Kansas City Cardiomyopathy Questionnaire Utility in Prediction of 30-Day Readmission Rate in Patients with Chronic Heart Failure
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....
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/4571201 |
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| author | Shengchuan Dai Manoucher Manoucheri Junhong Gui Xiang Zhu Divyanshu Malhotra Shenjing Li Jason D’souza Fnu Virkram Aditya Chada Haibing Jiang |
| author_facet | Shengchuan Dai Manoucher Manoucheri Junhong Gui Xiang Zhu Divyanshu Malhotra Shenjing Li Jason D’souza Fnu Virkram Aditya Chada Haibing Jiang |
| author_sort | Shengchuan Dai |
| collection | DOAJ |
| description | 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). The c-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. |
| format | Article |
| id | doaj-art-8082d8eec83044b8802d6f79b6dca9d8 |
| institution | Kabale University |
| issn | 2090-8016 2090-0597 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-8082d8eec83044b8802d6f79b6dca9d82025-02-03T06:14:19ZengWileyCardiology Research and Practice2090-80162090-05972016-01-01201610.1155/2016/45712014571201Kansas City Cardiomyopathy Questionnaire Utility in Prediction of 30-Day Readmission Rate in Patients with Chronic Heart FailureShengchuan Dai0Manoucher Manoucheri1Junhong Gui2Xiang Zhu3Divyanshu Malhotra4Shenjing Li5Jason D’souza6Fnu Virkram7Aditya Chada8Haibing Jiang9Internal Medicine Residency Program, Department of Medicine, Florida Hospital Orlando, Orlando, FL, USAInternal Medicine Residency Program, Department of Medicine, Florida Hospital Orlando, Orlando, FL, USAInternal Medicine Residency Program, Department of Medicine, Florida Hospital Orlando, Orlando, FL, USACenter for Interventional Endoscopy, Florida Hospital Orlando, Orlando, FL, USAInternal Medicine Residency Program, Department of Medicine, Florida Hospital Orlando, Orlando, FL, USADivision of Cardiology, University of South Dakota, Vermillion, SD, USAInternal Medicine Residency Program, Department of Medicine, Florida Hospital Orlando, Orlando, FL, USAInternal Medicine Residency Program, Department of Medicine, Florida Hospital Orlando, Orlando, FL, USAInternal Medicine Residency Program, Department of Medicine, Florida Hospital Orlando, Orlando, FL, USAInternal Medicine Residency Program, Department of Medicine, Florida Hospital Orlando, Orlando, FL, USABackground. 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). The c-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.http://dx.doi.org/10.1155/2016/4571201 |
| spellingShingle | Shengchuan Dai Manoucher Manoucheri Junhong Gui Xiang Zhu Divyanshu Malhotra Shenjing Li Jason D’souza Fnu Virkram Aditya Chada Haibing Jiang Kansas City Cardiomyopathy Questionnaire Utility in Prediction of 30-Day Readmission Rate in Patients with Chronic Heart Failure Cardiology Research and Practice |
| title | Kansas City Cardiomyopathy Questionnaire Utility in Prediction of 30-Day Readmission Rate in Patients with Chronic Heart Failure |
| title_full | Kansas City Cardiomyopathy Questionnaire Utility in Prediction of 30-Day Readmission Rate in Patients with Chronic Heart Failure |
| title_fullStr | Kansas City Cardiomyopathy Questionnaire Utility in Prediction of 30-Day Readmission Rate in Patients with Chronic Heart Failure |
| title_full_unstemmed | Kansas City Cardiomyopathy Questionnaire Utility in Prediction of 30-Day Readmission Rate in Patients with Chronic Heart Failure |
| title_short | Kansas City Cardiomyopathy Questionnaire Utility in Prediction of 30-Day Readmission Rate in Patients with Chronic Heart Failure |
| title_sort | kansas city cardiomyopathy questionnaire utility in prediction of 30 day readmission rate in patients with chronic heart failure |
| url | http://dx.doi.org/10.1155/2016/4571201 |
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