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.
|Published (Last):||23 August 2015|
|PDF File Size:||18.41 Mb|
|ePub File Size:||15.95 Mb|
|Price:||Free* [*Free Regsitration Required]|
The Kansas City Cardiomyopathy Questionnaire (KCCQ)
One of them is the automated model developed by Cardiomyopatny et al. Compared to readmitted patients, nonreadmitted patients had a higher ejection fraction on admission Comments There are no comments so far. 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.
Patients who were admitted to the HF unit were cardiomtopathy and enrolled for the study. Interpretability Several mechanisms for establishing standards for interpreting scores are available.
There was a problem providing the content you requested
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 cit procedure, and inability to provide informed consent.
How did the Kansas City Cardiomyopathy Questionnaire come questionnqire be, and why is it named that? Validity refers to the degree to which an instrument measures what it is supposed to measure. To receive news and publication updates for Cardiology Research and Practice, enter your email address in the box below. Competency in Medical Knowledge. None of the comorbidities showed significant difference in the relative frequency between the readmission and nonreadmission group Table 1.
For day readmission after HF hospitalization, several models have been developed. Postdischarge readmission information was gathered through follow-up interview with the patient. The c -statistic indicated that model 5 which included KCCQ score and all other potential predictors had the highest c -statistic value 0.
The Kansas City Cardiomyopathy Questionnaire
We enrolled patients who met the study criteria. In this analysis, we also used integrated discrimination improvement IDIdescribed by Pencina et al. Primary endpoint was day readmission rate and the KCCQ score. Jackie Miles — 20 July – More recently, KCCQ has also been studied during acute HF hospitalization and demonstrated sensitivity to acute changes, but score changes during hospitalization did not predict short-term readmission [ 10 ], although it was a relatively small study, with a sample size of only 52 patients, and it did not investigate the relationship between KCCQ score and HF readmission.
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.
All values were two-tailed, and was set as the level of statistical significance for all tests. KCCQ score provided important prognostic information for predicting day readmission and it can significantly improve prediction reliability along with other critical components. 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.
Wen Ping Lo — 11 September – How do I find out the price to licence so I can include it in a proposal?
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 kansss seven factors besides KCCQ score model cardioyopathy based on the multivariate regression results, published literature, and models. The full model model 5which included the KCCQ score, increased the c -statistics of 0.
In a kanaas review of studies describing the association between traditional patient characteristics and readmission after hospitalization for HF, left ventricular EF, cardiomyopathj 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 ]. The sample consisted of consecutively recruited outpatients of a university department in Germany.
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 questuonnaire cardiovascular comorbidities, age, or gender, were more strongly associated with short-term readmission [ 15 ].
As seen in Table 4the IDI analysis demonstrated that the discriminatory performance of model 5 improved by 6. As a matter of fact, no specific patient or hospital factors have been shown to consistently predict day readmission after hospitalization for HF. Even those with small clinical deteriorations or improvements Responsiveness refers to the ability of a measure to track accurately a phenomenon when it does change.
We only administered the KCCQ one time during the hospitalization, which would not reflect changes between admission, during hospitalization, and after hospitalization.
The combination of home medication and lab tests on the base model resulted in an integrated discrimination improvement IDI increase of 3. More recently, KCCQ score was used to assess the feasibility of reflecting the changes of acute HF during hospitalization and predicting day readmission. The mean change in KCCQ scores was significantly different for all categories of change compared to stable patients. It contributed to improving the c -statistics of a model based on age, gender, medications, laboratory data, and LVEF available at discharge from 0.
These findings were similar kxnsas some studies but not others. Since the validity of each individual domain has been independently established, all components of the summary score are considered valid representations of their intended domains.
Subscribe to Table of Contents Alerts. Known groups validity was shown by both statistically and clinically significant differences between NYHA classes.