Psychother Psychosom Med Psychol. Mar-Apr;55() [The Kansas City Cardiomyopathy Questionnaire (KCCQ) — a new disease-specific quality of. Background. The Kansas City Cardiomyopathy Questionnaire (KCCQ) and Minnesota Living with Heart Failure Questionnaire (MLHFQ) are. The Kansas City. Cardiomyopathy Questionnaire (KCCQ) is a new, self- administered, item questionnaire that quantifies physical limitations, symptoms.
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None of the comorbidities showed significant difference in the relative frequency between the readmission and nonreadmission group Table 1. Comparison of ROC area among different models. For each domain, the validity, reproducibility, responsiveness and interpretability have been independently established. In this study, we found that HF patients who had lower KCCQ score at time of discharge and lower EF and of male gender seemed to be more prone for readmission within 30 days.
Reliability and Responsiveness Quextionnaire refers to the ability kcxq a measure to produce consistent results when the measured phenomenon is unchanged.
The Kansas City Cardiomyopathy Questionnaire
Thus, the aim of the present study was to evaluate the German version of a new heart failure-specific quality of life measure, the Kansas City Cardiomyopathy Questionnaire KCCQ. As age was a continuous variable and race was a binary variable, normal linear regression was used for age while logistic regression was used for race imputation.
A follow-up conversation was performed over the telephone 30 days after discharge to determine if rehospitalization occurred or not. The KCCQ change scores were exquisitely reflective of clinical changes in heart failure both in terms of its cadriomyopathy improvement versus deterioration and proportion-al-ity of change magnitude — as revealed in this figure: We only administered the KCCQ one time during the hospitalization, which would not reflect changes between admission, during hospitalization, and after hospitalization.
Models are typically cardiomyopatyh reasonable when the c -statistic is greater than 0. Using Our Site Important information for new users. The study was approved by the Florida Hospital Institutional Review Board and qudstionnaire in accordance with the Declaration of Helsinki.
After the multivariate analysis, we further constructed five simplified prediction models and evaluated the importance of KCCQ score in the final model through comparing area under receiver operating characteristic curve ROC of each model.
Patients who were admitted to the HF unit were screened and enrolled for the study. Test-retest-reliability was high intraclass correlation coefficient 0. It has been used in hundreds of clinical trials involving thousands of sites and tens of thousands of patients.
Results In total, patients were enrolled in the study. Reliability refers to the ability of a measure to produce consistent results when the measured phenomenon is unchanged. Admission comorbid conditions, demographics, laboratory, echocardiographic data, and medications on discharge were secondary endpoints.
In total, patients were enrolled in the study. These findings may provide some help to kanzas follow-up strategies towards delivering optimal care, such as encouraging patients with lower KCCQ to have an early follow-up [ 14 ].
The Kansas City Cardiomyopathy Questionnaire (KCCQ)
To facilitate the interpretation of cross-sectional KCCQ scores, 1, patients assessed 3 months after a myocardial infarction complicated by heart failure were cardioymopathy for 1 year survival and heart failure hospitalization. The combination of home medication and lab tests on the base model resulted in an integrated discrimination improvement IDI increase of 3. The c -statistic indicated that model 5 which included KCCQ score and all other potential predictors had the highest c -statistic value 0.
Additional clinical studies need to be done in multiple centers with a larger sample size to validate our finding.
The KCCQ score determined before hospital discharge was significantly associated with day readmission rate in patients with HF, which may provide a clinically useful measure and could significantly improve readmission prediction reliability when combined with other clinical components. Postdischarge readmission information was gathered through follow-up interview with the questiionnaire. One possible interpretation could be that patients who have had kansad myocardial infarction are more likely to have wall motion abnormalities and fixed myocardial defects and thus a lower ejection fraction than those with nonobstructive coronary artery disease without an MI, leading to opposite contribution to HF readmission.
View at Google Scholar S. Wen Ping Lo — 11 September – Competency in Medical Knowledge. However, a significant difference between these two groups was noted on comparing gender, with male patients being more prone to being readmitted than female In addition, KCCQ score measured 1 week after hospital discharge independently predicted one-year survival free of cardiovascular readmission [ 9 ].
Therefore, whether KCCQ score can be used to predict the short-term readmission has yet to be completely evaluated. It is estimated that heart failure HF affects over 5. The full model model 5which included the KCCQ score, increased the c -statistics of 0. Future research should include relevant physical cardionyopathy findings and chest X-ray findings, which could be important in the risk prediction model. This figure describes the Kaplan-Meier curves for this study: Heart failure qestionnaire one of the most common diagnoses associated with readmission.
The average KCCQ score was significantly higher in the nonreadmitted patients than in readmitted patients Questionnire this case, if the predicted risks for readmitted patients are questionbaire higher than for patients who are not readmitted, the model discriminates perfectly with c -statistic of 1. Although questionnire self-report instruments measuring health-related quality of life are available, there is a lack of disease-specific instruments covering various dimensions of quality of life with high reliability, validity and sensitivity to chance.
In this prospective study, we found that the KCCQ score was significantly associated with short-term HF readmission rate.