Volume : VIII, Issue : VI, June - 2019

HARM Score and its role in measuring the quality of colorectal cancer surgeries.

Sadaf Ali, Sajad Sultan Lone, Mohammad Yousuf Dar, Manzoor A Raina, Abdul Hameed Raina, Abdul Waheed Mir, Rouf A Wani

Abstract :

Background: Various Scoring system are there to measure the quality of life after any surgery .One such system is HARM Score( Hospital stay, Readmission, and Mortality) . MATERIALS AND METHODS: Scores are assigned to individual patients based on the length of hospital stay, any re–admission for complications, and hospital mortality.. Scores thus obtained are correlated with the observed complication rates obtained from patient follow up. Results: A total of 84 colectomy patients from our hospital were evaluated – The hospital–level mean HARM score was 3.6667 (SD=0.70) for emergent and 4.77 (SD = 0.67) for elective cases. Spearman’s correlation coefficients for the mean hospital–level HARM score and the complication rate were 0.62 (P < 0.01) for emergent cases (significant) and 0.09 (p value=0.483) for elective cases (not significant). The complication rates for patients correlated well with respective HARM Scores i.e. patients with higher HARM Scores had higher complication rates and those with lower Score had less number of complications only in case of patients with emergent mode of admission (Spearman’s Correlation Coefficient = 0.62, P Value< 0.01 CONCLUSIONS: HARM Score values correlate well with the complication rates both for elective and emergent cases. However only in the emergent group the correlation is statistically significant. Therefore, using the HARM score may decrease the cost and administrative burden of quality measurement while providing actionable signals for improvement.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

HARM SCORE AND ITS ROLE IN MEASURING THE QUALITY OF COLORECTAL CANCER SURGERIES., Sadaf Ali, Sajad Sultan Lone, Mohammad Yousuf Dar, Manzoor A Raina, Abdul Hameed Raina, Abdul Waheed Mir, Rouf A wani INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-6 | June-2019

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