Quality of life assessment for acute heart failure patients from emergency department presentation through 30 days after discharge

A pilot study with the Kansas City cardiomyopathy questionnaire

Kori Sauser, John A. Spertus, Linda Pierchala, Evan Davis, Peter Pang

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: There are no well validated patient-reported disease status instruments for acute heart failure (HF). We assessed the feasibility of using the Kansas City Cardiomyopathy Questionnaire (KCCQ) during acute heart failure hospitalization, and the association of acute changes with 30-day readmission. Methods and Results: A convenience sample of acute HF patients were administered the KCCQ on presentation, discharge, and 30 days after discharge. We examined mean differences in KCCQ scores over time, and we stratified by readmission status to examine differences in hospital-based changes with the use of / test and logistic regression. Among 52 patients (mean age 63 ± 15 years, 56.9% male, 46.2% white), discharge and 30-day assessments were each completed by 90%. Scores were lowest at presentation, improved during hospitalization, and were highest at 30 days. The mean change was +11.9 ± 27.0 (P = .007) between presentation and discharge and +19.8 ± 17.8 (P <.001) between discharge and 30 days. Within the 30-day follow-up, 10 patients were readmitted, and there were no significant differences in score changes during hospitalization between patients with and without readmission (readmitted patients: +4.8 ± 21.5 vs no readmission +16.2 ± 27.4; P = .32). Conclusions: In this pilot study, the KCCQ is feasible to use during acute HF hospitalizations and demonstrates sensitivity to acute changes, but score changes during hospitalization did not predict 30-day readmission.

Original languageEnglish (US)
JournalJournal of Cardiac Failure
Volume20
Issue number5
StatePublished - 2014
Externally publishedYes

Fingerprint

Cardiomyopathies
Hospital Emergency Service
Hospitalization
Heart Failure
Quality of Life
Patient Readmission
Logistic Models
Surveys and Questionnaires

Keywords

  • acute heart failure
  • emergency department
  • Patient-reported health status
  • readmission

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

@article{dd9e21435031475a8dadc8bca1e79d39,
title = "Quality of life assessment for acute heart failure patients from emergency department presentation through 30 days after discharge: A pilot study with the Kansas City cardiomyopathy questionnaire",
abstract = "Background: There are no well validated patient-reported disease status instruments for acute heart failure (HF). We assessed the feasibility of using the Kansas City Cardiomyopathy Questionnaire (KCCQ) during acute heart failure hospitalization, and the association of acute changes with 30-day readmission. Methods and Results: A convenience sample of acute HF patients were administered the KCCQ on presentation, discharge, and 30 days after discharge. We examined mean differences in KCCQ scores over time, and we stratified by readmission status to examine differences in hospital-based changes with the use of / test and logistic regression. Among 52 patients (mean age 63 ± 15 years, 56.9{\%} male, 46.2{\%} white), discharge and 30-day assessments were each completed by 90{\%}. Scores were lowest at presentation, improved during hospitalization, and were highest at 30 days. The mean change was +11.9 ± 27.0 (P = .007) between presentation and discharge and +19.8 ± 17.8 (P <.001) between discharge and 30 days. Within the 30-day follow-up, 10 patients were readmitted, and there were no significant differences in score changes during hospitalization between patients with and without readmission (readmitted patients: +4.8 ± 21.5 vs no readmission +16.2 ± 27.4; P = .32). Conclusions: In this pilot study, the KCCQ is feasible to use during acute HF hospitalizations and demonstrates sensitivity to acute changes, but score changes during hospitalization did not predict 30-day readmission.",
keywords = "acute heart failure, emergency department, Patient-reported health status, readmission",
author = "Kori Sauser and Spertus, {John A.} and Linda Pierchala and Evan Davis and Peter Pang",
year = "2014",
language = "English (US)",
volume = "20",
journal = "Journal of Cardiac Failure",
issn = "1071-9164",
publisher = "Churchill Livingstone",
number = "5",

}

TY - JOUR

T1 - Quality of life assessment for acute heart failure patients from emergency department presentation through 30 days after discharge

T2 - A pilot study with the Kansas City cardiomyopathy questionnaire

AU - Sauser, Kori

AU - Spertus, John A.

AU - Pierchala, Linda

AU - Davis, Evan

AU - Pang, Peter

PY - 2014

Y1 - 2014

N2 - Background: There are no well validated patient-reported disease status instruments for acute heart failure (HF). We assessed the feasibility of using the Kansas City Cardiomyopathy Questionnaire (KCCQ) during acute heart failure hospitalization, and the association of acute changes with 30-day readmission. Methods and Results: A convenience sample of acute HF patients were administered the KCCQ on presentation, discharge, and 30 days after discharge. We examined mean differences in KCCQ scores over time, and we stratified by readmission status to examine differences in hospital-based changes with the use of / test and logistic regression. Among 52 patients (mean age 63 ± 15 years, 56.9% male, 46.2% white), discharge and 30-day assessments were each completed by 90%. Scores were lowest at presentation, improved during hospitalization, and were highest at 30 days. The mean change was +11.9 ± 27.0 (P = .007) between presentation and discharge and +19.8 ± 17.8 (P <.001) between discharge and 30 days. Within the 30-day follow-up, 10 patients were readmitted, and there were no significant differences in score changes during hospitalization between patients with and without readmission (readmitted patients: +4.8 ± 21.5 vs no readmission +16.2 ± 27.4; P = .32). Conclusions: In this pilot study, the KCCQ is feasible to use during acute HF hospitalizations and demonstrates sensitivity to acute changes, but score changes during hospitalization did not predict 30-day readmission.

AB - Background: There are no well validated patient-reported disease status instruments for acute heart failure (HF). We assessed the feasibility of using the Kansas City Cardiomyopathy Questionnaire (KCCQ) during acute heart failure hospitalization, and the association of acute changes with 30-day readmission. Methods and Results: A convenience sample of acute HF patients were administered the KCCQ on presentation, discharge, and 30 days after discharge. We examined mean differences in KCCQ scores over time, and we stratified by readmission status to examine differences in hospital-based changes with the use of / test and logistic regression. Among 52 patients (mean age 63 ± 15 years, 56.9% male, 46.2% white), discharge and 30-day assessments were each completed by 90%. Scores were lowest at presentation, improved during hospitalization, and were highest at 30 days. The mean change was +11.9 ± 27.0 (P = .007) between presentation and discharge and +19.8 ± 17.8 (P <.001) between discharge and 30 days. Within the 30-day follow-up, 10 patients were readmitted, and there were no significant differences in score changes during hospitalization between patients with and without readmission (readmitted patients: +4.8 ± 21.5 vs no readmission +16.2 ± 27.4; P = .32). Conclusions: In this pilot study, the KCCQ is feasible to use during acute HF hospitalizations and demonstrates sensitivity to acute changes, but score changes during hospitalization did not predict 30-day readmission.

KW - acute heart failure

KW - emergency department

KW - Patient-reported health status

KW - readmission

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