Erensoy İbrahim, Yaşar Özlem, Aydınlı Fatma Esen, Kemal Özgür, Terzi Murat
Department of Speech and Language Therapy, Ondokuz Mayıs University, Samsun, Turkey.
Department of Speech and Language Therapy, Hacettepe University, Ankara, Turkey.
Logoped Phoniatr Vocol. 2025 Jul;50(2):95-103. doi: 10.1080/14015439.2024.2388894. Epub 2024 Aug 10.
Neurogenic dysphagia causes complications such as malnutrition, dehydration, and aspiration pneumonia. Therefore, early detection with clinically valid tools is essential. This study aimed to investigate the Eating Assessment Tool-10 (EAT-10) ability to detect swallowing efficiency at three different consistencies in neurogenic dysphagia.
One hundred twelve patients with neurogenic dysphagia (74 males and 38 females, mean ± SD age 61.83 ± 9.72 years) were included in the study. A Fiberoptic Endoscopic Evaluation of Swallowing (FEES) was performed in the clinic following EAT-10 to assess swallowing efficacy at International Dysphagia Diet Standardization Initiative (IDDSI) consistencies of 0, 3, and 7. The swallowing efficiency of the patients was assessed using the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS). Area under the curve, sensitivity, and specificity values were calculated to evaluate the ability of EAT-10 to discriminate between participants with and without residue and between participants with and without moderate-to-severe residue.
The EAT-10 significantly detected participants with and without residues for three IDDSI consistent: for IDDSI 0 residue in the vallecula and pyriform sinus (cutoff score ≥ 14, < 0.001), for IDDSI 3 residue in the vallecula and pyriform sinus (cutoff score ≥ 13, < 0.001), for IDDSI 7 residue in the vallecula and pyriform sinus (respectively, cutoff score ≥ 13, cutoff score ≥ 14, < 0.001). Additionally, the EAT-10 significantly detected those with and without moderate-to-severe residue.
The EAT-10, frequently used in swallowing clinics, can determine swallowing efficiency in individuals with neurogenic dysphagia. Additionally, it has the power to detect moderate-to-severe pharyngeal residue.
神经源性吞咽困难会引发营养不良、脱水和吸入性肺炎等并发症。因此，使用具有临床有效性的工具进行早期检测至关重要。本研究旨在调查进食评估工具10（EAT - 10）在检测神经源性吞咽困难患者三种不同黏稠度食物时的吞咽效率的能力。
本研究纳入了112例神经源性吞咽困难患者（74例男性和38例女性，平均年龄±标准差为61.83±9.72岁）。在诊所进行EAT - 10评估后，采用纤维内镜吞咽评估（FEES），按照国际吞咽困难饮食标准化倡议（IDDSI）的0、3和7级黏稠度标准评估吞咽效果。使用耶鲁咽残留严重程度评分量表（YPRSRS）评估患者的吞咽效率。计算曲线下面积、敏感性和特异性值，以评估EAT - 10区分有无残留以及有无中度至重度残留参与者的能力。
EAT - 10能够显著检测出IDDSI三种黏稠度标准下有无残留的参与者：对于IDDSI 0级，即会厌谷和梨状窦无残留（临界值≥14，<0.001）；对于IDDSI 3级，即会厌谷和梨状窦有残留（临界值≥13，<0.001）；对于IDDSI 7级，即会厌谷和梨状窦有残留（临界值分别为≥13、≥14，<0.001）。此外，EAT - 10能够显著检测出有无中度至重度残留的参与者。
吞咽诊所常用的EAT - 10能够确定神经源性吞咽困难患者的吞咽效率。此外，它还能够检测出中度至重度咽残留。
