■神经源性吞咽困难会导致营养不良等并发症,脱水,和吸入性肺炎。因此,早期检测与临床有效的工具是至关重要的。这项研究旨在研究进食评估工具-10(EAT-10)在神经性吞咽困难的三种不同一致性下检测吞咽效率的能力。
■112例神经性吞咽困难患者(男74例,女38例,平均±SD年龄61.83±9.72岁)纳入研究。在EAT-10之后,在诊所进行了纤维内窥镜吞咽评估(FEES),以评估国际吞咽困难饮食标准化计划(IDDSI)0、3和7的吞咽功效。使用耶鲁咽部残留严重程度评定量表(YPRSRS)评估患者的吞咽效率。曲线下面积,灵敏度,计算特异性值,以评估EAT-10区分有残留和无残留参与者以及有中重度残留和无残留参与者的能力.
■EAT-10显着检测到有和没有三个IDDSI残留的参与者一致:对于IDDSI0残留在谷类和梨状窦(截止分数≥14,p<0.001),对于谷型和梨状窦中的IDDSI3残基(截止分数≥13,p<0.001),对于谷型和梨状窦中的IDDSI7残基(分别,截止分数≥13,截止分数≥14,p<0.001)。此外,EAT-10显着检测到有和没有中度至重度残留物的人。
■经常用于吞咽诊所的EAT-10,可以确定患有神经性吞咽困难的个体的吞咽效率。此外,它有能力检测中度至重度咽部残留物。
UNASSIGNED: Neurogenic dysphagia causes complications such as malnutrition, dehydration, and aspiration pneumonia. Therefore, early detection with clinically valid tools is essential. This study aimed to investigate the Eating Assessment Tool-10 (EAT-10) ability to detect swallowing efficiency at three different consistencies in neurogenic dysphagia.
UNASSIGNED: One hundred twelve patients with neurogenic dysphagia (74 males and 38 females, mean ± SD age 61.83 ± 9.72 years) were included in the study. A Fiberoptic Endoscopic Evaluation of Swallowing (FEES) was performed in the clinic following EAT-10 to assess swallowing efficacy at International Dysphagia Diet Standardization Initiative (IDDSI) consistencies of 0, 3, and 7. The swallowing efficiency of the patients was assessed using the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS). Area under the curve, sensitivity, and specificity values were calculated to evaluate the ability of EAT-10 to discriminate between participants with and without residue and between participants with and without moderate-to-severe residue.
UNASSIGNED: The EAT-10 significantly detected participants with and without residues for three IDDSI consistent: for IDDSI 0 residue in the vallecula and pyriform sinus (cutoff score ≥ 14, p < 0.001), for IDDSI 3 residue in the vallecula and pyriform sinus (cutoff score ≥ 13, p < 0.001), for IDDSI 7 residue in the vallecula and pyriform sinus (respectively, cutoff score ≥ 13, cutoff score ≥ 14, p < 0.001). Additionally, the EAT-10 significantly detected those with and without moderate-to-severe residue.
UNASSIGNED: The EAT-10, frequently used in swallowing clinics, can determine swallowing efficiency in individuals with neurogenic dysphagia. Additionally, it has the power to detect moderate-to-severe pharyngeal residue.