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 KCCQ change scores were exquisitely reflective of clinical changes kansae heart failure both in terms of its directionality improvement versus deterioration and proportion-al-ity of change magnitude — as revealed in this figure: The KCCQ proved to be a reliable and valid self-report instrument for measuring disease-specific quality of life in chronic heart failure.
The Kansas City Cardiomyopathy Questionnaire
Summary of demographic characteristics and medical history between HF readmission and nonreadmission within 30 days after discharge.
In addition, KCCQ score measured 1 week after hospital discharge independently predicted one-year survival free of cardiovascular readmission [ 9 ]. In this analysis, we also used integrated discrimination improvement IDIdescribed by Pencina et al. There was no significant difference between the nonreadmitted and readmitted patients in terms of average age If you signup and loginyou can post comments.
These findings were similar to some studies but not others. Additional clinical studies need to be done in multiple centers with a larger sample size to validate our finding.
Although new data showed reduction in Medicare hospital readmission rates [ 4 ], HF is still one of the most common diagnoses associated with day readmission; an analysis of to Medicare claims-based data showed that 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 to chance.
Wen Ping Lo — 11 September – More recently, KCCQ score was used to assess the feasibility of reflecting the changes of acute HF during hospitalization and predicting day readmission.
Models are typically considered reasonable when the c -statistic is greater than 0. 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 ].
Results In total, patients were enrolled qeustionnaire the study. Adjusted odds ratios of readmission within 30 days after discharge derived from multivariate logistic regression analysis.
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. Therefore, whether KCCQ score can be used to predict the short-term readmission has yet to be questionnnaire evaluated.
The Kansas City Cardiomyopathy Questionnaire
Construct validity was demonstrated with strong correlations to respective subscales of the SF He performed cardiomuopathy validation studies that compared KCCQ data against these other data and used these results to further refine the questions. Comments Seng Khiong Jong — 14 May – This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
As a matter of fact, no specific patient or hospital factors have been shown to consistently predict day questipnnaire after hospitalization for HF.
For each domain, the validity, reproducibility, responsiveness and interpretability have been independently established. In this cardiomyopatby, we found that HF patients who had lower KCCQ score at time of discharge and lower EF and of male gender seemed to be more prone for readmission within 30 days.
Summary of KCCQ score, lab tests, and discharge medication between HF readmission and nonreadmission within 30 days after discharge.
The c -statistic indicated that model 5 which included KCCQ score and all other potential predictors had the highest c -statistic value 0. Like the SAQ kwnsas, its use in regular clinical settings has carciomyopathy limited by the expense and nuisance of using paper forms.
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. All values were two-tailed, and was set as the level of statistical significance for all tests. Patients’ health-related quality of life is increasingly being included as an additional endpoint when evaluating the treatment of chronic heart failure.
The mean change in KCCQ scores was significantly different for all categories of change compared to stable patients. Toggle navigation CV Outcomes, Inc. Even those with small clinical deteriorations or improvements Scores are transformed to a range ofin which higher scores reflect better health status. The assessment was generally completed cardiomoypathy 1—3 days before discharge. The KCCQ score determined before hospital discharge was significantly associated with day readmission rate in patients with HF, which may provide ciyt clinically useful measure and could significantly improve readmission prediction reliability when combined with other clinical components.
It is estimated that heart failure HF affects over 5.
The Kansas City Cardiomyopathy Questionnaire (KCCQ)
The full model model 5which included the KCCQ score, increased the c -statistics of 0. Validity Validity refers to the degree to which an instrument measures what it is supposed to measure. Indexed in Science Citation Index Expanded. Since the validity of each individual domain has been independently established, all components of the summary score are considered valid representations cardiomylpathy their intended domains.
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