期刊
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
卷 124, 期 5, 页码 351-354出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/0003489414558107
关键词
Eating Assessment Tool; EAT-10; Penetration Aspiration Scale; PAS; aspiration risk; screening test; dysphagia; aspiration; symptom; survey
Background: Dysphagia is common and costly. The ability of patient symptoms to predict objective swallowing dysfunction is uncertain. Purpose: This study aimed to evaluate the ability of the Eating Assessment Tool (EAT-10) to screen for aspiration risk in patients with dysphagia. Methods: Data from individuals with dysphagia undergoing a videofluoroscopic swallow study between January 2012 and July 2013 were abstracted from a clinical database. Data included the EAT-10, Penetration Aspiration Scale (PAS), total pharyngeal transit (TPT) time, and underlying diagnoses. Bivariate linear correlation analysis, sensitivity, specificity, and predictive values were calculated. Results: The mean age of the entire cohort (N = 360) was 64.40 ( 14.75) years. Forty-six percent were female. The mean EAT-10 was 16.08 (+/- 10.25) for nonaspirators and 23.16 (+/- 10.88) for aspirators (P < .0001). There was a linear correlation between the total EAT-10 score and the PAS (r = 0.273, P < .001). Sensitivity and specificity of an EAT-10 > 15 in predicting aspiration were 71% and 53%, respectively. Conclusion: Subjective dysphagia symptoms as documented with the EAT-10 can predict aspiration risk. A linear correlation exists between the EAT-10 and aspiration events (PAS) and aspiration risk (TPT time). Persons with an EAT-10 > 15 are 2.2 times more likely to aspirate (95% confidence interval, 1.3907-3.6245). The sensitivity of an EAT-10 > 15 is 71%.
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