Ole Schlickewei1, Julie Cläre Nienstedt2, Ulrike Frank3, Odette Fründt4, Monika Pötter-Nerger4, Christian Gerloff4, Carsten Buhmann4, Frank Müller1, Susanne Lezius5, Jana-Christiane Koseki1, Christina Pflug1. 1. Department of Voice, Speech and Hearing Disorders, Center for Clinical Neurosciences, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany. 2. Department of Voice, Speech and Hearing Disorders, Center for Clinical Neurosciences, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany. ju.nienstedt@uke.de. 3. Department of Linguistics, Swallowing Research Lab, University of Potsdam, Potsdam, Germany. 4. Department of Neurology, Center for Clinical Neurosciences, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany. 5. Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
Abstract
PURPOSE: Dysphagia is common in patients with Parkinson's disease (PD) and often leads to pneumonia, malnutrition, and reduced quality of life. This study investigates the ability of the Eating Assessment Tool-10 (EAT-10), an established, easy self-administered screening tool, to detect aspiration in PD patients. This study aims to validate the ability of the EAT-10 to detect FEES-proven aspiration in patients with PD. METHODS: In a controlled prospective cross-sectional study, a total of 50 PD patients completed the EAT-10 and, subsequently, were examined by Flexible Endoscopic Evaluation of Swallowing (FEES) to determine the swallowing status. The results were rated through the Penetration-Aspiration Scale (PAS) and data were analyzed retrospectively. RESULTS: PAS and EAT-10 did not correlate significantly. Selected items of the EAT-10 could not predict aspiration or residues. 19 (38%) out of 50 patients with either penetration or aspiration were not detected by the EAT-10. The diagnostic accuracy was established at only a sufficient level (AUC 0.65). An optimal cut-off value of ≥ 6 presented a sensitivity of 58% and specificity of 82%. CONCLUSIONS: The EAT-10 is not suited for the detection of penetration and aspiration in PD patients. Therefore, it cannot be used as a screening method in this patient population. There is still a need for a valid, simple, and efficient screening tool to assist physicians in their daily diagnostics and to avoid clinical complications.
PURPOSE: Dysphagia is common in patients with Parkinson's disease (PD) and often leads to pneumonia, malnutrition, and reduced quality of life. This study investigates the ability of the Eating Assessment Tool-10 (EAT-10), an established, easy self-administered screening tool, to detect aspiration in PD patients. This study aims to validate the ability of the EAT-10 to detect FEES-proven aspiration in patients with PD. METHODS: In a controlled prospective cross-sectional study, a total of 50 PD patients completed the EAT-10 and, subsequently, were examined by Flexible Endoscopic Evaluation of Swallowing (FEES) to determine the swallowing status. The results were rated through the Penetration-Aspiration Scale (PAS) and data were analyzed retrospectively. RESULTS: PAS and EAT-10 did not correlate significantly. Selected items of the EAT-10 could not predict aspiration or residues. 19 (38%) out of 50 patients with either penetration or aspiration were not detected by the EAT-10. The diagnostic accuracy was established at only a sufficient level (AUC 0.65). An optimal cut-off value of ≥ 6 presented a sensitivity of 58% and specificity of 82%. CONCLUSIONS: The EAT-10 is not suited for the detection of penetration and aspiration in PD patients. Therefore, it cannot be used as a screening method in this patient population. There is still a need for a valid, simple, and efficient screening tool to assist physicians in their daily diagnostics and to avoid clinical complications.
Authors: Olatz Izaola; Emilia Gómez Hoyos; Juan José López; Ana Ortola; Beatriz Torres; David Primo; Ángeles Castro; Daniel Antonio De Luis Román Journal: Nutr Hosp Date: 2018-06-28 Impact factor: 1.057
Authors: Rainer Wirth; Rainer Dziewas; Anne Marie Beck; Pere Clavé; Shaheen Hamdy; Hans Juergen Heppner; Susan Langmore; Andreas Herbert Leischker; Rosemary Martino; Petra Pluschinski; Alexander Rösler; Reza Shaker; Tobias Warnecke; Cornel Christian Sieber; Dorothee Volkert Journal: Clin Interv Aging Date: 2016-02-23 Impact factor: 4.458
Authors: B Fattori; P Giusti; V Mancini; M Grosso; M R Barillari; L Bastiani; S Molinaro; A Nacci Journal: Acta Otorhinolaryngol Ital Date: 2016-10 Impact factor: 2.124