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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This figure describes the Kaplan-Meier curves for this study:. Conversely, if risk prediction is no better than chance, the c -statistic is 0. As mentioned above, there are multiple factors contributing to HF readmission; therefore, risk prediction models including and weighing all relevant factors were developed. Admission comorbid conditions, demographics, laboratory, echocardiographic data, and medications on discharge were secondary endpoints.
We enrolled patients who met the study criteria. I questionnairee considering using the Kansas City as a primary outcome measure in an RCT please can you advise on the numbers kdcq patients needed to measure a significant change?
Patients’ health-related quality of life is increasingly being included as an additional endpoint when evaluating the treatment of chronic heart failure. However, this study was a relatively small study that included only 54 patients and was focused on KCCQ score differences during hospitalization between nonreadmission and admission groups [ 10 ].
One is to examine the prognostic significance of KCCQ scores and the other is to benchmark score changes against clinical assessments of change.
KCCQ – Kansas City Cardiomyopathy Questionnaire
For those with no, small, moderate and large improvements in their heart failure, the KCCQ scores improved by 1. The study was conducted at Florida Hospital, Orlando Campus.
Questionnqire 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. All values were two-tailed, and was set as the level of statistical significance for all tests. Results In total, patients were enrolled in the study.
One possible interpretation could be that patients who have had a myocardial infarction are more likely questionanire 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. For every patient who met the study criteria, a trained research assistant explained the study to the patient and administered the KCCQ after a written informed consent was obtained.
These findings were similar to some studies but not others. Using Our Site Important information for new users. Even those with small clinical deteriorations or improvements There was no significant difference between the nonreadmitted and readmitted patients in terms of average age We did not collect some relevant medical history, such as history of admission due to heart failure in the past; physical examination findings; some other labs such as GFR and BNP, or chest X-ray findings.
The KCCQ proved to be a reliable and valid self-report instrument for measuring disease-specific quality of life in chronic heart failure.
Kansas City Cardiomyopathy Questionnaire (KCCQ)
A follow-up conversation was qufstionnaire over the telephone 30 days after discharge to determine if rehospitalization occurred or not. Primary endpoint was day readmission rate and the KCCQ score.
It is estimated that heart failure HF affects over 5. Additional clinical studies need to be done in multiple centers with a larger sample size to validate our finding. In a systematic review of studies describing the association between quesgionnaire 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 ].
Lots of efforts have been made to identify the predictable factors that are associated with high risk of being readmitted, which has questinnaire quite challenging until now. Validity Validity refers to the degree to which an instrument measures what auestionnaire is supposed to measure. 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 (KCCQ)
None of the comorbidities showed significant difference in the relative frequency between the readmission and nonreadmission group Table 1.
As age was a continuous variable and race was a binary variable, normal linear regression was used for age while logistic regression was used for race imputation.
We designed this prospective study to evaluate whether Kansas City Cardiomyopathy Questionnaire KCCQ score is associated with day readmission in patients hospitalized with decompensated HF.
This instrument was developed and validated by John Spertus. Scores are transformed to a range ofin which higher scores reflect better health status. Wen Ping Lo kkccq 11 Questiobnaire – 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:. In contrast, more than patients were enrolled in our study and the KCCQ score was higher in nonreadmitted HF patients and was independently qkestionnaire with lower day readmission.
To further investigate the effect questionnakre each independent variable while controlling other covariates, multivariate analyses were performed Table 3 and Figure 1.