Diane M Cheney1, M Tausif Siddiqui1, Juliana K Litts2, Maggie A Kuhn1, Peter C Belafsky3. 1. Department of Otolaryngology-Head & Neck Surgery, University of California, Davis, Sacramento, California, USA. 2. Department of Otolaryngology, University of Colorado, Denver, Colorado, USA. 3. Department of Otolaryngology-Head & Neck Surgery, University of California, Davis, Sacramento, California, USA pbelafsky@gmail.com.
Abstract
BACKGROUND: Dysphagia is common and costly. The ability of patient symptoms to predict objective swallowing dysfunction is uncertain. PURPOSE: This study aimed to evaluate the ability of the Eating Assessment Tool (EAT-10) to screen for aspiration risk in patients with dysphagia. METHODS: 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. RESULTS: 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. CONCLUSION: 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%.
BACKGROUND:Dysphagia is common and costly. The ability of patient symptoms to predict objective swallowing dysfunction is uncertain. PURPOSE: This study aimed to evaluate the ability of the Eating Assessment Tool (EAT-10) to screen for aspiration risk in patients with dysphagia. METHODS: 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. RESULTS: 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. CONCLUSION: 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%.
Authors: Katherine A Kendall; Julia Ellerston; Amanda Heller; Daniel R Houtz; Chong Zhang; Angela P Presson Journal: Dysphagia Date: 2016-04-22 Impact factor: 3.438
Authors: E K Plowman; L C Tabor; R Robison; J Gaziano; C Dion; S A Watts; T Vu; C Gooch Journal: Neurogastroenterol Motil Date: 2015-10-28 Impact factor: 3.598