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Application of HARM Score to Measure Surgical Quality and Outcomes in Bariatric Patients
BACKGROUND: The HospitAl stay, Readmission, and Mortality rates (HARM) score is a quality indicator that is easily determined from routine administrative data. However, the HARM score has not yet been applied to patients undergoing bariatric surgery. OBJECTIVE: The aims of the present study were to...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132742/ https://www.ncbi.nlm.nih.gov/pubmed/29704230 http://dx.doi.org/10.1007/s11695-018-3253-5 |
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author | Janik, Michał R. Mustafa, Rami R. Rogula, Tomasz G. Alhaj Saleh, Adel Abbas, Mujjahid Khaitan, Leena |
author_facet | Janik, Michał R. Mustafa, Rami R. Rogula, Tomasz G. Alhaj Saleh, Adel Abbas, Mujjahid Khaitan, Leena |
author_sort | Janik, Michał R. |
collection | PubMed |
description | BACKGROUND: The HospitAl stay, Readmission, and Mortality rates (HARM) score is a quality indicator that is easily determined from routine administrative data. However, the HARM score has not yet been applied to patients undergoing bariatric surgery. OBJECTIVE: The aims of the present study were to adjust the HARM score to the bariatric population and to validate the ability of the modified HARM score to serve as an inexpensive tool to measure the quality of bariatric surgery. METHODS: A MBSAQIP 2015 PUF database was reviewed. For each discharge, a 1 to 10 score was calculated on the basis of length of stay (LOS), discharge status, and 30-day readmissions. We adjusted the LOS categories to the distribution of LOS in the MBSQIP database. The new LOS categories were used to calculate the modified HARM score, referred to as the BARiatric HARM (BAR-HARM) score. The association between HARM and BAR-HARM scores and complication rate was assessed. RESULTS: A total of 197,141 cases were evaluated: 98.8% were elective and 1.2% were emergent admissions. The mean individual patient BAR-HARM score was 1.75 ± 1.04 for elective cases, and 2.02 ± 1.45 for emergency cases. The complication rates for the respective BAR-HARM categories ≤ 2, > 2 to 3, > 3 to 4, and > 4 were 3.95, 27.53, 40.14, and 79.97% (p < 0.001). CONCLUSIONS: The quality of bariatric surgery can be reliably and validly assessed using the BAR-HARM score, which is a modification of the HARM score. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11695-018-3253-5) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6132742 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-61327422018-09-13 Application of HARM Score to Measure Surgical Quality and Outcomes in Bariatric Patients Janik, Michał R. Mustafa, Rami R. Rogula, Tomasz G. Alhaj Saleh, Adel Abbas, Mujjahid Khaitan, Leena Obes Surg Original Contributions BACKGROUND: The HospitAl stay, Readmission, and Mortality rates (HARM) score is a quality indicator that is easily determined from routine administrative data. However, the HARM score has not yet been applied to patients undergoing bariatric surgery. OBJECTIVE: The aims of the present study were to adjust the HARM score to the bariatric population and to validate the ability of the modified HARM score to serve as an inexpensive tool to measure the quality of bariatric surgery. METHODS: A MBSAQIP 2015 PUF database was reviewed. For each discharge, a 1 to 10 score was calculated on the basis of length of stay (LOS), discharge status, and 30-day readmissions. We adjusted the LOS categories to the distribution of LOS in the MBSQIP database. The new LOS categories were used to calculate the modified HARM score, referred to as the BARiatric HARM (BAR-HARM) score. The association between HARM and BAR-HARM scores and complication rate was assessed. RESULTS: A total of 197,141 cases were evaluated: 98.8% were elective and 1.2% were emergent admissions. The mean individual patient BAR-HARM score was 1.75 ± 1.04 for elective cases, and 2.02 ± 1.45 for emergency cases. The complication rates for the respective BAR-HARM categories ≤ 2, > 2 to 3, > 3 to 4, and > 4 were 3.95, 27.53, 40.14, and 79.97% (p < 0.001). CONCLUSIONS: The quality of bariatric surgery can be reliably and validly assessed using the BAR-HARM score, which is a modification of the HARM score. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11695-018-3253-5) contains supplementary material, which is available to authorized users. Springer US 2018-04-27 2018 /pmc/articles/PMC6132742/ /pubmed/29704230 http://dx.doi.org/10.1007/s11695-018-3253-5 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Contributions Janik, Michał R. Mustafa, Rami R. Rogula, Tomasz G. Alhaj Saleh, Adel Abbas, Mujjahid Khaitan, Leena Application of HARM Score to Measure Surgical Quality and Outcomes in Bariatric Patients |
title | Application of HARM Score to Measure Surgical Quality and Outcomes in Bariatric Patients |
title_full | Application of HARM Score to Measure Surgical Quality and Outcomes in Bariatric Patients |
title_fullStr | Application of HARM Score to Measure Surgical Quality and Outcomes in Bariatric Patients |
title_full_unstemmed | Application of HARM Score to Measure Surgical Quality and Outcomes in Bariatric Patients |
title_short | Application of HARM Score to Measure Surgical Quality and Outcomes in Bariatric Patients |
title_sort | application of harm score to measure surgical quality and outcomes in bariatric patients |
topic | Original Contributions |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132742/ https://www.ncbi.nlm.nih.gov/pubmed/29704230 http://dx.doi.org/10.1007/s11695-018-3253-5 |
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