The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a heart failure health status measure and has been used in studies of patients with aortic stenosis. The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a item self- questionnaire developed to independently measure the patient’s. To provide a better description of health related quality of life in patients with Congestive Heart Failure (CHF).
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Stan Kaufman — 11 September – How could i get a copy of the soft copy? Validity refers to the degree to which an instrument measures what it is supposed to measure.
As a matter of fact, no specific patient or hospital factors have been shown to consistently predict day readmission after hospitalization for HF. Patients’ health-related quality of questionnaaire is increasingly being included as questionnwire additional endpoint when evaluating the treatment of chronic heart failure.
Among these patients, the magnitude and direction of change was as follows: View at Google Scholar S.
Kansas City Cardiomyopathy Questionnaire (KCCQ)
The other model combined claims-based demographic and comorbidity data with clinical data including vital signs, laboratory values, and measured left ventricular ejection fraction [ 18 ].
Admission comorbid conditions, demographics, laboratory, echocardiographic data, and medications quwstionnaire discharge were secondary endpoints. In the multivariate analysis, logistic regression models were used, and adjusted odds ratios OR were estimated for each factor hypothesized to predict HF readmission. The Kansas City Cardiomyopathy Questionnaire is a item, self-administered instrument questkonnaire quantifies physical function, symptoms frequency, severity and recent changesocial function, self-efficacy and knowledge, and quality of life.
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Questioonnaire 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 quetsionnaire, and it did not investigate the relationship between KCCQ score and HF readmission.
Toggle navigation CV Outcomes, Inc. All values were two-tailed, and was set as the level of statistical significance for all tests. 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. Sarah Kosowan — 07 August – 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?
Summary of KCCQ score, lab tests, and discharge medication between HF readmission and nonreadmission within 30 days after discharge. Therefore, whether KCCQ score can be used to predict the short-term readmission has yet to be completely evaluated. We only administered the KCCQ one time during the hospitalization, which would not reflect changes between admission, during hospitalization, and after hospitalization.
Summary of multivariate analysis investigating the effects of demographic characteristics, medical history, discharge medication, lab test, and overall KCCQ score on readmission rate within 30 days after discharge. The questionnaire was well accepted by the participating patients. However, neither of the two models included Questiojnaire scores. Cardiology Research and Practice. Validity Validity refers to the degree to which an instrument measures what it is supposed to measure.
After the multivariate analysis, we further constructed five simplified prediction models and evaluated the importance of KCCQ score in the final model through comparing area under receiver operating characteristic curve ROC of each model.
However, a significant difference between these two groups was noted on comparing gender, with male patients being more prone to being readmitted than female In the KCCQan overall summary score can be derived from the physical function, symptom frequency and severitysocial function and quality of life domains. Prognostic value of readmission within 30 days after discharge of different models comparing to model 1 with only demographic predictors.
Indexed in Science Citation Index Expanded. Reliability and Responsiveness 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 and recent changesocial function, self-efficacy and knowledge, and quality of life.
KCCQ – Kansas City Cardiomyopathy Questionnaire
Scores are transformed to a range ofin which higher scores reflect better health status. Primary endpoint was day readmission rate and the KCCQ score. quesyionnaire
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. Subscribe to Table of Contents Alerts. An alternative approach to interpreting clinical questionnaite is to appreciate the prognostic significance of changes in scores.
In this prospective study, we found that the KCCQ score was significantly associated with short-term HF readmission rate.
The authors qestionnaire to acknowledge the following participating doctors from Florida Hospital Orlando who helped with data collection: The authors found that it was feasible to questinonaire the KCCQ during acute HF hospitalizations and was sensitive to clinical improvement, but score changes during hospitalization did not predict day readmission.
Competency in Medical Knowledge. 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 study procedure, and inability to provide informed consent. The combination of home medication and lab tests on the base model resulted in an integrated discrimination improvement IDI increase of 3.
For those with no, small, moderate and large improvements in their heart failure, the KCCQ scores improved by 1. How do I find out the price to licence so I can include it in a proposal?
The Kansas City Cardiomyopathy Questionnaire (KCCQ)
Test-retest-reliability was high intraclass correlation coefficient 0. 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 For patients experiencing large, moderate and small deteriorations in their condition, KCCQ Overall Summary scores decreased by Wen Ping Lo — 11 September – The assessment was generally completed within 1—3 days before discharge.
For each domain, the validity, reproducibility, responsiveness and interpretability have been independently established. Conversely, if risk prediction is no better than chance, the c -statistic is 0. Adjusted odds ratios of readmission within 30 days after discharge derived from multivariate logistic regression analysis. KCCQ score provided important prognostic information for predicting day readmission and it can significantly improve prediction reliability along with other critical components.