Haffa M, Klein S, Taylor L, Hoppe-Tichy T, Haefeli WE, Seidling HM, Burhenne J, Foerster KI, Wurmbach V, Marquart C, Lane DA, Ivany E, Lotto R. 2024. Burden of intracerebral haemorrhage in Europe: forecasting incidence and mortality between 2019 and 2050 The Lancet Regional Health - Europe, 38 DOI Author Url Publisher Url Public Url
Leo DG, Islam U, Lotto RR, Lotto A, Lane DA. 2023. Psychological interventions for depression in adolescent and adult congenital heart disease Cochrane Database of Systematic Reviews, 2023 :CD004372 DOI Author Url Publisher Url
Maxwell C, Hudson T, Lotto R. 2023. Key changes in the cardiovascular system during uncomplicated pregnancy, birth and the postnatal period: an overview British Journal of Cardiac Nursing, 18 :1-4 DOI Publisher Url Public Url
Lotto R, Jones H, Lotto A, Finnigan L. 2023. Cerebral Blood Flow Velocity and Oxygenation in Neonatal Aortic Arch Repair at Two Perfusion Temperatures European Journal of Cardio-Thoracic Surgery, DOI Author Url Publisher Url Public Url
Ashry A, Lotto R, Moran D, Lotto A. 2023. VSD exposure by tricuspid valve chordal detachment - a retrospective matched study World Journal for Pediatric and Congenital Heart Surgery, DOI Author Url Publisher Url Public Url
Adamova P, Lotto RR, Powell AK, Dykes IM. 2022. Are there foetal extracellular vesicles in maternal blood? Prospects for diagnostic biomarker discovery Journal of Molecular Medicine, DOI Author Url Publisher Url Public Url
Leo D, Lane D, Riley M, Lotto AA, Lotto R. 2022. Facilitators and Barriers of Physical Activity Participation in Children with a Single Ventricle Physiology: a Mixed Methods Study Cardiology in the Young, DOI Author Url Publisher Url Public Url
Bladen S, Brooks JC, Gray N, Tunstall C, Lotto R. 2022. Nurturing the next generation: a reflection on the BANCC conference by student attendees British Journal of Cardiac Nursing, 17 :1-3 DOI Publisher Url
Ivany E, Ritchie L, Lip GYH, Lotto R, Werring D, Lane DA. 2022. Effectiveness and safety of antithrombotic medication in patients with atrial fibrillation and intracranial haemorrhage: systematic review and meta-analysis Stroke, 53 :3035-3046 DOI Author Url Publisher Url Public Url
Ashley A, Sutton E, MacKinnon H, Lotto R. 2022. Challenges and opportunities in delivering multi-institutional and multi-professional research placements British Journal of Cardiac Nursing, 17 :1-4 DOI Publisher Url
Morrell-Scott NE, Lotto RR, Spencer E, Grant M, Penson P, Jones ID. 2022. Risk factors for post sternotomy wound complications across the patient journey: a systematised review of the literature Heart and Lung: the journal of acute and critical care, 55 :89-101 DOI Author Url Publisher Url Public Url
Jones ID, Lane DA, Lotto RR, Oxborough D, Neubeck L, Penson PE, Czanner G, Shaw A, Johnston-Smith E, Santos A, McGinn EE, Ajiboye A, Town N, Lip GYH. 2022. Supermarket/Hypermarket Opportunistic Screening for Atrial Fibrillation (SHOPS-AF): A Mixed Methods Feasibility Study Protocol Journal of Personalized Medicine, 12 DOI Author Url Publisher Url Public Url
Ivany E, Lotto RR, Lip GYH, Lane D. 2022. Managing uncertainty: Physicians’ decision-making for stroke prevention for patients with atrial fibrillation and intracerebral haemorrhage. Thrombosis and Haemostasis, DOI Author Url Publisher Url Public Url
Lotto RR, Seaton S, Griffiths L. 2022. Caring For Patients With Congenital Heart Disease – A Nationwide Survey Of Nurses' Educational Needs British Journal of Cardiac Nursing, 17 DOI Publisher Url Public Url
Lotto RR, Jones ID, Newson LM. 2022. An Exploration of the Experiences of South Asian Patients as they Navigate the Cardiac Rehabilitation Journey. British Journal of Cardiac Nursing, DOI Publisher Url Public Url
Lotto R. 2021. A Qualitative Study Exploring Risk Perception in Congenital Cardiac Surgery: The Perspective of UK Surgeons Abstracts of the Joint Meeting of the European Congenital Heart Surgeons Association and the World Society for Pediatric and Congenital Heart Surgery, Sofia, Bulgaria,, 32 DOI Author Url Publisher Url Public Url
