J Neurogastroenterol Motil  
The Ability of the Eating Assessment Tool-10 to Detect Aspiration in Patients with Neurological Disorders
Selen Serel Arslan,* Numan Demir, Hasan E Kılınç, and Aynur A Karaduman
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
Correspondence to: Selen Serel Arslan, PT, PhD
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Altındağ, Ankara, Turkey
Tel: +90-3123052525, Fax: +90-3123052012, E-mail: selen.serel@hacettepe.edu.tr
Received: October 7, 2016; Revised: February 20, 2017; Accepted: March 12, 2017; Published online: May 24, 2017.
© The Korean Society of Neurogastroenterology and Motility. All rights reserved.

cc This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords: Aspiration; Deglutition; Deglutition disorders; Dysphagia; Screening


This Article


Cited By Articles
  • CrossRef (0)

Services
Social Network Service

e-submission

Archives

Aims and Scope