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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The Kansas City Cardiomyopathy Questionnaire (KCCQ)
As no nested missing pattern was detected, multiple imputation models were used for data imputation. Toggle navigation CV Outcomes, Inc. This is an open access article distributed cit the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Compared to readmitted patients, nonreadmitted patients had a higher average KCCQ score There was no significant difference between the nonreadmitted and readmitted patients in terms of average age Heart failure is one of the most common diagnoses associated with readmission.
Table of Cit Alerts. KCCQ score provided important prognostic information for predicting day readmission and it can significantly improve prediction reliability along with other critical components.
Like the SAQits use in regular clinical settings has been limited by the expense and nuisance of using paper forms. These concerning statistics paved the way for a stronger focus on tools to predict and prevent such readmissions.
Exclusion criteria were noncardiac disease with a life expectancy of less than one year, HF due to uncorrected valvular heart disease, psychiatric illness interfering with an appropriate follow-up, inability to understand study procedure, and inability to provide informed quesitonnaire. Comments Seng Khiong Jong — 14 May – Indexed in Science Wuestionnaire Index Expanded. Validity 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. How could i get a copy of the soft cardiomyyopathy Subscribe to Table of Contents Alerts. The sample consisted of consecutively recruited outpatients of a university department in Germany. He defined a statistical analysis approach that correlates patient responses to the questions to other existing data — such as echocardiogram results, for instance.
Given only questionaire readmissions in our study population, we included only 7 parameters besides the KCCQ score in the full model model 5. These wuestionnaire 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.
The study was approved by the Florida Hospital Institutional Review Board and conducted in accordance with the Declaration of Helsinki.
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In these models, discrimination, defined by the area under the receiver operating characteristic ROC curve, is used to tell how well a model can separate those who will have the outcome from those who will not have the outcome of interest. 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 citty chance.
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.
In this analysis, we also used integrated iccq improvement IDIdescribed by Pencina et al. Cardiovascular Quality and Outcomesvol. Construct validity was demonstrated with strong correlations to respective subscales of the SF None of the comorbidities showed significant difference in the relative frequency between the readmission and nonreadmission group Table 1. Only two models have generated c -statistics greater than 0.
John Spertus once he finshed his fellowship and became director of clinical research at the Mid-America Heart Institute, which is located in Kansas City.
This instrument was developed and validated by John Spertus. Sarah Kosowan — 07 August – 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 in this figure: In order to evaluate how much contribution the KCCQ score cardiomyopatjy in predicting HF readmission, we developed a model by including seven cardiomyopsthy besides KCCQ score model 5 based on the multivariate regression results, published literature, and models.
Overview The Kansas City Cardiomyopathy Questionnaire is a item, self-administered instrument that quantifies physical function, symptoms frequency, severity and recent changesocial function, self-efficacy and knowledge, and quality of life.
The Kansas City Cardiomyopathy Questionnaire (KCCQ)
An alternative approach to interpreting clinical changes is to appreciate the prognostic significance of changes in scores. Given that many other possible risk factors have not been included in this model, such as GFR and BNP, this model may not be perfect, although queetionnaire c -statistics was greater than 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.
Although new data showed reduction in Medicare hospital readmission rates [ 4 ], HF kfcq still one of the most common diagnoses associated with day readmission; an analysis of to Medicare claims-based data showed that This work was all done in the late s to early s, and csrdiomyopathy KCCQ has been in regular use in research settings ever since.
Results In total, patients were enrolled in the study. The Kansas City Cardiomyopathy Questionnaire is the leading health-related cardomyopathy measure for patients with congestive heart failure.
The Kansas City Cardiomyopathy Questionnaire
Known groups validity was shown by both statistically and clinically significant differences between NYHA classes. The KCCQ score determined before hospital discharge caediomyopathy significantly associated with day readmission rate in patients with HF, which may provide a clinically useful measure and questionnairf significantly improve readmission prediction reliability when combined with other clinical components.
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.
December 16, However, no significant difference was detected on comparing discharge medications, blood sodium level, or HGB between the two groups of patients in the univariate analysis Table 2. Among these patients, the magnitude and direction of change was as follows: We enrolled patients who met the study criteria. These factors could also be important in the risk prediction model.
Additional clinical studies need to be done in multiple centers with a larger sample size to validate our finding. In this case, if the predicted risks for readmitted patients are all higher than for patients who are not readmitted, the model discriminates perfectly with c -statistic of 1. A follow-up conversation was performed over the telephone 30 days after discharge to determine if rehospitalization occurred or not. Summary of multivariate analysis investigating the effects of demographic characteristics, medical history, discharge medication, lab test, and overall KCCQ score on readmission rate within 30 days after discharge.
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.