The Ability of the 10-Item Eating Assessment Tool (EAT-10) to Predict Aspiration Risk in Persons With Dysphagia
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...
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| Veröffentlicht in: | Annals of otology, rhinology & laryngology rhinology & laryngology, 2015-05, Vol.124 (5), p.351-354 |
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| container_title | Annals of otology, rhinology & laryngology |
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| creator | Cheney, Diane M. Siddiqui, M. Tausif Litts, Juliana K. Kuhn, Maggie A. Belafsky, Peter C. |
| description | 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%. |
| doi_str_mv | 10.1177/0003489414558107 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1671217711</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0003489414558107</sage_id><sourcerecordid>1671217711</sourcerecordid><originalsourceid>FETCH-LOGICAL-c337t-eecdebe9ca50e1f6c48d86cbf97b99e26dd0a135afb61b32fdd4ca20db722c7e3</originalsourceid><addsrcrecordid>eNp1kM1LAzEUxIMoWqt3T5KjHlaT7Ed2j0XrBwiKVPS2ZJO3bXR3U_PSQ_97U6oeBE-PYX4z8IaQE84uOJfykjGWZmWV8SzPS87kDhnxKkuTXIq3XTLa2MnGPyCHiO9RZjkT--RA5GleFkyOiJstgE4a29mwpq6lIUrOkvsAPZ2qYIc5nSACYg9DoDPnOno2ncwSzs5pcPTJg7E6RGZpfcTdQJ8tflA70Cfw6AakrzYs6PUalws1t-qI7LWqQzj-vmPycjOdXd0lD4-391eTh0SnqQwJgDbQQKVVzoC3hc5KUxa6aSvZVBWIwhimeJqrtil4k4rWmEwrwUwjhdAS0jE52_YuvftcAYa6t6ih69QAboU1LyQXcULOI8q2qPYO0UNbL73tlV_XnNWbmeu_M8fI6Xf7qunB_AZ-do1AsgVQzaF-dys_xG__L_wCBkmEUw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1671217711</pqid></control><display><type>article</type><title>The Ability of the 10-Item Eating Assessment Tool (EAT-10) to Predict Aspiration Risk in Persons With Dysphagia</title><source>Access via SAGE</source><source>MEDLINE</source><creator>Cheney, Diane M. ; Siddiqui, M. Tausif ; Litts, Juliana K. ; Kuhn, Maggie A. ; Belafsky, Peter C.</creator><creatorcontrib>Cheney, Diane M. ; Siddiqui, M. Tausif ; Litts, Juliana K. ; Kuhn, Maggie A. ; Belafsky, Peter C.</creatorcontrib><description>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%.</description><identifier>ISSN: 0003-4894</identifier><identifier>EISSN: 1943-572X</identifier><identifier>DOI: 10.1177/0003489414558107</identifier><identifier>PMID: 25358607</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>California - epidemiology ; Deglutition - physiology ; Deglutition Disorders - complications ; Deglutition Disorders - epidemiology ; Eating ; Female ; Fluoroscopy ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Predictive Value of Tests ; Respiratory Aspiration - epidemiology ; Respiratory Aspiration - etiology ; Retrospective Studies ; Risk Assessment - methods</subject><ispartof>Annals of otology, rhinology & laryngology, 2015-05, Vol.124 (5), p.351-354</ispartof><rights>The Author(s) 2014</rights><rights>The Author(s) 2014.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-eecdebe9ca50e1f6c48d86cbf97b99e26dd0a135afb61b32fdd4ca20db722c7e3</citedby><cites>FETCH-LOGICAL-c337t-eecdebe9ca50e1f6c48d86cbf97b99e26dd0a135afb61b32fdd4ca20db722c7e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0003489414558107$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0003489414558107$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25358607$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheney, Diane M.</creatorcontrib><creatorcontrib>Siddiqui, M. Tausif</creatorcontrib><creatorcontrib>Litts, Juliana K.</creatorcontrib><creatorcontrib>Kuhn, Maggie A.</creatorcontrib><creatorcontrib>Belafsky, Peter C.</creatorcontrib><title>The Ability of the 10-Item Eating Assessment Tool (EAT-10) to Predict Aspiration Risk in Persons With Dysphagia</title><title>Annals of otology, rhinology & laryngology</title><addtitle>Ann Otol Rhinol Laryngol</addtitle><description>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%.