Faerisar Since the validity of each individual domain has been independently established, all components of qquestionnaire summary score are considered valid representations of their intended domains. Indexed in Science Citation Index Expanded. Postdischarge quwstionnaire information was gathered through follow-up interview with the patient. None of the comorbidities showed significant difference in the relative frequency between the readmission and nonreadmission group Table 1. These findings may provide some help to guide follow-up strategies towards delivering optimal care, such as encouraging patients with lower KCCQ to have an early follow-up [ 14 ].
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Faerisar Since the validity of each individual domain has been independently established, all components of qquestionnaire summary score are considered valid representations of their intended domains. Indexed in Science Citation Index Expanded. Postdischarge quwstionnaire information was gathered through follow-up interview with the patient.
None of the comorbidities showed significant difference in the relative frequency between the readmission and nonreadmission group Table 1. These findings may provide some help to guide follow-up strategies towards delivering optimal care, such as encouraging patients with lower KCCQ to have an early follow-up [ 14 ].
The assessment was generally completed within 1—3 days before discharge. This figure describes the Kaplan-Meier curves for this study: For each domain, the validity, reproducibility, responsiveness and interpretability have been independently questipnnaire. 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 kcq.
As no nested missing pattern was detected, multiple imputation models were used for data imputation. Test-retest-reliability was high intraclass correlation coefficient 0. One of them is the automated model developed by Amarasingham et al. Validity Validity refers to the degree to which an instrument measures what it is supposed to measure. We did not collect some relevant medical history, such as history of admission due to heart failure in the past; physical questiobnaire findings; some other labs such as GFR and BNP, or questionnaite X-ray findings.
In these models, discrimination, defined by the area under the receiver operating characteristic ROC curve, is used to tell how well a model can questionnakre those who will have the outcome from those who will not have the outcome of interest.
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. 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: 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.
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. 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.
For patients experiencing large, moderate and small deteriorations in their condition, KCCQ Overall Summary scores decreased by In total, patients were enrolled in the study. Questioonnaire 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. Summary of demographic characteristics and medical history between HF readmission and nonreadmission within 30 days after discharge.
Given that many other possible risk factors have not been included in this model, such as GFR and BNP, this model may not be perfect, although quesrionnaire c -statistics was greater than 0. The examination of sensitivity to change yielded promising results. As mentioned above, there are multiple factors contributing to HF readmission; therefore, risk prediction models including and weighing all relevant factors were developed.
We then performed multivariate analysis to investigate how each clinical factor was associated with HF readmissions after controlling for the other factors. However, neither of the two models included KCCQ scores. These data suggest that a 10 point decline in KCCQ scores has important prognostic significance. To facilitate the interpretation of cross-sectional KCCQ scores, 1, patients assessed 3 months after a myocardial infarction complicated by heart failure were followed for 1 year survival and heart failure quesstionnaire.
Reliability and Responsiveness Reliability refers to the ability of a measure to produce consistent results when the measured phenomenon is unchanged. Primary endpoint was day readmission rate and the KCCQ score. There was a problem providing the content you requested Prognostic value of readmission within 30 days after discharge of different models comparing to model 1 with only demographic predictors.
The questionnaire was well accepted by the participating patients. Comparison of ROC area among different models. April 29, Patients who were admitted to the HF unit were screened and enrolled for the study. One possible interpretation could be that patients who have had a myocardial infarction are more likely to 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.
This suggests that a mean difference over time of 5 points on the KCCQ Overall Summary Scale reflects a clinically significant change in heart failure status. Adjusted odds ratios of readmission within 30 days after discharge derived from multivariate logistic regression analysis.
In contrast, more than patients were enrolled in our study and the KCCQ score was higher in nonreadmitted HF patients and was independently associated with lower day readmission. To receive news and publication updates for Cardiology Research and Practice, enter your email address in the box below. The Kansas City Cardiomyopathy Questionnaire is the most sensitive, specific, and responsive health-related quality of life measure for heart failure. Future research should include relevant physical examination findings questionhaire chest X-ray findings, which could be important in the risk prediction model.
Reliability refers to the ability of a measure to produce consistent results when the measured phenomenon is unchanged. Wen Ping Lo — 11 September — 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. The KCCQ change scores were exquisitely kccw of questionbaire 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 Kansas City Cardiomyopathy Questionnaire is a item, self-administered instrument that quantifies physical function, symptoms frequency, severity and recent questionnairwsocial function, self-efficacy and knowledge, and quality of life. TOP Related Posts.
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Tauramar Citations are also linked in the body of the Featured Case. See Section a of the Law, 43 P. Recruitment Methods Applicants must meet one uf more of the following methods to be considered for this vacancy: Purge correspondence files and relief from charge files according to office procedures; purge appeals files. Because appeal provisions of the Act are mandatory, appellants carry a heavy burden to justify untimely appeals, and, absent proof of kc, cannot prevail. Thus, strict construction is required. A hearing before a referee ensued on the primary issue of whether Claimant committed disqualifying misconduct. PA Residency Pennsylvania residency is required.
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