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Does the Hebrew Eating Assessment Tool-10 Correlate with Pharyngeal Residue, Penetration and Aspiration on Fiberoptic Endoscopic Examination of Swallowing?

Authors
  • Shapira-Galitz, Yael1
  • Yousovich, Ruth2
  • Halperin, Doron1
  • Wolf, Michael2
  • Lahav, Yonatan1
  • Drendel, Michael2
  • 1 Affiliated with the Hebrew University of Jerusalem, The Department of Otolaryngology Head and Neck Surgery, Kaplan Medical Center, Rehovot, 76100, Israel , Rehovot (Israel)
  • 2 Affiliated with the Tel Aviv University, The Department of Otolaryngology Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Israel , Tel Hashomer (Israel)
Type
Published Article
Journal
Dysphagia
Publisher
Springer US
Publication Date
Jan 02, 2019
Volume
34
Issue
3
Pages
372–381
Identifiers
DOI: 10.1007/s00455-018-9964-x
Source
Springer Nature
Keywords
License
Yellow

Abstract

The Eating Assessment Tool-10 (EAT-10) is a 10-item patient-reported outcome measure (PROM) for dysphagia patients. The objective of this study was to translate and validate the EAT-10Heb and to test for a correlation between its score and residue, penetration and aspiration on Fiberoptic Endoscopic Examination of Swallowing (FEES). 136 patients visiting two specialized dysphagia clinics and undergoing FEES between April 2015 and August 2017, filled the EAT-10Heb. 23 patients refilled the EAT-10Heb during a 2-week period following their first visit. FEES were scored for residue (1 point per consistency, maximum 3 points) and penetration and aspiration (1 point for penetration, 2 points for aspiration per consistency, maximum 6 points). 51 healthy volunteers also filled the EAT-10Heb. Internal consistency and test–retest reproducibility were examined for reliability testing. Validity was established by comparing EAT-10Heb scores of dysphagia patients to healthy controls. The EAT-10Heb score was then correlated with the FEES score. Internal consistency of the EAT-10Heb was high (Cronbach’s alpha = 0.925) as was the test–retest reproducibility (Spearman’s correlation coefficient = 0.82, p < 0.0001). The median EAT-10Heb score was significantly higher in the dysphagia group compared to healthy controls (13, IQR 7–22 points for dysphagia patients compared to 0, IQR 0–0 points for healthy controls, p < 0.0001). A weak correlation was found between the EAT-10Heb scores and the FEES score (Pearson’s correlation coefficient = 0.376, p < 0.0001). While the EAT-10Heb was found to be a reliable and valid PROM, it only weakly correlates with the pathological findings on FEES examination.

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