Abstracts for the 2017 PHPN Symposium are no longer being accepted.
View the top abstract from the 2015 PHPN Symposium to help you get started on your 2017 submission.
Institutional Implementation of a Collaborative Perioperative Pulmonary Hypertension Management Plan
Pullins E., Maxwell B., Kolb T.
Johns Hopkins University; Baltimore, Md.
To develop and implement a comprehensive, collaborative perioperative management plan for pulmonary hypertension (PH) patients undergoing invasive procedures requiring general anesthesia or moderate sedation.
Multiple studies have demonstrated increased rates of perioperative morbidity and mortality in patients with PH, especially those with pulmonary arterial hypertension (PAH). Despite the associated risks, there are currently no guidelines for perioperative assessment or management in PH patients. As quality of life and survival for PH patients is improved, there will likely be an increase in the number of desired and/or required procedures. We hypothesized that a collaborative approach with experts in cardiac anesthesiology (CA) might improve perioperative planning and outcomes for PH patients.
We have developed a multidisciplinary Perioperative PH Program, designed to facilitate early patient identification, provide medical optimization, and develop multidisciplinary surgical, anesthetic, and post-operative planning and training. Specific interventions included: 1) designation of a specific anesthesiology liaison for all PH patients requiring surgery; 2) expedited referrals to the Johns Hopkins PH Clinic for pre-operative assessment; 3) designated CA support for endoscopy; and 4) educational outreach to the Departments of Medicine, Anesthesia, and Surgery, as well as ICU nursing. The Perioperative PH Program was formally initiated on June 1, 2014. Data from the IRB approved Johns Hopkins PH Registry were reviewed for all patients undergoing endoscopic and surgical procedures at Johns Hopkins between January 2013 and May 2015 to determine whether cardiac anesthesia involvement increased and whether outcomes improved.
During the analysis period, 37 patients underwent 54 procedures requiring anesthesia; half of these procedures were performed prior to implementing the Perioperative PH Program, and half were performed after (n=27 in each cohort). Endoscopic (n=13 both pre- and post- 6/1/2014) and OR cases (n=14 both pre- and post- 6/1/2014) were included. While CA was involved in only 52% of all cases prior to 6/1/14, they were involved in 78% of cases after implementing the program. Among OR cases, CA involvement increased from 64.3% to 92.9%. When outcomes were compared between cases with CA and those without, there was no significant difference in the need for post-procedure hospitalization or subsequent length of stay. However, among perioperative PH patients requiring hospitalization, 30 day readmission rates decreased from 38% to 7% after implementation of the Perioperative PH program.
Implementation of a specific Perioperative PH Program led to increased CA involvement in operative and endoscopic procedures, and may be associated with reduced hospital readmission rates. Further studies are warranted to fully define the benefits of this unique collaborative relationship, and prospective registry data may provide powerful insight to clarify important predictors of perioperative risk in patients with PH.
Before you submit your abstract, make sure it meets these requirements:
Writing an Abstract for Poster Submission
Your audience will be a mixture of new to experienced PH-treating healthcare professionals.
Give enough detail to be clear about your message, yet concise enough to stay within the 500-word limit. Use the active voice and third person (do not use I, you, me or my). It may be helpful to start out with an outline and then fill in the detail as you go. Each component may be answered in a few sentences.
The PH Professional Network (PHPN) Symposium Committee welcomes submissions in all areas of practice. Potential topics may include, but are not limited to:
- Guidelines for specific clinical situations, implementation of a process to improve patient outcomes or innovative use of technology in clinical practice
- Development or implementation of a performance improvement program
- Patient safety initiatives
- Patient satisfaction improvement initiatives
- Identification and implementation of PH educational needs for healthcare professionals
- PH nursing orientation programs, role implementation or development of practice guidelines
Topics are subject to the discretion of the PHPN Symposium Committee and the Pulmonary Hypertension Association. If you have any questions about the appropriateness of your topic, please contact a PHPN abstract mentor by emailing PHPN@PHAssociation.org.
Required components of an abstract:
- The Title is the first chance to capture your readers’ attention so make it interesting with a few key details describing your project.
- The Author Statement lists all significant contributors with their degrees.
- The Purpose (objective) relates why you started the project and helps readers decide if they want to read more.
- Tell why this topic may be of interest to the audience.
- State your hypothesis, research question or objective.
- The Background (significance, scientific merit, interpretation) summarizes what is known about the topic and what the major issues are. Describe the results of your literature review and how they relate to your question. Include other sources of information or expert opinions.
- The Methodology (design, implementation) describes how you went about your research or project. This may include setting, population, sample size, selection criteria and measurement tools.
- Findings (results, outcomes) include what you found and conclusions you made. Briefly state significant findings or performance improvement outcomes. Include qualitative data, quantitative data and any statistical analysis.
- Implications (conclusion) describe the impact of your study on practice, policy, research or education. Summarize what impact your findings may have on current practice and suggest what the next step in research might be.
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Top Five Symposium Abstract Myths (PDF)
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Sample Abstract Poster (PPT)
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Abstract Poster Template (PPT)
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Abstracts from the 2015 PHPN Symposium (PDF)
Read abstracts from the previous Symposium to get an idea of topics and writing.