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The discriminant ability of the eating assessment tool-10 questionnaire to detect residue and aspiration in patients with mixed etiology of dysphagia

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

To investigate the discriminant ability of the eating assessment tool-10 (EAT-10) to detect postswallow residue and aspiration for different consistencies.

Methods

Seventy-two consecutive patients with mixed etiology of dysphagia (42 males and 30 females, mean ± sd age of 60.42 ± 15.82) were included. After completing the EAT-10, Fiberoptic Endoscopic Evaluation of Swallowing (FEES) was performed to assess the efficiency and safety of swallowing for the following consistencies: thin liquid, nectar thick, yogurt, and solid. While swallowing efficiency was evaluated using the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS), the Penetration–Aspiration Scale (PAS) was used to evaluate swallowing safety.

Results

The EAT-10 questionnaire significantly identified the patients with residue from those without residue for the following consistencies and anatomic locations: thin liquid residue in the pyriform sinus (cutoff score ≥ 10, p = 0.009), nectar thick residue in the vallecula (cutoff score ≥ 15, p = 0.001), yogurt residue in the vallecula (cutoff score ≥ 15, p = 0.009), yogurt residue in the pyriform sinus (cutoff score ≥ 9, p = 0.015), and solid residue in the vallecula (cutoff score ≥ 13, p = 0.016). However, the same discriminant ability of EAT-10 was not found for detecting aspiration in any consistency.

Conclusions

The EAT-10 questionnaire can be used as an assessment tool to judge swallowing efficiency in patients with mixed etiology of dysphagia, but the same is not evident for swallowing safety.

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Funding

The authors received no financial support for the publication of this paper.

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Authors and Affiliations

  1. Department of Speech and Language Therapy, Faculty of Health Sciences, Gazi University, Emek Mah. Bişkek Cad. 6. Cad. (Eski 81. Sokak) No: 2 Çankaya, 06490, Ankara, Turkey

    Hakan Gölaç, Güzide Atalık & Adnan Gülaçtı

  2. Department of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey

    Ebru Şansal, Banu Tijen Ceylan & Metin Yılmaz

  3. Department of Speech and Language Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey

    Fatma Esen Aydınlı

Authors
  1. Hakan Gölaç
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  2. Güzide Atalık
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  3. Adnan Gülaçtı
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  4. Ebru Şansal
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  5. Banu Tijen Ceylan
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  6. Fatma Esen Aydınlı
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  7. Metin Yılmaz
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Correspondence to Hakan Gölaç.

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The authors declare that they have no conflict of interest regarding the publication of this manuscript.

Ethical approval

The current study was conducted in accordance with the Declaration of Helsinki, and approved by the Gazi University Clinical Research Ethics Committee (Decision number: 728).

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Broad informed consent was obtained from all participants before enrollment.

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Gölaç, H., Atalık, G., Gülaçtı, A. et al. The discriminant ability of the eating assessment tool-10 questionnaire to detect residue and aspiration in patients with mixed etiology of dysphagia. Eur Arch Otorhinolaryngol 280, 3757–3763 (2023). https://doi.org/10.1007/s00405-023-07987-x

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  • DOI: https://doi.org/10.1007/s00405-023-07987-x

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