Lechien Jérôme R, Cavelier Gaëtan, Thill Marie-Paule, Huet Kathy, Harmegnies Bernard, Bousard Laura, Blecic Serge, Vanderwegen Jan, Rodriguez Alexandra, Dequanter Didier
Research Committee of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Paris, France.
Laboratory of Human Anatomy and Experimental Oncology, School of Medicine, Research Institute for Health Sciences and Technology, University of Mons (UMons), Avenue du Champ de mars, 6, 7000, Mons, Belgium.
Eur Arch Otorhinolaryngol. 2019 Jun;276(6):1727-1736. doi: 10.1007/s00405-019-05429-1. Epub 2019 Apr 20.
To develop a French version of the Eating Assessment Tool (Fr EAT-10) and to assess its internal consistency, reliability and clinical validity.
Fifty-six patients referred in the Swallowing Clinics of CHU Saint-Pierre Hospital (Brussels) and EpiCURA hospital (Ath, Belgium) for dysphagia were enrolled and completed fiberoptic endoscopic evaluation of swallowing and videofluoroscopy. Seventy-three asymptomatic subjects were included in the study. To assess reliability, Fr-EAT-10 was completed twice within a 7-day period. Validity was assessed by comparing Fr-EAT-10 scores with the scores of dysphagia handicap index (DHI) in all individuals. Normative value of EAT-10 was calculated and the receiver operating characteristic (ROC) curve was used to determine the best Fr-EAT-10 threshold associated with aspiration.
Fifty-two patients completed the study. Cronbach's alpha was 0.95 indicating a high internal consistency. Test-retest reliability was high in the entire cohort (r = 0.921). The correlation between Fr-EAT-10 total scores and DHI was high (r = 0.827) indicating a high external validity. Patients had a significant higher score of Fr-EAT-10 than the controls (p < 0.001) exhibiting a high internal validity. The analysis of normative data reported that a score of Fr-EAT-10 > 3 should be considered as abnormal. The correlation between Fr-EAT-10 and the occurrence of aspiration is significant (r = 0.327, p < 0.05). According to the ROC curve; aspirations need to be highly suspected for patients with Fr-EAT-10 ≥ 17.
The Fr-EAT-10 developed in this study is a reliable and valid self-administered tool in the evaluation of dysphagia in French-speaking patients.
开发法语版的饮食评估工具（Fr EAT - 10），并评估其内部一致性、可靠性和临床有效性。
招募了56名转诊至圣皮埃尔医院（布鲁塞尔）和EpiCURA医院（比利时阿特）吞咽诊所的吞咽困难患者，他们完成了纤维内镜吞咽评估和电视荧光吞咽造影检查。73名无症状受试者纳入研究。为评估可靠性，Fr - EAT - 10在7天内完成两次。通过比较所有个体的Fr - EAT - 10评分与吞咽困难 handicap 指数（DHI）评分来评估有效性。计算EAT - 10的正常值，并使用受试者操作特征（ROC）曲线来确定与误吸相关的最佳Fr - EAT - 10阈值。
52名患者完成了研究。Cronbach's alpha为0.95，表明内部一致性高。整个队列的重测可靠性高（r = 0.921）。Fr - EAT - 10总分与DHI之间的相关性高（r = 0.827），表明外部有效性高。患者的Fr - EAT - 10评分显著高于对照组（p < 0.001），显示出高内部有效性。对规范数据的分析表明，Fr - EAT - 10评分>3应被视为异常。Fr - EAT - 10与误吸发生之间的相关性显著（r = 0.327，p < 0.05）。根据ROC曲线，对于Fr - EAT - 10≥17的患者，需要高度怀疑有误吸。
本研究开发的Fr - EAT - 10是一种可靠且有效的自评工具，可用于评估说法语患者的吞咽困难。
