PMID- 31469386 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230504 IS - 1680-0745 (Electronic) IS - 1995-1892 (Print) IS - 1015-9657 (Linking) VI - 30 IP - 6 DP - 2019 Nov-Dec 23 TI - The walking estimated limitation stated by history (WELSH): a visual tool to self-reported walking impairment in a predominantly illiterate population. PG - 341-346 LID - 10.5830/CVJA-2019-032 [doi] AB - BACKGROUND: The prevalence of cardiovascular diseases is increasing in low-income countries. Various questionnaires to estimate walking capacity in patients are available in multiple languages but they are not suitable for illiterate patients. OBJECTIVE: The walking estimated limitation stated by history (WELSH) tool aims at rating individual walking disability using only drawings and four items. METHODS: A six-month prospective study was performed on new patients referred to the Department of Cardiology at the Centre Hospitalier Universitaire Souro Sanou in Bobo-Dioulasso, Burkina Faso. We administered the WELSH tool after a short oral presentation in the patient's language or dialect. Thereafter, patients performed a six-minute walking test in the hospital corridor under the supervision of a nurse who was blinded to the results of the WELSH score. We performed a step-by-step multilinear regression analysis to determine the factors predicting maximal walking distance (MWD). RESULTS: There were 40 female and 10 male patients in this study. Their ages ranged from 54.8 +/- 10.7 years. Only 32% of the patients had attended primary school. Most patients were classified as stage I to III of the New York Heart Association (NYHA) classification. The objective measurement of MWD during a six-minute walking test showed no association with the subjects' educational level, body mass index, NYHA stage or gender, but a significant correlation with the WELSH scores. The Spearman r-value for the WELSH score-to-MWD relationship was 0.605 (p < 0.001). CONCLUSIONS: The WELSH tool is feasible and correlated with measured MWD in a population of predominantly illiterate patients. FAU - Sempore, Wendsandate Yves AU - Sempore WY AD - Centre Muraz, Bobo-Dioulasso, Burkina Faso; Vascular Medicine, University Hospital Centre of Angers, Angers Cedex Angers, France. FAU - Ilboudo, Alassane AU - Ilboudo A AD - Internal Medicine, Centre Hospitalier Universitaire Souro Sanou, Bobo Dioulasso, Burkina Faso. FAU - Henni, Samir AU - Henni S AD - Vascular Medicine, University Hospital Centre of Angers, Angers Cedex Angers, France. FAU - Hersant, Jeanne AU - Hersant J AD - Vascular Medicine, University Hospital Centre of Angers, Angers Cedex Angers, France. FAU - Ammi, Myriam AU - Ammi M AD - Vascular Surgery, University Hospital Centre of Angers, Angers, France. FAU - Yameogo, Aime Arsane AU - Yameogo AA AD - Cardiology, Centre Hospitalier Universitaire Souro Sanou, Bobo Dioulasso, Burkina Faso. FAU - Ouedraogo, Nafi AU - Ouedraogo N AD - Physiology, Centre Hospitalier Universitaire Souro Sanou, Bobo Dioulasso, Burkina Faso. FAU - Yameogo, Tene Marceline AU - Yameogo TM AD - Internal Medicine, Centre Hospitalier Universitaire Souro Sanou, Bobo Dioulasso, Burkina Faso. FAU - Abraham, Pierre AU - Abraham P AD - Vascular Medicine, University Hospital Centre of Angers, Angers Cedex Angers, France; UMR CNRS 6214, INSERM 1083, Mitovasc Institute, Angers, France. Email: piabraham@chu-angers.fr. LA - eng PT - Journal Article DEP - 20190830 PL - South Africa TA - Cardiovasc J Afr JT - Cardiovascular journal of Africa JID - 101313864 SB - IM PMC - PMC8802349 OTO - NOTNLM OT - exercise OT - illiteracy OT - quality of life OT - questionnaire OT - walking impairment EDAT- 2019/08/31 06:00 MHDA- 2019/08/31 06:01 PMCR- 2019/11/01 CRDT- 2019/08/31 06:00 PHST- 2019/02/01 00:00 [received] PHST- 2019/05/20 00:00 [accepted] PHST- 2019/08/31 06:01 [medline] PHST- 2019/08/31 06:00 [pubmed] PHST- 2019/08/31 06:00 [entrez] PHST- 2019/11/01 00:00 [pmc-release] AID - 10.5830/CVJA-2019-032 [doi] PST - ppublish SO - Cardiovasc J Afr. 2019 Nov-Dec 23;30(6):341-346. doi: 10.5830/CVJA-2019-032. Epub 2019 Aug 30.