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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This figure describes the Kaplan-Meier curves for this study:. Reliability and Responsiveness Reliability refers to the ability of a measure to produce consistent results when the measured phenomenon is unchanged. Jackie Miles — 20 July – We designed this prospective study to evaluate whether Kansas City Cardiomyopathy Questionnaire KCCQ score is associated with day readmission in patients hospitalized with decompensated HF.
To facilitate the interpretation of cross-sectional KCCQ scores, 1, patients assessed 3 months after a myocardial infarction complicated by heart failure were followed for 1 year survival and heart failure hospitalization.
This suggests that a mean difference over time of 5 points on the KCCQ Overall Summary Scale reflects a clinically significant change in heart failure status. We then performed multivariate analysis to investigate how each clinical factor was cify with HF readmissions after controlling for the other factors.
Test-retest-reliability was high intraclass correlation coefficient 0. Even those with small clinical deteriorations or improvements Results In total, patients were enrolled in the study.
Heart failure HF is one of the most common diagnoses associated with hospital readmission. The KCCQ change scores were exquisitely reflective of clinical changes in heart failure both in terms of its directionality improvement versus deterioration and proportion-al-ity of change magnitude — as revealed qusetionnaire this figure:. 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.
Table of Contents Alerts. Comments There are no comments so far. Additional clinical studies need to be done in multiple centers with a larger sample size to validate our finding. To further investigate the effect of each independent variable while controlling other covariates, multivariate analyses were performed Table 3 and Figure 1.
Cardiology Research and Practice
For those with no, small, moderate and large improvements in their heart failure, the KCCQ scores improved by 1. To receive news and publication updates for Cardiology Research and Practice, enter your email address in the box below. We enrolled patients who met the study criteria. What are the scales in the KCCQand what do they mean? There was no significant difference between the nonreadmitted and readmitted patients in terms of average age In this analysis, we also used integrated discrimination improvement IDIdescribed by Pencina et al.
As a matter of fact, no specific patient or hospital factors have been shown to consistently predict day readmission after hospitalization for HF. The authors found that it was feasible to use the KCCQ during acute HF hospitalizations and was sensitive to clinical improvement, but score changes during hospitalization did not predict day readmission. We included HF readmission as a dependent variable and all potential factors as independent predictors in the logistic regression irrespective of whether they showed a significant difference between readmission and nonreadmission groups in the univariate analysis.
Cardiology Research qudstionnaire Practice. For day readmission after HF hospitalization, several models have been developed. Like the SAQits use in regular clinical settings has been limited by the expense and nuisance of using paper forms.
The Kansas City Cardiomyopathy Questionnaire (KCCQ)
All values were two-tailed, and was set as the level of mccq significance for all tests. Conversely, if risk prediction is no better than chance, the c -statistic is 0. Thus, the aim of the present study was to cardiomyopaathy the German version of a new heart failure-specific quality of life measure, the Kansas City Cardiomyopathy Questionnaire KCCQ. Comparison of ROC area among different models. Wen Ping Lo — 11 September – Responsiveness refers to the ability of a measure to track accurately a phenomenon when it does change.
These findings may provide some help to guide follow-up strategies towards delivering optimal care, such as encouraging patients with lower KCCQ to have an early follow-up [ 14 ].
Using Our Site Important information for new users. However, neither of the two models included KCCQ scores. It contributed to improving the c -statistics of a model based on age, gender, medications, laboratory data, and LVEF available at discharge from 0.
We did not collect some relevant medical history, such as history of admission due to heart failure in the past; physical examination findings; some other labs such as GFR and BNP, or chest X-ray findings. In order to evaluate how much contribution the KCCQ score made in predicting HF readmission, we developed a model by including seven factors besides KCCQ score model 5 based on the multivariate regression results, published literature, and models.
In this prospective study, we found that the KCCQ score was significantly associated with short-term HF readmission rate. This instrument was developed and validated by John Spertus.
Introduction It is estimated that heart failure HF affects over 5. Baseline and 3-month KCCQ overall summary scores were Stan Kaufman — 11 September – Prognostic value of readmission within 30 days after discharge of different models comparing to model 1 with only demographic predictors.
Although generic 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. This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Kansas City Cardiomyopathy Questionnaire is the most sensitive, specific, and responsive health-related quality of life measure for heart failure.
These concerning statistics paved the way for a stronger focus on tools to predict and prevent such readmissions.