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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Using Our Site Important information for new users. The sample consisted of consecutively recruited outpatients of a university department in Germany. Questionnaiee at Questiinnaire Scholar S. The assessment was generally completed within 1—3 days before discharge. This instrument was developed and validated by John Spertus. The examination of sensitivity to change yielded promising results. The full model model 5which included the KCCQ score, increased the c -statistics of 0.
The authors wish to acknowledge the following participating doctors from Florida Hospital Orlando who helped with data collection: Comparison of ROC area among different models.
For day readmission after HF hospitalization, several models have been developed. Sarah Kosowan — 07 August – In another meta-analysis of 69 studies and factors for short-term readmission, noncardiovascular comorbidities, poor physical condition, history of admission, and failure to use evidence-based medication, rather than cardiovascular comorbidities, age, or gender, were more strongly associated with short-term readmission [ 15 ].
Among these patients, the magnitude and direction of change was as follows: A follow-up conversation was performed over the telephone 30 days after discharge to determine if rehospitalization occurred or not. Models carddiomyopathy typically considered reasonable when the c -statistic is greater than 0. Details about how to license any of our instruments are in this FAQ.
Reliability refers to the ability of a measure to produce consistent results when the measured phenomenon is unchanged. Overview The Kansas City Cardiomyopathy Questionnaire is a item, self-administered instrument that quantifies physical function, symptoms frequency, severity quesrionnaire recent changesocial function, self-efficacy and knowledge, and quality of life.
This figure describes the Kaplan-Meier curves for this study:. Conversely, if risk prediction is no better than chance, the c -statistic is 0.
KCCQ score provided important prognostic information for predicting day readmission and it can significantly improve prediction reliability along with other critical components. 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 questiojnaire HF patients within 30 days after discharge, and a combination kansss all these important factors would offer the greatest incremental gain.
The Kansas City Cardiomyopathy Questionnaire
Comments There are no comments so far. 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.
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 addition, KCCQ score measured 1 week after hospital discharge independently predicted one-year survival free of cardiovascular readmission [ 9 ].
Known cardlomyopathy validity was shown by both statistically and clinically significant differences between NYHA classes. How did the Kansas City Cardiomyopathy Questionnaire come to be, and why is it named that?
The Kansas City Cardiomyopathy Questionnaire (KCCQ)
Scores are transformed to a range ofin which higher scores reflect better health status. April 29, This work was all done in the late s to early s, and the KCCQ has been in regular use in research settings ever since. Compared to readmitted patients, nonreadmitted patients had a higher ejection fraction on admission This study was performed in a single-community medical center, and further studies in other centers or multiple centers need to be done to validate our findings.
Only two models have generated c -statistics greater than 0. Toggle navigation CV Outcomes, Inc. How do I find out the price to licence so I can include it in a proposal?
To further investigate the effect of each independent variable while controlling other covariates, multivariate analyses were performed Table kznsas and Figure 1. For those with no, small, moderate and large questionnqire in their heart failure, the KCCQ scores improved by 1. 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 ].
As a matter of fact, no specific patient or hospital factors have been shown to consistently predict day readmission after hospitalization for HF.
Patients who were admitted to the HF unit were screened and enrolled for the study. In a systematic review of studies describing the association between traditional patient characteristics and readmission after hospitalization for HF, left ventricular EF, as well as other factors such as demographic characteristics, comorbid conditions, and New York Questiojnaire Association class, was associated with readmission in only a minority of cases [ 13 ].
The average KCCQ score was significantly higher in the nonreadmitted patients than in readmitted patients More recently, KCCQ has also been studied during acute HF hospitalization and demonstrated sensitivity to acute changes, but score changes questiojnaire hospitalization did not predict short-term readmission [ 10 ], although it was a relatively small cityy, with a sample size of only 52 patients, and it did not investigate the relationship between KCCQ score and HF readmission.