The sensitivity and specificity of the Chinese eating assessment tool (EAT-10) for screening oropharyngeal dysphagia in acute stroke patients
10.3760/cma.j.issn.0254-1424.2017.06.005
- VernacularTitle:EAT-10中文版在急性期脑卒中患者口咽期吞咽障碍筛查中的敏感度及特异度评价
- Author:
Rumi WANG
;
Chunna LAN
;
Changjie ZHANG
;
Yongmei FAN
;
Xuehong XIONG
- Keywords:
Chinese eating assessment tool;
Stroke;
Oropharyngeal dysphagia;
Dysphagia
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2017;39(6):422-426
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the sensitivity and specificity of the Chinese eating assessment tool (EAT-10) in screening acute stroke patients for oropharyngeal dysphagia (OD).Methods A total of 130 inpatients with acute stroke were screened using the Chinese EAT-10.On the same day they were also screened using the gold standard technique for diagnosing dysphasia-videofluoroscopy.A receiver operating characteristics (ROC) curve was developed to study EAT-10's sensitivity and specificity.A Youden index,positive predictive value (PPV),negative predictive value (NPV),and positive and negative likelihood ratios (LHR+ and LHR) were quantified.Results According to the ROC curve,a cut-off point of 1 (EAT-10 score≥ 1) gave the best sensitivity (77.9％),the highest NPV (73.2％),with 66.1％ specificity,71.6％ PPV,2.30 LHR+ and 0.33 LHR in screening for OD.The test-retest reliability was above 0.7.An investigator consistency reliability test showed good repeatability,and the consistency between each item and the mean total score was high.Conclusion The Chinese EAT-10 has good test-retest reliability and investigator consistency.The optimal cut-off point is 1,with good sensitivity and NPV at scores ≥ 1.The test can be recommended as a screening tool for OD in acute stroke patients.
