Martina Spazzapan

ORCID: 0000-0003-1153-5249
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About
Contact & Profiles
Research Areas
  • Diversity and Career in Medicine
  • Cardiac, Anesthesia and Surgical Outcomes
  • Global Health Workforce Issues
  • Dental Education, Practice, Research
  • Abdominal Surgery and Complications
  • COVID-19 and healthcare impacts
  • COVID-19 Clinical Research Studies
  • Enhanced Recovery After Surgery
  • Child and Adolescent Health
  • Bladder and Urothelial Cancer Treatments
  • Urinary and Genital Oncology Studies
  • Medical Education and Admissions
  • Hernia repair and management
  • Healthcare Decision-Making and Restraints
  • Family and Patient Care in Intensive Care Units
  • Prostate Cancer Diagnosis and Treatment
  • Infant Development and Preterm Care
  • Cardiac Valve Diseases and Treatments
  • Surgical Simulation and Training
  • Sepsis Diagnosis and Treatment
  • Patient-Provider Communication in Healthcare
  • Urological Disorders and Treatments
  • Organ Donation and Transplantation
  • Cardiovascular Function and Risk Factors
  • Renal and Vascular Pathologies

Guy's and St Thomas' NHS Foundation Trust
2024-2025

King's College London
2018-2024

King's College School
2018-2024

St. Thomas Hospital
2024

St Thomas' Hospital
2024

King's College Hospital NHS Foundation Trust
2021-2023

King's College Hospital
2023

Princess Royal University Hospital
2021-2022

Whipps Cross University Hospital
2021

Homerton University Hospital NHS Foundation Trust
2021

INTRODUCTION: Chronic Thromboembolic Pulmonary Hypertension (CTEPH) results from progressive thrombotic occlusion of the pulmonary arteries. It is treated by surgical removal occlusion, with success rates depending on degree microvascular remodelling. Surgical eligibility influenced contributions both thrombus and microvasculature remodelling to overall vascular resistance. Assessing this challenging due high inter-individual variability in arterial morphology physiology. We investigated...

10.3389/fphys.2018.00223 article EN cc-by Frontiers in Physiology 2018-03-13

Urology is the fourth largest surgical specialty in UK with just under 1000 practicing consultants [1]. Following 2-year Foundation Programme, doctors wishing to pursue urology training will typically go through two competitive national recruitment processes enter Core Surgical Training (CST) followed by Higher (HST), starting as a Specialty Trainee Year 3 (ST3). In 2022, 2302 applied for 622 CST posts across UK, giving an overall competition ratio of 3.70, and 235 59 ST3 posts, 3.98 [2]....

10.1111/bju.16500 article EN cc-by BJU International 2024-08-05

Aims The aims of this study were to describe the demographic, socioeconomic, and educational factors associated with core surgical trainees (CSTs) who apply receive offers for higher training (ST3) posts in Trauma & Orthopaedics (T&O). Methods Data collected by UK Medical Education Database (UKMED) between 1 January 2014 31 December 2019 used retrospective longitudinal cohort comprising 1,960 CSTs eligible ST3. primary outcome measures whether applied a T&O ST3 post if they...

10.1302/2633-1462.58.bjo-2024-0036.r2 article EN cc-by-nc-nd Bone & Joint Open 2024-08-22

Introduction This project assessed whether the introduction of personalized bedside boards containing nonmedical information about patients in a pediatric intensive care unit (PICU) help provide health professionals (HCPs) better insight each child's personal qualities and preferences thereby improve patient‐centered patient safety. Methods Staff parents children PICU completed questionnaire assessing how well HCPs knew their design for board. The was before after board introduction,...

10.1002/jhrm.21387 article EN Journal of Healthcare Risk Management 2019-08-26

Abstract We report on a 79-year-old male patient who presented with asymptomatic elevation of prostate-specific antigen and concurrent papillary lesion, which raised the suspicion synchronous bladder prostatic malignancies. He underwent trans-perineal prostate biopsy as well transurethral resection tumour, revealed Gleason 9 adenocarcinoma origin. While cancer is possibility, differential diagnosis in presenting lesions neck should include advanced cancer.

10.1093/jscr/rjac275 article EN cc-by-nc Journal of Surgical Case Reports 2022-06-01

Objective To investigate the association between troponin positivity in patients hospitalised with COVID-19 and increased mortality short term. Setting Homerton University Hospital, an inner-city district general hospital East London. Design A single-centre retrospective observational study. Participants All adults admitted swab-proven RT-PCR to Hospital from 4 February 2020 30 April (n=402). Outcome measures We analysed demographic biochemical data collected patient record according primary...

