Application of HARM Score to Measure Surgical Quality and Outcomes in Bariatric Patients

• DOI: 10.1007/s11695-018-3253-5
• Publication Date: 2018-04-27T05:29:43Z
• Authors: Michał R. Janik; Rami R. Mustafa; Tomasz G. Rogula; Adel Alhaj Saleh; Mujjahid Abbas; Leena Khaitan
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Original Contributions; Bariatric Surgery; Humans; Length of Stay; Patient Readmission; Obesity, Morbid; Quality of Health Care; Retrospective Studies; 3. Good health

The HospitAl stay, Readmission, and Mortality rates (HARM) score is a quality indicator that easily determined from routine administrative data. However, the HARM has not yet been applied to patients undergoing bariatric surgery. aims of present study were adjust population validate ability modified serve as an inexpensive tool measure A MBSAQIP 2015 PUF database was reviewed. For each discharge, 1 10 calculated on basis length stay (LOS), discharge status, 30-day readmissions. We adjusted LOS categories distribution in MBSQIP database. new used calculate score, referred BARiatric (BAR-HARM) score. association between BAR-HARM scores complication rate assessed. total 197,141 cases evaluated: 98.8% elective 1.2% emergent admissions. mean individual patient 1.75 ± 1.04 for cases, 2.02 1.45 emergency cases. respective ≤ 2, > 2 3, 3 4, 4 3.95, 27.53, 40.14, 79.97% (p < 0.001). surgery can be reliably validly assessed using which modification