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).

Author: Vudoktilar Kigacage
Country: Samoa
Language: English (Spanish)
Genre: Career
Published (Last): 12 April 2015
Pages: 454
PDF File Size: 6.99 Mb
ePub File Size: 2.60 Mb
ISBN: 171-4-65440-247-8
Downloads: 70513
Price: Free* [*Free Regsitration Required]
Uploader: Mojin

The Kansas City Cardiomyopathy Questionnaire (KCCQ)

This figure describes the Kaplan-Meier curves for this questionbaire. Additional clinical studies need to be done in multiple centers with a larger sample size to validate our finding. The authors wish to acknowledge the following participating doctors from Florida Hospital Orlando who helped with data collection: Introduction It is estimated that heart failure HF affects over 5.

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: The study was approved by the Florida Hospital Institutional Review Board and conducted in accordance with the Declaration of Helsinki. Toggle navigation CV Outcomes, Inc.

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. We included HF readmission as a dependent variable and all potential factors as independent predictors in the logistic regression irrespective of whether they kccw a significant difference between readmission and nonreadmission groups in the univariate analysis.

Although generic self-report instruments measuring health-related quality of life are available, there is a lack of disease-specific instruments covering qquestionnaire dimensions of quality of life with high reliability, validity and sensitivity to chance.


How could i get a copy of the soft copy? In the multivariate analysis, logistic regression models were used, and adjusted odds ratios OR were estimated for each factor hypothesized to predict HF readmission. 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.

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 questionnire outcome of interest.

Future research should include relevant physical examination findings and chest X-ray findings, which could be important in the risk prediction model. An alternative approach to interpreting clinical changes is to appreciate the prognostic significance of changes in scores. Only two models have generated c -statistics greater than 0.

Cardiology Research and Practice

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. Indexed in Science Citation Index Expanded. 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.

None of questiohnaire comorbidities showed significant difference in the relative frequency between the readmission and nonreadmission group Table 1. In order to evaluate how much contribution the KCCQ score made kcq 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.


For each domain, the validity, reproducibility, responsiveness and interpretability have been independently established.

KCCQ – Kansas City Cardiomyopathy Questionnaire

Details about how to license any of our instruments are in this FAQ. These data suggest that a 10 point decline in KCCQ scores has important prognostic significance.

The examination of sensitivity to change yielded promising results. Among these patients, the magnitude and direction of change was as follows: For patients experiencing large, moderate and small deteriorations in their condition, KCCQ Overall Summary scores decreased by This questionnaire identified the following clinically relevant domains: Patients’ health-related quality of life is increasingly being included as an additional endpoint when evaluating the treatment of chronic heart failure.

KCCQ score provided important prognostic information for predicting day readmission and it can significantly improve prediction reliability along with other critical components.

Sarah Kosowan — 07 August – The study was conducted at Florida Hospital, Orlando Campus. Stan Kaufman — 11 September – However, a significant difference between these two groups was noted on comparing gender, with male patients questiojnaire more prone to being readmitted than female 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 than cardiovascular comorbidities, age, or gender, were more strongly associated with short-term readmission [ 15 ].

All analyses were performed by Stata version 14 StataCorp.