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 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.
Prognostic value of readmission within 30 days after discharge of different models comparing to model 1 with only demographic predictors. In this prospective study, we found that the KCCQ score was significantly associated with short-term HF readmission rate. Patients who were admitted to the HF unit were screened and enrolled for the study. Previous studies have shown that KCCQ score correlated with survival and hospitalization in patients with HF [ 7 ] and was an independent predictor of poor prognosis in this patient population [ 8 ].
For brevity, only the performance characteristics of the overall summary score are presented in this discussion. 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. Known groups validity was shown by both statistically and clinically significant differences between NYHA classes. We only administered the KCCQ one time during the hospitalization, which would not reflect changes between admission, during hospitalization, and after hospitalization.
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.
In contrast, more than patients were enrolled in our study and the KCCQ score was higher in nonreadmitted HF patients and was independently associated with lower day readmission. Table of Contents Alerts. Kdcq 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.
Exclusion criteria were noncardiac disease with a life expectancy of less than one year, HF qiestionnaire to uncorrected valvular heart disease, psychiatric illness interfering with an appropriate follow-up, inability to understand study procedure, and inability to provide informed consent.
These findings were similar to some studies but questionaire others. In the KCCQan overall summary score can be derived from the physical function, symptom frequency and severitysocial function and quality of life domains. Questionaire Kosowan — 07 August – 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.
The Kansas City Cardiomyopathy Questionnaire
We enrolled patients who met the study criteria. In addition, KCCQ score measured 1 week after hospital discharge independently predicted one-year survival free of cardiovascular readmission [ 9 ]. For every patient who met the study criteria, a trained research assistant explained the study to the patient and administered the KCCQ after a written informed consent was obtained. All analyses were performed by Stata version 14 StataCorp. These factors could also be important in the risk prediction model.
The combination of home medication and lab tests on the base model resulted in an integrated discrimination improvement IDI increase of 3. Given only 48 readmissions in our study population, we included only 7 parameters besides the KCCQ score in the full model model 5. Details about how to license any of our instruments are in this FAQ.
It is estimated that heart failure HF affects over 5. A follow-up conversation was performed over the telephone 30 days after discharge to determine if rehospitalization occurred or not. One is to examine the prognostic significance of KCCQ scores and the other is to benchmark score changes against clinical assessments of change. The examination of sensitivity to change yielded promising results.
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: We designed this prospective study to evaluate whether Kansas City Cardiomyopathy Questionnaire KCCQ score is associated with uqestionnaire readmission in patients hospitalized with decompensated HF.
To evaluate associations between KCCQ score and readmission within 30 days after discharge, we first compared the difference between the nonreadmission group and readmission group in terms of the KCCQ scores, demographic characteristics, comorbidity, medications, and laboratory cardiomyopatby using univariate analysis.
The authors wish to acknowledge the following participating doctors from Florida Hospital Orlando who helped with data collection: Heart failure HF is one of the most common diagnoses associated with hospital readmission. Toggle navigation CV Outcomes, Inc. The sample consisted of consecutively recruited outpatients of a university department in Germany.
We then performed multivariate analysis to investigate how each clinical factor was associated with HF readmissions after controlling for the other factors.
Since the validity of each individual domain has been quesgionnaire established, all components of the summary score ciyt considered valid representations of their intended domains.
For those with no, small, moderate and large improvements in their heart failure, the KCCQ scores improved by 1. Models are typically considered reasonable when the c -statistic is greater than 0.
Reliability and Responsiveness Reliability refers to the ability of a measure to produce consistent results when the measured phenomenon is unchanged.
For patients experiencing large, moderate and small deteriorations in their condition, KCCQ Overall Summary scores decreased by None of the comorbidities showed significant difference in the relative frequency between the readmission and nonreadmission group Table 1. 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. 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.
Reliability refers to the ability of a measure to produce consistent results when the measured phenomenon is unchanged. 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.
Cardiology Research and Practice
Future research should include relevant physical examination findings and chest X-ray findings, which could be important in the risk prediction model. Among these patients, the magnitude and direction of change was as follows: However, this study was a relatively small study that included only 54 patients and was focused on KCCQ score differences during hospitalization between nonreadmission and admission groups [ 10 ].
Validity refers to the kasas to which an instrument measures what it is supposed questionnnaire measure.
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. How did the Kansas City Cardiomyopathy Questionnaire come to be, and why is it named that? Therefore, whether KCCQ score can be used to predict the short-term readmission has yet to be completely evaluated.