BACKGROUND We compared self-reported domains of health between patients who with vs. without a recent heart failure (HF) hospitalization. METHODS We fielded a 59-item questionnaire that included the 12-item Kansas City Cardiomyopathy Questionnaire (KCCQ-12) to age/sex-matched groups of 2000 HF patients who had and had not had a recent HF hospitalization. We entered questionnaire responses and electronic medical record data into multivariable logistic regression models to identify independent associations with a HF hospitalization. RESULTS After two mailings, we received 468 completed questionnaires for response rate of 23.4%. Patients with a recent HF hospitalization had significantly lower scores on the KCCQ-12 Quality of Life (52.6 vs. 59.6, p = 0.016) and Social Limitations (48.4 vs. 55.5, p = 0.009) scales as well as the Clinical Summary Scale (50.8 vs. 55.3, p = 0.048) and Total KCCQ-12 score (49.6 vs. 56.8, p = 0.003). In sequential logistic regression models designed to achieve parsimony, Total KCCQ was a strong predictor of being in the recent hospitalization group. When using the KCCQ-12 sub-scales, the Social Limitations scale was a strong predictor of being in the recent hospitalization group. CONCLUSIONS After accounting for comorbidities and other risk factors, a HF hospitalization appears to profoundly limit social activities which can increase the risk of poor outcomes.

中文翻译：

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心力衰竭住院与自我报告的健康状况之间的关联。

背景我们比较了最近或刚住院的心力衰竭患者之间自我报告的健康状况。方法我们将包含12个项目的堪萨斯城心肌病问卷（KCCQ-12）纳入了59个项目的问卷调查表中，以年龄/性别匹配的2000名有或没有近期住院的HF患者为对象。我们将问卷回答和电子病历数据输入到多变量logistic回归模型中，以识别与HF住院的独立关联。结果两封邮件后，我们收到了468份完整问卷，答复率为23.4％。最近有心衰住院的患者在KCCQ-12生活质量（52.6 vs. 59.6，p = 0.016）和社会限制（48.4 vs. 55.5，p = 0）上的得分明显较低。009）量表以及临床总结量表（50.8 vs.55.3，p = 0.048）和总KCCQ-12评分（49.6 vs.56.8，p = 0.003）。在旨在实现简约性的顺序逻辑回归模型中，Total KCCQ是近期住院治疗组的有力预测指标。当使用KCCQ-12子量表时，社会局限量表是近期住院治疗组的有力预测指标。结论在考虑了合并症和其他危险因素之后，HF住院似乎严重限制了社交活动，而社交活动会增加不良结局的风险。当使用KCCQ-12子量表时，社会局限量表是近期住院治疗组的有力预测指标。结论在考虑了合并症和其他危险因素后，HF住院似乎严重限制了社交活动，而社交活动可能增加不良结局的风险。当使用KCCQ-12子量表时，社会局限量表是近期住院治疗组的有力预测指标。结论在考虑了合并症和其他危险因素之后，HF住院似乎严重限制了社交活动，而社交活动会增加不良结局的风险。