The Ability of the Eating Assessment Tool-10 to Detect Aspiration in Patients with Neurological Disorders.

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The Ability of the Eating Assessment Tool-10 to Detect Aspiration in Patients with Neurological Disorders.

J Neurogastroenterol Motil. 2017 May 24;:

Authors: Arslan SS, Demir N, Kılınç HE, Karaduman AA

Abstract
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 Eating Assessment Tool-10 (EAT-10) to detect aspiration in patients with neurological disorders.
Methods: 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 10-item Turkish version of EAT-10 (T-EAT-10) and videofluoroscopic swallowing study in the same day. The penetration-aspiration scale (PAS) was used to determine the penetration and aspiration severity.
Results: 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) (P < 0.001). Patients with a T-EAT-10 greater than 15 were 2.4 times more likely to aspirate. There was a linear correlation between T-EAT-10 and PAS scores of the patients (r = 0.416, P < 0.001). The sensitivity of a T-EAT-10 greater than 15 in predicting aspiration was 81.0% and the specificity was 58.0%. A T-EAT-10 score of greater than 15 has a positive predictive value of 72.0% and a negative predictive value of 69.0%.
Conclusion: The T-EAT-10 can be used to detect unsafe airway protection in neurology clinics for the identification and referral of dysphagic patients for further evaluation.

PMID: 28545185 [PubMed - as supplied by publisher]

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