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.
|Published (Last):||28 October 2018|
|PDF File Size:||7.14 Mb|
|ePub File Size:||3.64 Mb|
|Price:||Free* [*Free Regsitration Required]|
Responsiveness refers to the ability of a measure to track accurately a phenomenon when it does change. It contributed to improving the c -statistics of a model based on age, gender, medications, laboratory data, and LVEF available at discharge from 0. One possible interpretation could be that patients who have had a 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.
The Kansas City Cardiomyopathy Questionnaire (KCCQ)
For those with no, small, moderate and large improvements in their heart cardiomyopatyy, the KCCQ scores improved by 1. These findings were similar to some studies but not others. Validity refers to the degree to which an instrument measures what it is supposed to measure. All values were two-tailed, and was set as the level of statistical significance for all tests.
The KCCQ change scores were exquisitely reflective of clinical changes in heart failure both in terms of quesitonnaire directionality improvement versus deterioration and proportion-al-ity of change magnitude — as revealed in this figure:.
To address these gaps in knowledge and explore the feasibility of using the KCCQ score to predict the short-term HF readmission, we designed and conducted this prospective study.
These results suggested that the KCCQ score, as a single independent variable, is one of the important factors that could potentially be used for predicting readmission rates of HF patients within 30 days after discharge, and a combination of all these important factors would offer the greatest incremental gain.
As a matter of fact, no specific patient or hospital factors have been shown to consistently predict day readmission after hospitalization for HF. Competency in Medical Knowledge. We then performed multivariate analysis to investigate how each clinical factor was associated with HF readmissions after controlling for the other factors.
The average KCCQ score was significantly higher in the nonreadmitted patients than in readmitted kanass Heart failure is one of the most common diagnoses associated with readmission.
Known groups validity was shown by both statistically and clinically significant differences between NYHA classes. One is to examine the prognostic significance of KCCQ scores and the other is to benchmark score changes against clinical assessments of change. Wen Ping Lo — 11 September – For patients experiencing large, moderate and small deteriorations in their condition, KCCQ Overall Summary scores decreased by For brevity, only the performance characteristics of the overall summary score are presented in this discussion.
Prognostic value of readmission within 30 days after discharge of different models comparing to model 1 with only demographic predictors.
In addition, KCCQ score measured 1 week after hospital discharge independently predicted one-year survival free of cardiovascular readmission [ 9 ]. Among these patients, the magnitude and direction of change was as follows: Adjusted odds ratios of readmission within 30 days after discharge derived from cardiomhopathy logistic regression analysis.
Sarah Kosowan — 07 August – Comments Seng Khiong Jong — 14 May – The KCCQ score, lab test results on admission, and discharge medications were compared between the nonreadmitted and readmitted patients Table 2. This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, queestionnaire reproduction in any medium, provided the original work is properly cited.
The Kansas City Cardiomyopathy Questionnaire (KCCQ)
It is estimated that heart failure HF affects over 5. Baseline and 3-month KCCQ overall summary scores were December 16, How could i get a copy of the soft copy? How do I find out the price to licence so I can include it in a proposal?
We enrolled patients who met the study criteria. The Kansas City Cardiomyopathy Questionnaire is the leading health-related quality-of-life measure for patients with congestive heart failure.
The Kansas City Cardiomyopathy Questionnaire
Only two models have generated c -statistics greater than 0. More recently, KCCQ has also been studied during acute HF hospitalization and demonstrated sensitivity to acute changes, but score changes during hospitalization did not predict short-term readmission [ 10 ], although it was a relatively small study, with a sample size of only 52 patients, and it did not investigate the relationship between KCCQ score and HF readmission.
Therefore, whether KCCQ score can be used to predict the short-term readmission has yet to be completely evaluated. Conversely, if risk prediction is no better than chance, the c -statistic is 0. 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.
All analyses were performed by Stata version 14 StataCorp. Summary of demographic characteristics and medical history between HF readmission and nonreadmission within 30 days after discharge.