10.1136/bmjopen-2022-061426 article EN cc-by-nc BMJ Open 2022-08-01

Last-minute cancellations in urological surgery are a global issue, resulting the wastage of resources and delays to patient care. In addition non-cessation anticoagulants inadequately treated medical comorbidities, untreated urinary tract infections significant cause last-minute cancellations. This study aimed ascertain whether introduction specialist nurse clinic resulted reduction elective as part our recovery plan following Coronavirus disease 2019, contagious caused by severe acute...

10.1093/intqhc/mzad008 article EN cc-by-nc International Journal for Quality in Health Care 2022-01-01

Abstract Aim The core surgical training (CST) application has changed year-on-year for the past 3-years. 2023 cycle saw inclusion of Multi-Specialty Recruitment Assessment (MSRA) long-listing. Our aim was to assess impact new CST requirements on applicants. Method A questionnaire distributed attendees a preparation course. Demographic data were collected. Likert scale used determine agreement with series statements regarding and MSRA. Respondents also given free text express opinions...

10.1093/bjs/znad258.608 article EN British journal of surgery 2023-08-30

Abstract Aim HoLEP is the preferred technique for management of prostates >80cc in men with lower urinary tract symptoms. While evidence has shown that Low-Power (LP) comparable to High-Power HoLEP, use LP-HoLEP enbloc enucleation large not been demonstrated. We report a prospective series assessing safety and feasibility technique. Method Data was prospectively collected on 105 patients who underwent from 12/02/2020 17/08/2022. A 50W Ho:YAG laser used at 39.6W (2.2J, 18Hz). Prostate...

10.1093/bjs/znad258.743 article EN British journal of surgery 2023-08-30

<h3>Aim</h3> To assess whether the introduction of a board for non-medical information in each bedspace on Paediatric Intensive Care Unit (PICU) can help provide health care professionals (HCPs) with better insight into what those they are like as children not just patients, thereby improving patient-centred care. <h3>Method</h3> A series consultations PICU staff, parents and patients at St Mary's Hospital London led to proposal 'A Bit About Me' layout. This preliminary design was reassessed...

10.1136/leader-2018-fmlm.47 article EN The Poster 2018-11-01

<h3>Aim</h3> To assess whether the introduction of a board for non-medical information in each bedspace on Paediatric Intensive Care Unit (PICU) can help provide health care professionals (HCPs) with better insight into what those they are like as children not just patients, thereby improving patient-centred care. <h3>Method</h3> The 'A Bit About Me' boards were created following series design consultations staff, parents and patients. Chosen headings included were: 'Please call me…', 'Words...

10.1136/archdischild-2019-rcpch.27 article EN 2019-05-01

Competition for Core Surgical Training (CST) is rising, placing a strong emphasis on interview performance. Several courses offer to help candidates secure their chosen surgical job but at premium fees. A group of London-based CSTs started free course offering high-quality mock experiences over 90 applicants in 2022, with the aim providing an accessible opportunity financially disadvantaged candidates. Course completed three sets questionnaires, pre- and post-mock interview, final one upon...

10.7759/cureus.31271 article EN Cureus 2022-11-08

A female patient in her 80s presented with a 2-day history of abdominal pain and absolute constipation, having previously undergone robotic left distal ureterectomy ureteric re-implantation. CT revealed closed-loop small bowel obstruction transition point adjacent to the ureter resultant upstream hydronephrosis. An emergency laparotomy herniation into paraureteric space created by previous surgery defined medially, common iliac vessels laterally mobilised bladder dome anteriorly. The viable...

10.1136/bcr-2022-252356 article EN BMJ Case Reports 2022-12-01

<h3>Introduction</h3> Increased mortality is thought to be associated with an elevated troponin in addition co-morbidities and age. International studies have demonstrated that independent predictor of COVID-19 patients but our knowledge this has not been assessed a UK hospitalised population. We performed single-centre retrospective observational study investigating the association between positivity increased short term. <h3>Methods</h3> All adults admitted swab-proven RT-PCR Homerton...

10.1136/heartjnl-2021-bcs.50 article EN other-oa 2021-06-01

Abstract Objective We performed a single-centre retrospective observational study investigating the association between troponin positivity in patients hospitalised with COVID-19 and increased mortality short term. Methods All adults admitted swab-proven RT-PCR to Homerton University Hospital (HUH) from 04.02.20 30.04.20 were eligible for inclusion. retrospectively analysed demographic biochemical data collected physical electronic patient records according primary outcome of death at 28...

10.1101/2021.12.23.21268005 preprint EN cc-by-nc medRxiv (Cold Spring Harbor Laboratory) 2021-12-23
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