Quality of life after pulmonary embolism: Prospective validation of the German version of the PEmb-QoL questionnaire.

Frey, Pascal M; Méan, Marie; Limacher, Andreas; Leiss, Waltraud; Schwab, Nathalie Christa; Rochat, Mathilde; Aujesky, Drahomir (2015). Quality of life after pulmonary embolism: Prospective validation of the German version of the PEmb-QoL questionnaire. Thrombosis research, 135(6), pp. 1087-1092. Elsevier 10.1016/j.thromres.2015.03.031

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The Pulmonary Embolism Quality of Life questionnaire (PEmb-QoL) is a 40-item questionnaire to measure health-related quality of life in patients with pulmonary embolism. It covers six 6 dimensions: frequency of complaints, limitations in activities of daily living, work-related problems, social limitations, intensity of complaints, and emotional complaints. Originally developed in Dutch and English, we prospectively validated a German version of the PEmb-QoL.


A forward-backward translation of the English version of the PEmb-QoL into German was performed. German-speaking consecutive adult patients aged ≥18 years with an acute, objectively confirmed pulmonary embolism discharged from a Swiss university hospital (01/2011-06/2013) were recruited telephonically. Established psychometric tests and criteria were used to evaluate the acceptability, reliability, and validity of the German PEmb-QoL questionnaire. To assess the underlying dimensions, an exploratory factor analysis was performed.


Overall, 102 patients were enrolled in the study. The German version of the PEmb-QoL showed a good internal consistency (Cronbach's alpha ranging from 0.72 to 0.96), item-total (0.53-0.95) and inter-item correlations (>0.4), and test-retest reliability (intra-class correlation coefficients 0.59-0.89) for the dimension scores. A moderate correlation of the PEmb-QoL with SF-36 dimension and summary scores (0.21-0.83) indicated convergent validity, while low correlations of PEmb-QoL dimensions with clinical characteristics (-0.16-0.37) supported discriminant validity. The exploratory factor analysis suggested four underlying dimensions: limitations in daily activities, symptoms, work-related problems, and emotional complaints.


The German version of the PEmb-QoL questionnaire is a valid and reliable disease-specific measure for quality of life in patients with pulmonary embolism.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine
04 Faculty of Medicine > Pre-clinic Human Medicine > Department of Clinical Research (DCR)

UniBE Contributor:

Frey, Pascal Marcel, Méan Pascual, Marie, Limacher, Andreas, Leiss, Waltraud, Schwab, Nathalie Christa, Aujesky, Drahomir


600 Technology > 610 Medicine & health








Doris Kopp Heim

Date Deposited:

27 May 2015 09:07

Last Modified:

20 Feb 2024 14:17

Publisher DOI:


PubMed ID:


Uncontrolled Keywords:

Pulmonary Embolism; Quality of Life; Questionnaires; Validation Studies





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