The validity and reliability of the Arabic version of the EQ-5D in atrial fibrillation patients in a conflict country: a study from Syria.


Journal

BMC cardiovascular disorders
ISSN: 1471-2261
Titre abrégé: BMC Cardiovasc Disord
Pays: England
ID NLM: 100968539

Informations de publication

Date de publication:
08 Oct 2024
Historique:
received: 20 11 2023
accepted: 18 09 2024
medline: 9 10 2024
pubmed: 9 10 2024
entrez: 8 10 2024
Statut: epublish

Résumé

The EQ-5D is one of the most commonly used tools to establish health-related quality of life (QoL). EQ-5D data in atrial fibrillation (AF) patients in the Middle East are lacking. This study aims to evaluate the reliability and validity of the Arabic version of the EQ-5D in AF inpatients in Syria. The study involved patients admitted to the emergency department of Tishreen's University Hospital in Latakia with AF as the primary diagnosis between the 1st of June 2021 and the 1st of June 2023. Arabic versions of the EQ-5D, EQ-VAS and SF36 questionnaires were administered to patients. Validation was done using convergent, discriminant, and known-groups validity, while reliability was conducted using EQ-5D retesting within 2-4 weeks. 432 participants were included in the study with a mean ± standard deviation of 63 ± 15. Males represented 242 (56%) of the participants. All hypotheses relating EQ-5D responses to external variables were satisfied. All three validation hypotheses demonstrated that the EQ-5D had the convergent, discriminant and known group validity to assess QoL in this cohort. The intraclass correlation coefficient (ICC) for test-retest reliability ranged between 0.74 and 0.88, while Cohen's κ ranged between 0.72 and 0.86. Cronbach's α value for internal consistency was 0.73. The Arabic version of EQ-5D was valid and reliable in measuring QoL in AF inpatients in Syria. This validation opens the door for more widespread use of the EQ-5D in Arabic-speaking regions, facilitating better-informed healthcare decisions and improving patient care strategies in Syria and other Middle Eastern countries.

Sections du résumé

BACKGROUND BACKGROUND
The EQ-5D is one of the most commonly used tools to establish health-related quality of life (QoL). EQ-5D data in atrial fibrillation (AF) patients in the Middle East are lacking.
OBJECTIVES OBJECTIVE
This study aims to evaluate the reliability and validity of the Arabic version of the EQ-5D in AF inpatients in Syria.
METHODS METHODS
The study involved patients admitted to the emergency department of Tishreen's University Hospital in Latakia with AF as the primary diagnosis between the 1st of June 2021 and the 1st of June 2023. Arabic versions of the EQ-5D, EQ-VAS and SF36 questionnaires were administered to patients. Validation was done using convergent, discriminant, and known-groups validity, while reliability was conducted using EQ-5D retesting within 2-4 weeks.
RESULTS RESULTS
432 participants were included in the study with a mean ± standard deviation of 63 ± 15. Males represented 242 (56%) of the participants. All hypotheses relating EQ-5D responses to external variables were satisfied. All three validation hypotheses demonstrated that the EQ-5D had the convergent, discriminant and known group validity to assess QoL in this cohort. The intraclass correlation coefficient (ICC) for test-retest reliability ranged between 0.74 and 0.88, while Cohen's κ ranged between 0.72 and 0.86. Cronbach's α value for internal consistency was 0.73.
CONCLUSION CONCLUSIONS
The Arabic version of EQ-5D was valid and reliable in measuring QoL in AF inpatients in Syria. This validation opens the door for more widespread use of the EQ-5D in Arabic-speaking regions, facilitating better-informed healthcare decisions and improving patient care strategies in Syria and other Middle Eastern countries.

Identifiants

pubmed: 39379843
doi: 10.1186/s12872-024-04203-4
pii: 10.1186/s12872-024-04203-4
doi:

Types de publication

Journal Article Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

541

Subventions

Organisme : British Heart Foundation
ID : RG/17/3/32,774
Pays : United Kingdom

Informations de copyright

© 2024. The Author(s).

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Auteurs

Ibrahim Antoun (I)

Faculty of Medicine, University of Aleppo, Aleppo, Syria. ibrahim.antoun1@nhs.net.
Department of Cardiovascular Sciences, Glenfield Hospital, Groby Road, Leicester, LE3 9QP, UK. ibrahim.antoun1@nhs.net.

Alkassem Alkhayer (A)

University of Tishreen's Hospital, Latakia, Syria.

Majed Aljabal (M)

Leicestershire Partnership NHS Trust, Leicester, UK.

Alamer Alkhayer (A)

University of Tishreen's Hospital, Latakia, Syria.

Peter Simon (P)

University of Tishreen's Hospital, Latakia, Syria.

Yaman Mahfoud (Y)

University of Tishreen's Hospital, Latakia, Syria.

Ahmed Kotb (A)

Department of Cardiovascular Sciences, Clinical Science Wing, Glenfield Hospital, Leicester, UK.

Joseph Barker (J)

National Heart and Lung Institute, Imperial College London, London, UK.

Akash Mavilakandy (A)

Department of Cardiovascular Sciences, Clinical Science Wing, Glenfield Hospital, Leicester, UK.

Riyaz Somani (R)

Department of Cardiovascular Sciences, Clinical Science Wing, Glenfield Hospital, Leicester, UK.
Department of Cardiology, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester, UK.

G Andre Ng (GA)

Department of Cardiovascular Sciences, Clinical Science Wing, Glenfield Hospital, Leicester, UK.
NIHR Leicester Biomedical Research Centre, Leicester, UK.
Department of Cardiology, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester, UK.

Mustafa Zakkar (M)

Department of Cardiac Surgery, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester, UK.
Faculty of Medicine, University of Damascus, Damascus, Syria.

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