Wang Rumi, Xiong Xuehong, Zhang Changjie, Fan Yongmei
Department of Rehabilitation, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2015 Dec;40(12):1391-9. doi: 10.11817/j.issn.1672-7347.2015.12.017.
To study the reliability and validity of the Chinese Eating Assessment Tool (EAT-10) in evaluation of acute stroke patients with dysphagia.
The inpatients of stroke were assessed with Chinese EAT-10. As a golden standard for evaluation of dysphagia, videofluoroscopic swallow study (VFSS) test was used to judge the reliability and validity of EAT-10.
A total of 130 qualified questionnaires were collected. The Cronbach's alpha coefficient for Chinese EAT-10 scale was 0.845. The total score of each item was related. The lowest or highest correlation coefficient for the item 2 or 3 was 0.271 or 0.772. The retest reliability was greater than 0.7, which met the requirements. According to the investigator consistency reliability test, the value collected from the investigator in the item 2 kept constant. The consistent correlation coefficient of the remaining nine items was more than 0.7. The consistency between each item and the mean score was high. The EAT-10 with the cut-off point at 1 was an optimal cut-off point. With the cut-off value of 1 (EAT-10 score ≥ 1), the sensitivity and specificity for EAT-10 was 77.9% and 66.1%, respectively. The positive predictive value (PPV) and negative value (NPV) was 71.6% and 73.2%, respectively, with 2.30 LHR+ and 0.33 LHR- for dysphagia.
The Chinese EAT-10 has a good reliability and validity in evaluation of the acute stroke patients with dysphagia. The sensitivity and negative value are the best with the cut-off value of 1 (EAT-10 score ≥ 1). It offers a good way to discriminate dysphagia, impaired efficacy, penetrations, and aspirations in acute stroke patients.
研究中文版进食评估工具（EAT - 10）在评估急性脑卒中吞咽困难患者中的可靠性和有效性。
对脑卒中住院患者采用中文版EAT - 10进行评估。以电视荧光吞咽造影检查（VFSS）作为吞咽困难评估的金标准，判断EAT - 10的可靠性和有效性。
共收集到130份合格问卷。中文版EAT - 10量表的克朗巴哈α系数为0.845。各项目总分相关，项目2或3的最低或最高相关系数分别为0.271或0.772。重测信度大于0.7，符合要求。根据研究者一致性信度检验，项目2中研究者收集的值保持恒定。其余9个项目的一致性相关系数均大于0.7。各项目与平均分之间的一致性较高。以1分为分界点的EAT - 10是最佳分界点。当分界值为1（EAT - 10评分≥1）时，EAT - 10的敏感性和特异性分别为77.9%和66.1%。吞咽困难的阳性预测值（PPV）和阴性预测值（NPV）分别为71.6%和73.2%，似然比阳性（LHR +）为2.30，似然比阴性（LHR -）为0.33。
中文版EAT - 10在评估急性脑卒中吞咽困难患者时具有良好的可靠性和有效性。分界值为1（EAT - 10评分≥1）时敏感性和阴性预测值最佳。它为鉴别急性脑卒中患者的吞咽困难、功能障碍、食物误咽和误吸提供了一种很好的方法。
