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European Archives of Oto-Rhino-Laryngology

Erschienen in:

26.09.2020 | Miscellaneous

The ability of the eating assessment tool-10 to detect penetration and aspiration in Parkinson’s disease

verfasst von: Ole Schlickewei, Julie Cläre Nienstedt, Ulrike Frank, Odette Fründt, Monika Pötter-Nerger, Christian Gerloff, Carsten Buhmann, Frank Müller, Susanne Lezius, Jana-Christiane Koseki, Christina Pflug

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 5/2021

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Abstract

Purpose

Dysphagia is common in patients with Parkinson’s disease (PD) and often leads to pneumonia, malnutrition, and reduced quality of life. This study investigates the ability of the Eating Assessment Tool-10 (EAT-10), an established, easy self-administered screening tool, to detect aspiration in PD patients. This study aims to validate the ability of the EAT-10 to detect FEES-proven aspiration in patients with PD.

Methods

In a controlled prospective cross-sectional study, a total of 50 PD patients completed the EAT-10 and, subsequently, were examined by Flexible Endoscopic Evaluation of Swallowing (FEES) to determine the swallowing status. The results were rated through the Penetration-Aspiration Scale (PAS) and data were analyzed retrospectively.

Results

PAS and EAT-10 did not correlate significantly. Selected items of the EAT-10 could not predict aspiration or residues. 19 (38%) out of 50 patients with either penetration or aspiration were not detected by the EAT-10. The diagnostic accuracy was established at only a sufficient level (AUC 0.65). An optimal cut-off value of ≥ 6 presented a sensitivity of 58% and specificity of 82%.

Conclusions

The EAT-10 is not suited for the detection of penetration and aspiration in PD patients. Therefore, it cannot be used as a screening method in this patient population. There is still a need for a valid, simple, and efficient screening tool to assist physicians in their daily diagnostics and to avoid clinical complications.

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Titel: The ability of the eating assessment tool-10 to detect penetration and aspiration in Parkinson’s disease
verfasst von: Ole Schlickewei
Julie Cläre Nienstedt
Ulrike Frank
Odette Fründt
Monika Pötter-Nerger
Christian Gerloff
Carsten Buhmann
Frank Müller
Susanne Lezius
Jana-Christiane Koseki
Christina Pflug
Publikationsdatum: 26.09.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 5/2021
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-020-06377-x

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The ability of the eating assessment tool-10 to detect penetration and aspiration in Parkinson’s disease