Kansas City Cardiomyopathy Questionnaire Utility in Prediction of 30-Day Readmission Rate in Patients with Chronic Heart Failure
| Autor: | Divyanshu Malhotra, Manoucher Manoucheri, Aditya Chada, Haibing Jiang, Shengchuan Dai, Jason D’Souza, Shenjing Li, Fnu Virkram, Xiang Zhu, Junhong Gui |
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| Rok vydání: | 2016 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
Hospital readmission medicine.medical_specialty Multivariate analysis Article Subject business.industry 030204 cardiovascular system & hematology Readmission rate medicine.disease 03 medical and health sciences 0302 clinical medicine Kansas City Cardiomyopathy Questionnaire lcsh:RC666-701 Heart failure Internal medicine Hospital discharge medicine Physical therapy In patient 030212 general & internal medicine Cardiology and Cardiovascular Medicine Prospective cohort study business Research Article |
| Zdroj: | Cardiology Research and Practice Cardiology Research and Practice, Vol 2016 (2016) |
| ISSN: | 2090-0597 2090-8016 |
| Popis: | Background. Heart failure (HF) is one of the most common diagnoses associated with hospital readmission. We designed this prospective study to evaluate whether Kansas City Cardiomyopathy Questionnaire (KCCQ) score is associated with 30-day readmission in patients hospitalized with decompensated HF.Methods and Results. We enrolled 240 patients who met the study criteria. Forty-eight (20%) patients were readmitted for decompensated HF within thirty days of hospital discharge, and 192 (80%) patients were not readmitted. Compared to readmitted patients, nonreadmitted patients had a higher average KCCQ score (40.8 versus 32.6,P= 0.019) before discharge. Multivariate analyses showed that a high KCCQ score was associated with low HF readmission rate (adjusted OR = 0.566,P= 0.022). Thec-statistic for the base model (age + gender) was 0.617. The combination of home medication and lab tests on the base model resulted in an integrated discrimination improvement (IDI) increase of 3.9%. On that basis, the KCQQ further increased IDI of 2.7%.Conclusions. The KCCQ score determined before hospital discharge was significantly associated with 30-day readmission rate in patients with HF, which may provide a clinically useful measure and could significantly improve readmission prediction reliability when combined with other clinical components. |
| Databáze: | OpenAIRE |
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