</description><subject>California - epidemiology</subject><subject>Deglutition - physiology</subject><subject>Deglutition Disorders - complications</subject><subject>Deglutition Disorders - epidemiology</subject><subject>Eating</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Respiratory Aspiration - epidemiology</subject><subject>Respiratory Aspiration - etiology</subject><subject>Retrospective Studies</subject><subject>Risk Assessment - methods</subject><issn>0003-4894</issn><issn>1943-572X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1LAzEUxIMoWqt3T5KjHlaT7Ed2j0XrBwiKVPS2ZJO3bXR3U_PSQ_97U6oeBE-PYX4z8IaQE84uOJfykjGWZmWV8SzPS87kDhnxKkuTXIq3XTLa2MnGPyCHiO9RZjkT--RA5GleFkyOiJstgE4a29mwpq6lIUrOkvsAPZ2qYIc5nSACYg9DoDPnOno2ncwSzs5pcPTJg7E6RGZpfcTdQJ8tflA70Cfw6AakrzYs6PUalws1t-qI7LWqQzj-vmPycjOdXd0lD4-391eTh0SnqQwJgDbQQKVVzoC3hc5KUxa6aSvZVBWIwhimeJqrtil4k4rWmEwrwUwjhdAS0jE52_YuvftcAYa6t6ih69QAboU1LyQXcULOI8q2qPYO0UNbL73tlV_XnNWbmeu_M8fI6Xf7qunB_AZ-do1AsgVQzaF-dys_xG__L_wCBkmEUw</recordid><startdate>201505</startdate><enddate>201505</enddate><creator>Cheney, Diane M.</creator><creator>Siddiqui, M. Tausif</creator><creator>Litts, Juliana K.</creator><creator>Kuhn, Maggie A.</creator><creator>Belafsky, Peter C.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>201505</creationdate><title>The Ability of the 10-Item Eating Assessment Tool (EAT-10) to Predict Aspiration Risk in Persons With Dysphagia</title><author>Cheney, Diane M. ; Siddiqui, M. Tausif ; Litts, Juliana K. ; Kuhn, Maggie A. ; Belafsky, Peter C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-eecdebe9ca50e1f6c48d86cbf97b99e26dd0a135afb61b32fdd4ca20db722c7e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>California - epidemiology</topic><topic>Deglutition - physiology</topic><topic>Deglutition Disorders - complications</topic><topic>Deglutition Disorders - epidemiology</topic><topic>Eating</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Predictive Value of Tests</topic><topic>Respiratory Aspiration - epidemiology</topic><topic>Respiratory Aspiration - etiology</topic><topic>Retrospective Studies</topic><topic>Risk Assessment - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheney, Diane M.</creatorcontrib><creatorcontrib>Siddiqui, M. Tausif</creatorcontrib><creatorcontrib>Litts, Juliana K.</creatorcontrib><creatorcontrib>Kuhn, Maggie A.</creatorcontrib><creatorcontrib>Belafsky, Peter C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Annals of otology, rhinology & laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheney, Diane M.</au><au>Siddiqui, M. Tausif</au><au>Litts, Juliana K.</au><au>Kuhn, Maggie A.</au><au>Belafsky, Peter C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Ability of the 10-Item Eating Assessment Tool (EAT-10) to Predict Aspiration Risk in Persons With Dysphagia</atitle><jtitle>Annals of otology, rhinology & laryngology</jtitle><addtitle>Ann Otol Rhinol Laryngol</addtitle><date>2015-05</date><risdate>2015</risdate><volume>124</volume><issue>5</issue><spage>351</spage><epage>354</epage><pages>351-354</pages><issn>0003-4894</issn><eissn>1943-572X</eissn><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%.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>25358607</pmid><doi>10.1177/0003489414558107</doi><tpages>4</tpages></addata></record> |
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| subjects | California - epidemiology Deglutition - physiology Deglutition Disorders - complications Deglutition Disorders - epidemiology Eating Female Fluoroscopy Follow-Up Studies Humans Male Middle Aged Predictive Value of Tests Respiratory Aspiration - epidemiology Respiratory Aspiration - etiology Retrospective Studies Risk Assessment - methods |
| title | The Ability of the 10-Item Eating Assessment Tool (EAT-10) to Predict Aspiration Risk in Persons With Dysphagia |
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