Utility of the EAT-10 in the detection of dysphagia in high-risk hospitalisation units at a university hospital: a cross-sectional study.
Introduction: the objective was to assess the utility of the Eating Assessment Tool (EAT-10) in hospitalisation units with patients at high risk of dysphagia. Patients and methods: a cross-sectional study was conducted in the Neurology and Internal Medicine wards; patients with admission < 24 hours and in a terminal stage of disease were excluded. In the first 24-48 hours of admission the presence of dysphagia as assessed with the EAT-10, the risk of malnutrition as assessed with the Malnutrition Universal Screening Tools (MUST), and comorbidities using the Charlson index were screened. Results: a total of 169 patients were recruited (76.0 years, 52 % women); 19.5 % were at risk of malnutrition. The EAT-10 instrument could be administered in 80.6 % of the patients, and was positive in 26.6 % (women 34.1 % vs. men 18.4 %; p = 0.025). When comparing patients with higher comorbidity with those with a lower Charlson index, a lower response rate to EAT-10 was observed (78.4 % vs. 93.9 %; p = 0.038), without differences in screening positivity (28.3 % vs. 19.4 %; p = 0.310). The prevalence of dysphagia risk was higher in the Internal Medicine unit than in the Neurology unit (30.4 % vs. 19.6 %; p = 0.133), as was the percentage of cases in which screening could not be performed (21.1 % vs. 11.1 %; p = 0.011). There were no significant differences in risk of malnutrition, mortality, hospital stay, or readmission according to the EAT-10. Conclusions: The EAT-10 has limited utility in the studied hospitalisation units due to a high rate of unfeasible tests, especially among patients at higher risk of dysphagia.
['Vidal Casariego|Alfonso|A|', 'Suárez Silva|Carla|C|', 'Lugo Rodríguez|Gloria|G|', 'Pita Gutiérrez|Francisco|F|', 'Almeida Seoane|M ª Carmen|MªC|', 'Rodríguez Ramos|M ª Josefa|MªJ|', 'Martínez Ramonde|Teresa|T|']
D000368:Aged D000369:Aged, 80 and over D003430:Cross-Sectional Studies D003680:Deglutition Disorders D004435:Eating D005260:Female D006757:Hospital Units D006785:Hospitals, University D006801:Humans D007388:Internal Medicine D007902:Length of Stay D008297:Male D044342:Malnutrition D008875:Middle Aged D009462:Neurology D015596:Nutrition Assessment D010343:Patient Admission D010359:Patient Readmission D013997:Time Factors
Disfagia. Cribado. Eating Assessment Tool. Desnutrición.