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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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.
The Kansas City Cardiomyopathy Questionnaire (KCCQ)
As age was a continuous variable and race was a binary variable, normal linear regression was used for age qusstionnaire logistic regression was used for race imputation. These findings were similar to some studies but not others. However, neither of the two models included KCCQ scores. Construct validity was demonstrated with strong correlations to respective subscales of the SF Among these patients, the magnitude and direction of change was as follows: Baseline and 3-month KCCQ overall summary scores were Even those with small clinical deteriorations or improvements View at Google Scholar S.
Comparison of ROC area among different models.
The Kansas City Cardiomyopathy Questionnaire
Test-retest-reliability was high intraclass correlation coefficient 0. The questionnaire was well accepted by the participating patients. He performed large-scale validation studies that compared KCCQ data against these other data and used these results to further refine the questions.
Adjusted odds ratios of readmission within 30 days after discharge derived from multivariate logistic regression analysis. How did the Kansas City Cardiomyopathy Questionnaire come to be, and why is it named that? 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. There was no significant difference between the nonreadmitted and readmitted patients in terms of average age In this study, 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.
In these models, discrimination, defined by the area under the receiver operating characteristic ROC curve, is used to tell how well a model can separate those who will have the outcome from those who will not have the outcome of interest.
Like the SAQits use in regular clinical settings has been limited by the expense and nuisance of using paper forms. Toggle navigation CV Outcomes, Inc. However, a significant difference between these two groups was noted on comparing gender, with male patients being more prone to being readmitted than female We then performed multivariate analysis to investigate how each clinical factor was associated with HF readmissions after controlling for the other factors.
For brevity, only the performance characteristics of the overall summary score are presented in this discussion. For those with no, small, moderate and large improvements in their heart failure, the KCCQ scores improved by 1. This questionnaire identified the following clinically relevant domains: We enrolled patients who met the study criteria. To receive news and publication updates for Cardiology Research and Practice, enter your email address in the box below.
As mentioned above, there are multiple factors contributing to HF readmission; therefore, risk prediction models including and weighing all relevant factors were developed. Conversely, if risk prediction is no better than chance, the c -statistic is 0. Admission comorbid conditions, demographics, laboratory, echocardiographic kanxas, and medications on discharge were secondary endpoints.
Kansaz total, patients were enrolled in the study. 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:.
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 other causes.
The Kansas City Cardiomyopathy Questionnaire
However, no significant difference was detected on comparing discharge medications, blood sodium level, or HGB between the two groups of patients in the univariate analysis Table 2.
December 16, Stan Kaufman — 11 September – In this case, if the predicted risks for readmitted patients are all higher than for patients who are not readmitted, the model discriminates perfectly with c -statistic of 1.
The study was approved by the Florida Hospital Institutional Review Board and conducted in accordance with the Declaration of Helsinki.
Subscribe to Table of Contents Alerts. The Kansas City Cardiomyopathy Questionnaire is the leading health-related quality-of-life measure for patients with congestive heart failure. Results In total, patients were enrolled in the study. 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.
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. Postdischarge readmission information was gathered through follow-up interview with the patient.
These factors fity also be important in the risk prediction model. 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.
An alternative approach to interpreting clinical changes is to appreciate the prognostic significance of changes in scores.
Validity refers to the degree to which an instrument measures what it is kanssas to measure. Responsiveness refers to the ability of a measure to track accurately carsiomyopathy phenomenon when it does change. For day readmission after HF hospitalization, several models have been developed. Readmission of HF after hospitalization is common, and unfortunately many of these readmissions are predictable and possibly preventable [ 23 ]. Compared to readmitted patients, nonreadmitted patients had a higher average KCCQ score What is the Kansas City Cardiomyopathy Questionnaire?
The Kansas City Cardiomyopathy Questionnaire is the most sensitive, specific, and responsive health-related quality of life measure for heart failure.