Arslan Selen Serel, Demir Numan, Kılınç Hasan E, Karaduman Aynur A
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
J Neurogastroenterol Motil. 2017 Oct 30;23(4):550-554. doi: 10.5056/jnm16165.
BACKGROUND/AIMS: Dysphagia is common in patients with neurological disorders. There is a need to identify patients at risk early by a useful clinical tool to prevent its serious complications. The study aims to determine the ability of the Turkish version of Eating Assessment Tool-10 (T-EAT-10) to detect aspiration in patients with neurological disorders.
Two hundred fifty-nine patients with neurological disorders who had complaints about swallowing difficulty and referred for a swallowing evaluation were included. Oropharyngeal dysphagia was evaluated with the T-EAT-10 and videofluoroscopic swallowing study in the same day. The penetration-aspiration scale (PAS) was used to document the penetration and aspiration severity.
The mean age of the patients was 59.72 ± 17.24 years (minimum [min] = 18, maximum [max] = 96), of which 57.1% were male. The mean T-EAT-10 of patients who had aspiration (PAS > 5) was 25.91 ± 10.31 (min = 1, max = 40) and the mean T-EAT-10 of patients who did not have aspiration (PAS < 6) was 15.70 ± 10.54 (min = 0, max = 40) ( < 0.001). Patients with a T-EAT-10 score higher than 15 were 2.4 times more likely to aspirate. A linear correlation was found between T-EAT-10 and PAS scores of the patients ( = 0.416, < 0.001). The sensitivity of a T-EAT-10 higher than 15 in detecting aspiration was 81.0% and the specificity was 58.0%. A T-EAT-10 score of higher than 15 has a positive predictive value of 72.0% and a negative predictive value of 69.0%.
The T-EAT-10 can be used to detect unsafe airway protection in neurology clinics to identify and refer dysphagic patients for further evaluation.
背景/目的：吞咽困难在神经系统疾病患者中很常见。需要通过一种有用的临床工具早期识别有风险的患者，以预防其严重并发症。本研究旨在确定土耳其语版进食评估工具-10（T-EAT-10）检测神经系统疾病患者误吸的能力。
纳入259例有吞咽困难主诉并转诊进行吞咽评估的神经系统疾病患者。同一天使用T-EAT-10和视频荧光吞咽造影检查对口咽吞咽困难进行评估。采用渗透-误吸量表（PAS）记录渗透和误吸的严重程度。
患者的平均年龄为59.72±17.24岁（最小[min]=18，最大[max]=96），其中57.1%为男性。有误吸（PAS>5）患者的T-EAT-10平均分为25.91±10.31（min=1，max=40），无误吸（PAS<6）患者的T-EAT-10平均分为15.70±10.54（min=0，max=40）（<0.001）。T-EAT-10评分高于15分的患者误吸的可能性高2.4倍。患者的T-EAT-10与PAS评分之间存在线性相关性（=0.416，<0.001）。T-EAT-10高于15分检测误吸的敏感性为81.0%，特异性为58.0%。T-EAT-10评分高于15分的阳性预测值为72.0%，阴性预测值为69.0%。
T-EAT-10可用于神经内科门诊检测气道保护不安全情况，以识别吞咽困难患者并将其转诊进行进一步评估。
