王如蜜，兰纯娜，张长杰，樊永梅，熊雪红.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[J].中华物理医学与康复杂志,2017,39(6):422-426
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| 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 |
| The sensitivity and specificity of the Chinese eating assessment tool (EAT-10) for screening oropharyngeal dysphagia in acute stroke patients |
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| DOI： |
| 中文关键词: EAT-10中文版 急性期脑卒中 口咽期吞咽障碍 |
| 英文关键词: Chinese eating assessment tool Stroke Oropharyngeal dysphagia Dysphagia |
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| 中文摘要: |
| 目的 探讨进食评估问卷调查工具-10（EAT-10）中文版在急性期脑卒中患者口咽期吞咽障碍(OD)筛查中的敏感度及特异度。 方法 采用EAT-10中文版对130名急性期脑卒中后住院患者进行筛查评估，筛查当天行视频透视检查（VFS)，选用受试者工作曲线(ROC曲线)调整分界值，用敏感度、特异度、Youden指数、阳性预测值、阴性预测值、阳性似然比、阴性似然比进行筛查效果评价。 结果 根据ROC曲线调查分界值，分界值选1时，EAT-10中文版的敏感度较高（77.9%）、阴性预测值也较高（73.2%），特异度为66.1%，Youden指数0.46，阳性预测值71.6%，阳性似然比2.30，阴性似然比0.33。EAT-10中文版重测信度均0.7以上，不同调查员信度较好，显示条目2有1位调查员的结果是恒定值。量表其余9个条目的一致相关系数均＞0.7，各亚项和总分均值间一致性较高。 结论 EAT-10中文版重测信度和不同调查员信度较好，分界值选1为最理想分界值，EAT-10中文版得分≥1时判断吞咽异常有较高的敏感度及阴性预测值，推荐作为急性期脑卒中后吞咽障碍筛查工具。 |
| 英文摘要: |
| 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 stan-dard 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. |
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