Lees C, Lotto R, Hutchison T, White A. 2020. How student paramedics navigate a changing UK healthcare landscape International Paramedic Practice, 10 DOI Publisher Url Public Url
Paton A, Armstrong N, Smith L, Lotto R. 2020. Parents’ decision-making following diagnosis of a severe congenital anomaly in pregnancy: practical, theoretical and ethical tensions Social Science and Medicine, DOI Author Url Publisher Url Public Url
Grant M, Lotto RR, Jones ID. 2020. What we can learn from elite academic staff publication portfolios: a social network analysis Aslib Journal of Information Management, 72 :605-624 DOI Author Url Publisher Url Public Url
Lotto RR, Jones ID, Guerrero R, Dhannapuneni R, Lotto AA. 2019. Congenital cardiac surgery and parental perception of risk: a qualitative study Cardiology in the Young, 29 :1361-1367 DOI Author Url Publisher Url Public Url
Lotto R, Jones I, Seaton SE, Dhannapuneni R, Guerrero R, Lotto A. 2019. Congenital Cardiac Surgery and Parental Perception of Risk: A Quantitative Analysis World Journal for Pediatric and Congenital Heart Surgery, 10 :669-677 DOI Author Url Publisher Url Public Url
Hutchison T, Lees C, Lotto R, White A, Harris R. 2019. Clinical decision making in paramedic practice. A qualitative study exploring the challenges of responding to mental health needs. Journal of Paramedic Practice, 11 DOI Publisher Url Public Url
Peace A, Pinna V, Timmen F, Speretta G, Jones H, Lotto RR, Jones IS, Thijssen DHJ. 2019. Role of blood pressure in mediating carotid artery dilation in response to sympathetic stimulation in healthy, middle-aged individuals American Journal of Hypertension, DOI Author Url Publisher Url Public Url
Morley HP, Lotto RR. 2019. An exploration of student nurses’ views of oral health care in the hospitalised child: A qualitative study Nurse Education in Practice, DOI Author Url Publisher Url Public Url
Lotto RR. 2018. Post-graduate students' perception of research ethics training: a qualitative study Innovations in Practice, 12 :24-33 Publisher Url Public Url
Lotto RR, Smith LK, Armstrong NA. 2018. Diagnosis of a severe congenital anomaly: a qualitative analysis of parental decision-making and the implications for healthcare encounters. Health Expectations, 21 :678-684 DOI Author Url Publisher Url Public Url
Lotto RR, Smith LK, Armstrong N. 2017. Clinicians’ perspectives of parental decision-making following diagnosis of a severe congenital anomaly: a qualitative study. BMJ Open, 7 DOI Author Url Publisher Url Public Url
Lotto RR, Armstrong N, Smith LK. 2016. Care provision during termination of pregnancy following diagnosis of a severe congenital anomaly – a qualitative study of what is important to parents. Midwifery, 43 :14-20 DOI Author Url Publisher Url Public Url
Budd JLS, Draper ES, Lotto RR, Berry LE, Smith LK. 2015. Socioeconomic inequalities in pregnancy outcome associated with Down syndrome: a population-based study Archives of Disease in Childhood. Fetal and Neonatal Edition, 100 :F400-F404 DOI Author Url Publisher Url Public Url
Lotto R, Williams J. 2012. Cervical screening time for a review? Journal of Community Nursing, 26
Lotto R. A Call to Arms: Cardiac Rehabilitation Prescription Programmes Following Congenital Cardiac Surgery European Journal of Cardiovascular Nursing, DOI Author Url Publisher Url
Editorial/letter to the editor
Vann M, McCunnell L, Lotto R. 2024. Supporting bystanders who perform cardiopulmonary resuscitation in the community British Journal of Cardiac Nursing, 19 :1-3 DOI Publisher Url
Lotto R, Thomet C. 2022. Emerging adulthood - The ageing problem of congenital heart disease Nursing in Critical Care, 27 :145-147 DOI Author Url Publisher Url
Lotto RR. 2018. Nurses drive the evolution of non-medical prescribing British Journal of Cardiac Nursing, 13 :266-277 DOI Publisher Url
Poster
Adamova P, Lotto R, Powell A, Dykes I. 2022. Are there foetal extracellular vesicles in maternal blood? Prospects for diagnostic biomarker discovery UK EV Forum 2023, Fitzwilliam College, Cambridge
Adamova P, Lotto R, Powell A, Dykes I. 2022. Development of a non-invasive maternal blood test for congenital heart disease, Maternal Health Research Conference, Edge Hill University, Ormskirk
