Correlation Between EAT-10 and Aspiration Risk Differs by Dysphagia Etiology.

Autor: Bartlett RS; Northern Arizona University, Health Professions, Rm 313, 208 E. Pine Knoll Drive, Flagstaff, AZ, 86011, USA. rebecca.bartlett@nau.edu., Kenz MK; Northern Arizona University, Health Professions, 208 E. Pine Knoll Drive, Flagstaff, AZ, 86011, USA., Wayment HA; Psychological Sciences, Northern Arizona University, Bldg 60, Rm #313, Flagstaff, AZ, 86011, USA., Thibeault SL; Department of Surgery, Division of Otolaryngology, University of Wisconsin-Madison, 1111 Highland Avenue, Madison, WI, 53705, USA.
Jazyk: angličtina
Zdroj: Dysphagia [Dysphagia] 2022 Feb; Vol. 37 (1), pp. 11-20. Date of Electronic Publication: 2021 Jan 24.
DOI: 10.1007/s00455-021-10244-0
Abstrakt: Agreement between self-reported dysphagic symptoms and actual swallowing physiology can vary widely across individuals. The Eating Assessment Tool-10 (EAT-10) is a self-report questionnaire commonly used to identify individuals with oropharyngeal dysphagia, but its interpretation for highly prevalent populations is poorly defined. Our primary objective was to determine if correlation strength between EAT-10 and Penetration-Aspiration Scale (PAS) scores differed by dysphagia etiology. Our secondary objective was to identify clinical factors that were associated with a mismatch between EAT-10 scores and videofluoroscopic findings. Outpatients with Parkinson disease (PD), stroke, and/or head and neck cancer (HNC) who completed EAT-10 and underwent videofluoroscopy were included (n = 203). EAT-10/PAS correlations were calculated by dysphagia etiology. We found that across the sample, higher EAT-10 scores were significantly correlated to higher PAS scores (r s = 0.31, p < 0.001). EAT-10 and PAS were moderately correlated in the HNC group (r s = 0.41, p < 0.001, n = 87), but correlations were modest in the PD (r s = 0.18, n = 41) and stroke groups (r s = 0.12, n = 59). Clinical characteristics of individuals with a "matched" profile (normal EAT-10 score and normal swallow physiology) and a "mismatched" profile (normal EAT-10 score and abnormal swallow physiology) were also compared. Individuals with a "mismatched" EAT-10/PAS profile appeared to be significantly older and had a worse Charlson Comorbidity Index than individuals with a "matched" profile. Within the HNC subgroup, EAT-10/PAS correlations for specific tumor sites, treatment types, and time since treatment are reported. Clinicians may consider these aspiration risk profiles when making recommendations for instrumented swallowing assessment.
(© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.)
Databáze: MEDLINE
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