Cristin-resultat-ID: 1854990
Sist endret: 16. februar 2021, 09:43
NVI-rapporteringsår: 2020
Resultat
Vitenskapelig artikkel
2020

Benchmarking of abdominal surgery: a study evaluating the HARM score in a European national cohort

Bidragsytere:
  • Jon Helgeland
  • Katrine Damgaard Skyrud
  • Anne Karin Lindahl
  • Deborah S. Keller og
  • Knut Magne Augestad

Tidsskrift

BJS Open
ISSN 2474-9842
e-ISSN 2474-9842
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2020
Volum: 4
Hefte: 4
Sider: 637 - 644
Open Access

Importkilder

Scopus-ID: 2-s2.0-85096202905

Beskrivelse Beskrivelse

Tittel

Benchmarking of abdominal surgery: a study evaluating the HARM score in a European national cohort

Sammendrag

Background:Reliable, easily accessible metrics of surgical quality are currently lacking. The HARM(HospitAl length of stay, Readmission and Mortality) score is a composite measure that has been validatedacross diverse surgical cohorts. The aim of this study was to validate the HARM score in a nationalpopulation of patients undergoing abdominal surgery.Methods:Data on all abdominal surgery in Norwegian hospitals from 2011 to 2017 were obtainedfrom the Norwegian Patient Registry. Readmissions and 30-day postoperative complications as well asdeaths in and out of hospital were evaluated. The HARM scoring algorithm was tested after adjustmentby establishing a newly proposed length of stay score. The correlation between the HARM score andcomplications, as well as the ability of aggregated HARM scores to discriminate between hospitals, wereanalysed. Risk adjustment models were developed for nationwide hospital comparisons.Results:The data consisted of 407 113 primary operations on 295 999 patients in 85 hospitals. TheHARM score was associated with complications and complication severity (Goodman–Kruskal𝛄value0⋅59). Surgical specialty was the dominating variable for risk adjustment. Based on 1-year data, therisk-adjusted score classified 16 hospitals as low HARM score and 16 as high HARM score of the 53hospitals that had at least 30 operations.Conclusion:The HARM score correlates with major outcomes and is associated with the presenceand severity of complications. After risk adjustment, the HARM score discriminated strongly betweenhospitals in a European population of abdominal surgery.

Bidragsytere

Jon Helgeland

  • Tilknyttet:
    Forfatter
    ved Avdeling for forskning og analyse av helsetjenesten ved Folkehelseinstituttet

Katrine Damgaard Skyrud

  • Tilknyttet:
    Forfatter
    ved Avdeling for forskning og analyse av helsetjenesten ved Folkehelseinstituttet

Anne Karin Lindahl

  • Tilknyttet:
    Forfatter
    ved Kirurgisk divisjon ved Akershus universitetssykehus HF

Deborah S. Keller

  • Tilknyttet:
    Forfatter
    ved Columbia University in the City of New York

Knut Magne Augestad

  • Tilknyttet:
    Forfatter
    ved Helgelandssykehuset HF
  • Tilknyttet:
    Forfatter
    ved Kvalitets- og utviklingssenteret ved Universitetssykehuset Nord-Norge HF
  • Tilknyttet:
    Forfatter
    ved Columbia University in the City of New York
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