Conference publication
Stanley S, Higginbotham K, Nwosu AC, Lotto R. 2022. P-68 Views and experiences of palliative care healthcare professionals of supporting patients to manage digital legacy as part of advance care planning Poster Presentations, Finding a Way Forward, Hospice UK National Conference, 22–24 November 2022, Glasgow :A35.2-A36 DOI Publisher Url
Ivany E, Lotto RR, Lip G, Lane DA. 2022. PREVENTING STROKE IN PATIENTS WITH ATRIAL FIBRILLATION AND INTRACEREBRAL HAEMORRHAGE: A QUALITATIVE STUDY OF PHYSICIANS' DECISION-MAKING HEART, 108 :A57-A58 DOI Publisher Url
Griffiths L, Seaton S, Lotto R. 2021. Caring for patients with a congenital heart defect: a national survey of the educational needs of nurses EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 20 :94-94 DOI Author Url Publisher Url
Lotto R. 2019. Abstracts of the Joint Meeting of the European Congenital Heart Surgeons Association and the World Society for Pediatric and Congenital Heart Surgery, Sofia, Bulgaria, June 20 to 22, 2019 https://doi.org/10.1177/2150135119869003, World Society for Pediatric and Congenital Heart Surgery, Publisher Url
Morrell-Scott N, Grant M, Jones I, Lotto R. 2019. Patient and Carer experiences of sternal wounds- post sternotomy. EuroHeartCare 2019
Lotto R, Smith K, Jones I, Griffiths L, Jenkins P, Lotto A. 2019. Patient perspectives of the impact of Adult Congenital Services reconfiguration in the UK: a qualitative study EuroheartCare
Rees J, Jones I, Lotto R, Watson P. 2018. Cardiomyopathy: exploring clinicians' and patients' experiences of diagnosis EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 17 :27-27 Author Url
Lotto RR, Jones ID, Lotto A. 2018. Parental perceptions of good care following congenital cardiac surgery, a qualitative study EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 17 :63-64 Author Url
Brown P, Marsh AM, Lotto R, Peers C, Grundy B, Jeilan M, Ng GA. 2012. A new algorithm to assess cardiac performance in heart failure patients: the Bodyguard device EUROPEAN HEART JOURNAL, Congress of the European-Society-of-Cardiology (ESC) 33 :167-167 Author Url
Morrell-Scott NE, Jones I, Lotto R, Kinsey L, Grant M, Papworth A, Muir A. Developing a sternal wound support device for those at risk of wound breakdown following cardiac surgery Liverpool John Moores University, Faculty of Education, Health and Community Research Conference
Lotto R, Smith L, Armstrong N. Balancing autonomy and involvement: The role of the father in decision-making following diagnosis of a severe fetal anomaly, a qualitative study World Congress of Paediatric Cardiac Surgery and Cardiology
Chapters
Lotto R, Harky A, Lotto AA. 2022. Quality of Life and Patient Reported Outcomes in Paediatric Cardiac Surgery Patients Darzi A. Patient Reported Outcomes and Quality of Life in Cardiovascular Interventions Springer, Cham DOI Author Url Publisher Url Public Url
Nicholoson C, Hassan S, Lotto RR, Kucia A. 2022. Structural Heart Disease Cardiac care: a practical guide for nurses Wiley and Sons DOI Publisher Url Public Url
Lotto ROBYN, Nicholson C, Hassan S, Kucia A. 2022. Congenital Heart Disease Cardiac care: a practical guide for nurses :372-394 Wiley and Son 978-1-119-11780-3 DOI Publisher Url Public Url
Hassan S, Nicholson C, Lotto R, Kucia AM. 2022. Heart Failure Cardiac Care :341-371 Wiley DOI
Lotto R, Nicholson C, Hassan S. Heart Failure DOI Publisher Url
Other
Lotto R. 2022. Adult congenital heart disease – education and preparation of nurses British Journal of Cardiac Nursing, 17 DOI Author Url Publisher Url
Ivany E, Lotto RR, Lip GY, Lane DA. 2022. Abstract WP83: The Challenges Of Stroke Prevention Following Intracerebral Haemorrhage; A Qualitative Study Exploring Physicians’ Decision Making. Stroke, 53 DOI Publisher Url
Editorial boards:
European Journal of Cardiac Nursing, Editorial board. 2022
British Journal of Cardiac Nursing, Editorial Board. 2018
External committees:
BANCC, British Association for Nursing in Cardiovascular Care, Council Officer. 2021
Other Professional Activity:
University Research Ethics Committee.