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Erschienen in: Dysphagia 3/2016

23.01.2016 | Original Article

Validation of the Spanish Version of the Eating Assessment Tool-10 (EAT-10spa) in Colombia. A Blinded Prospective Cohort Study

verfasst von: Luis Fernando Giraldo-Cadavid, Alejandra María Gutiérrez-Achury, Karem Ruales-Suárez, Maria Leonor Rengifo-Varona, Camilo Barros, Andrés Posada, Carlos Romero, Ana María Galvis

Erschienen in: Dysphagia | Ausgabe 3/2016

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Abstract

Dysphagia might affect 12 % of the general population, and its complications include pneumonia, malnutrition, social isolation, and death. No validated Spanish symptom survey exists to quantify dysphagia symptoms among Latin Americans. Therefore, we performed a prospective cohort study in a tertiary care university hospital to validate the Spanish version of the 10-Item Eating-Assessment-Tool (EAT-10spa) for use in Colombia. After an interdisciplinary committee of five bilingual specialists evaluated the EAT-10spa (translated and validated in Spain) and deemed it appropriate for the Colombian culture, its feasibility, reliability, validity, sensitivity to change, and diagnostic capacity were evaluated. As a reference standard, we used the flexible endoscopic evaluation of swallowing with sensory testing and a standardized clinical evaluation. All assessments were blinded. In total, 133 subjects were included (52 % women, mean age 55 years) and completed the EAT-10spa (median completion time: 2 min [IQR 1–3 min]), 39 % of whom had an elementary-level education. Cronbach’s α coefficient: 0.91; test–retest intra-class correlation coefficient: 0.94. The Spearman’s correlation coefficient of the EAT-10spa with the 8-point penetration-aspiration scale was 0.54 (P < 0.001). The area under the receiver-operating-characteristic-curve (AUC-ROC) for dysphagia and aspiration were 0.79 (P < 0.001) and 0.81 (P < 0.001), respectively. The best cut-off points for dysphagia and aspiration were EAT-10spa ≥2 (sensitivity 93.6 %, specificity 36.4 %) and EAT-10spa ≥4 (sensitivity 94.3 %, specificity 49.5 %), respectively. A reduction in the EAT-10 ≥3 was the best cut-off point for a clinically significant improvement (AUC-ROC 0.83; P < 0.0001). The EAT-10spa showed excellent psychometric properties and discriminatory capacity for use in Colombia.
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Metadaten
Titel
Validation of the Spanish Version of the Eating Assessment Tool-10 (EAT-10spa) in Colombia. A Blinded Prospective Cohort Study
verfasst von
Luis Fernando Giraldo-Cadavid
Alejandra María Gutiérrez-Achury
Karem Ruales-Suárez
Maria Leonor Rengifo-Varona
Camilo Barros
Andrés Posada
Carlos Romero
Ana María Galvis
Publikationsdatum
23.01.2016
Verlag
Springer US
Erschienen in
Dysphagia / Ausgabe 3/2016
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-016-9690-1

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