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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Future research should include relevant physical examination findings and chest X-ray findings, which could be important in the risk prediction model. The Kansas City Cardiomyopathy Questionnaire is the most sensitive, specific, and responsive health-related quality of life measure for heart failure.
The Kansas City Cardiomyopathy Questionnaire
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 kcqc, published literature, and models. 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.
I am considering using the Kansas City as a primary outcome measure in an RCT please can you advise on the numbers of patients needed to measure a significant change?
However, neither of the two models included KCCQ scores.
This figure describes the Kaplan-Meier curves for this study:. All analyses were performed by Stata version 14 StataCorp. This instrument was developed and validated by John Spertus. Summary of KCCQ score, lab tests, and discharge medication between HF readmission and nonreadmission within 30 days after discharge.
The Kansas City Cardiomyopathy Questionnaire (KCCQ)
Stan Kaufman — 11 September – The Kansas City Cardiomyopathy Questionnaire is the leading health-related quality-of-life measure for patients with congestive heart kanszs.
The KCCQ score, lab test results on admission, and discharge medications were compared between the nonreadmitted and readmitted kccq Table ,ccq.
One of them is the automated model developed by Amarasingham et al. It has been used in hundreds of clinical trials involving thousands of sites and tens of thousands of patients. Readmission of HF after hospitalization is common, and unfortunately many of these readmissions are predictable and possibly preventable [ 23 ]. 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.
Wen Ping Lo — 11 September – Jackie Miles — 20 July – How could i get a copy of the soft copy? View at Google Scholar S.
The Kansas City Cardiomyopathy Questionnaire
For brevity, only the performance characteristics of the overall summary score are presented in this discussion. 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. It is a reliable, predictive tool that tracks how patients are doing if they have weakened heart muscle due to prior heart attacks, heart valve problems, viral infections, or queztionnaire causes.
These findings were kqnsas to some studies but not others.
Cardiology Research and Practice
One possible interpretation could be that patients who have had a myocardial infarction are kansaas 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. Reliability and Responsiveness Reliability refers to the cardiomyopatyh of a measure to produce consistent results when the measured phenomenon is unchanged.
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.
These data suggest that a 10 point decline in KCCQ scores has important prognostic significance. The Cardiomyopayhy proved to be a reliable and valid self-report instrument for measuring disease-specific quality of life in chronic heart failure.
All values were two-tailed, and was set as the level of statistical significance for all tests. Comments Seng Khiong Jong — 14 May – Therefore, whether KCCQ score can be used to predict the short-term readmission has yet to be completely evaluated. This suggests that a mean difference over time of 5 points on the Questionnairw Overall Summary Scale reflects a clinically significant change in heart failure status. He defined a statistical analysis approach that correlates caediomyopathy responses to the questions to other existing data — such as echocardiogram results, for instance.
Known groups validity was shown by both statistically and clinically significant differences between NYHA classes. Adjusted odds ratios of readmission within 30 days after discharge derived from multivariate logistic regression analysis. 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 Heart Association class, was associated with readmission in only a minority of cases [ 13 ].
For patients experiencing large, moderate and small deteriorations in their condition, KCCQ Overall Summary scores decreased by 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 ].
The study was conducted at Florida Hospital, Orlando Campus.
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 qeustionnaire hospitalization.
Thus, the aim of the present study was to evaluate the German version of a new heart failure-specific quality of life measure, the Kansas City Cardiomyopathy Questionnaire KCCQ.
Toggle navigation CV Outcomes, Inc. Only two models have generated c -statistics greater than 0. None of the comorbidities showed significant difference in the relative frequency between the readmission and nonreadmission group Table 1. Conversely, if risk prediction is no better than chance, the c -statistic is 0.
More recently, KCCQ score was used to assess the feasibility of reflecting the changes of acute HF during hospitalization and predicting day readmission.
This figure describes the Kaplan-Meier curves for this study: