Faculty of Medicine, University of Aleppo, Aleppo, Syria.
Department of Cardiovascular Sciences, Glenfield Hospital, Groby Road, Leicester, LE3 9QP, UK.
BMC Cardiovasc Disord. 2024 Oct 8;24(1):541. doi: 10.1186/s12872-024-04203-4.
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.
EQ-5D 是最常用于评估健康相关生活质量（QoL）的工具之一。中东地区房颤（AF）患者的 EQ-5D 数据尚缺乏。
本研究旨在评估 EQ-5D 阿拉伯语版在叙利亚 AF 住院患者中的信度和效度。
本研究纳入了 2021 年 6 月 1 日至 2023 年 6 月 1 日期间因 AF 被诊断为主要疾病而入住拉塔基亚提什林大学医院急诊科的患者。向患者发放 EQ-5D、EQ-VAS 和 SF36 问卷的阿拉伯语版本。采用汇聚、区分和已知组有效性进行验证，而采用 EQ-5D 在 2-4 周内重复测试进行可靠性分析。
共纳入 432 名参与者，平均年龄为 63±15 岁，其中男性占 242 名（56%）。所有与 EQ-5D 对外部变量的反应相关的假设均得到满足。所有三个验证假设均表明，EQ-5D 具有评估该队列中 QoL 的汇聚、区分和已知组有效性。重测信度的组内相关系数（ICC）在 0.74 至 0.88 之间，而 Cohen's κ 在 0.72 至 0.86 之间。内部一致性的 Cronbach's α 值为 0.73。
EQ-5D 阿拉伯语版在评估叙利亚 AF 住院患者的 QoL 方面具有有效性和可靠性。该验证为在阿拉伯语地区更广泛地使用 EQ-5D 铺平了道路，有助于在叙利亚和其他中东国家做出更明智的医疗决策，并改善患者护理策略。
