Cheney Diane M, Siddiqui M Tausif, Litts Juliana K, Kuhn Maggie A, Belafsky Peter C
Department of Otolaryngology-Head & Neck Surgery, University of California, Davis, Sacramento, California, USA.
Department of Otolaryngology, University of Colorado, Denver, Colorado, USA.
Ann Otol Rhinol Laryngol. 2015 May;124(5):351-4. doi: 10.1177/0003489414558107. Epub 2014 Oct 30.
Dysphagia is common and costly. The ability of patient symptoms to predict objective swallowing dysfunction is uncertain.
This study aimed to evaluate the ability of the Eating Assessment Tool (EAT-10) to screen for aspiration risk in patients with dysphagia.
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.
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.
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%.
吞咽困难很常见且代价高昂。患者症状预测客观吞咽功能障碍的能力尚不确定。
本研究旨在评估饮食评估工具（EAT - 10）筛查吞咽困难患者误吸风险的能力。
从临床数据库中提取2012年1月至2013年7月间接受视频荧光吞咽造影检查的吞咽困难患者的数据。数据包括EAT - 10、渗透误吸量表（PAS）、总咽部通过时间（TPT）以及潜在诊断。计算双变量线性相关分析、敏感性、特异性和预测值。
整个队列（N = 360）的平均年龄为64.40（±14.75）岁。46%为女性。非误吸者的平均EAT - 10评分为16.08（±10.25），误吸者为23.16（±10.88）（P <.0001）。EAT - 10总分与PAS之间存在线性相关性（r = 0.273，P <.001）。EAT - 10>15预测误吸的敏感性和特异性分别为71%和53%。
EAT - 10记录的主观吞咽困难症状可预测误吸风险。EAT - 10与误吸事件（PAS）和误吸风险（TPT时间）之间存在线性相关性。EAT - 10>15的人误吸的可能性高2.2倍（95%置信区间，1.3907 - 3.6245）。EAT - 10>15的敏感性为71%。
