Eating Assessment Tool – 10 (EAT-10)
Eating Assessment Tool – (EAT-10)
Clinical assessment of swallowing is an essential part of intervention for all patients with confirmed or likely dysphagia. Several elements comprise a clinical swallow evaluation, along with an extensive health background, a physical examination of dental and motor function, and evaluation of diet. In sufferers with dysphagia, the CSE provides to improve and upgrade the course of involvement as the dysphagia ameliorates or possibly gets worse over time.
The presence of dysphagia is highly suspicious in patients with etiologies that affect the architectural, nerve, or muscular aspects of the go and throat. These etiologies might include stroke, cervical spine problem, go and throat cancer or a progressive nerve disease. Recently, appropriately consistent tests have been developed to capture consistently patient reported symptoms with proven accuracy. In their dysphagia study, (Belafsky et al., 2008) administers pre and post-tests in 482 patients whose mean score improved from 19.87 to 5.2 (P<.001). The change in the average score supports the fact that the assessment tool has variance with treatment and a good measure of the disorder.
One of the tests is the EAT-10, which is a self-administered survey targeting patient burden from dysphagia. The tool consists of ten items that, collectively, inquire about effort and pain during swallowing as well as feelings of stress and isolation. The study is broad with a varied patient population. The comparison over time, or after therapy intervention, will enable the clinician to ascertain functional gains in the patient’s swallowing status. Test-retest technique is used to test the reliability of the outcome obtained from the test.
The study by (Langmore et al., 2015), used dysphagia patients in an endoscopic swallowing evaluation including laryngeal test air and touch method and correlated the responses. Parallel forms of reliability were used and correlation to evaluate the consistency of results. The air –pulse method identified sensory impairment associated with abnormal PAS (P=.05).The test is reliable at 95% confidence interval being the implication of the latter.
A test may be reliable, but this is not enough for a conclusion for the test measures what it purports to measure. In their study to determine the presence of eating disorders in suspected patients, (Morgan et al., 1993) makes use of the SCOFF questions, which are a valid measure of the condition. In a study by (Schindler et al., 2015), the patients were used to determine various swallowing disorders. Test-retest methods were being used for reliability testing while the normative comparison was used to ascertain the validity of the collected data. The study got done for (p=.04), CI greater than 95%. The SWAL-QAL process for detection and treatment of oropharyngeal dysphagia is limited in the long time taken in completion and scoring of the survey (McHorney et.al, 2002). Head and neck cancer seem to precede both oropharyngeal and esophageal dysphagia (McHorney et.al, 2002).
The EAT-10 is a self-administered, symptom-specific result instrument for dysphagia. It has shown excellent inner reliability, test-retest reproducibility, and criterion-based credibility. The normative information recommends that an EAT-10 ranking of 3 or higher is irregular. The device may get used to papers the preliminary dysphagia intensity and observe the treatment reaction in individuals with a broad range of swallowing problems. It is critical to understand that while aspiration is of paramount importance, a dysphagia evaluation is about much more. A physical assessment of these abilities is an essential part of any comprehensive evaluation of dysphagia.References
Belafsky P.C., Mouadeb D.A., Rees C.J., Pryor J.C., Postma G.N., Allen J. & Leonard
R.J. (2008) Validity and Reliability of the Eating Assessment Tool (EAT-10):
Annals of Ontology, Rhinology & Laryngology. Annals publishing company
Morgan J.F. Reid F., Lacey J.H. (1999) The SCOFF questionnaire: assessment of a new
screening tool for eating disorders. National Institute of Health. 319(7223)
Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC28290/McHorney C, Robbins J, Lomax K, et al. (2002). The SWAL-QOL and SWAL–CARE
outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of
reliability and validity Dysphagia. Pp 17:97–114.
Schindler A., Mozzanica F., Monzani A., Ceriani E., Atac M., Jukic-Peladic N.,
Venturini C. & Orlandoni P. (2015) Reliability and Validity if Italian Eating
Assessment Tool. Analysis of otology, Rhinology & Laryngology. Milan. Italy.
Skoretz SA, Flowers HL, Martino R. (2010). The incidence of Dysphagia following
endotracheal intubation: a systematic review. Chest. 137: pp 665-73
Thomas FJ, Wiles CM. (1999) Dysphagia and nutritional status in multiple sclerosis. J
Nurol. 246: pp 677-82.
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