水测试和EAT-10作为对视频光镜进行参考的查工具
Jonna Kuuskoski1, Jaakko Vanhatalo2, Jami Rekola1
1Department of Otorhinolaryngology - Head and Neck Surgery, Turku University Hospital and University of Turku, Turku, Finland.
The Laryngoscope
|September 11, 2023
概括
水吞测试 (WST) 侧重于咳和球体大小,有效地选患者进行视频光镜 (VFS) 评估失症. 在预测VFS结果方面,WST比食用评估工具 (EAT-10) 更准确.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语音语言病理学
- 胃肠病学 胃肠病学
背景情况:
- 缺食症的评估依赖于视频光学 (VFS),这是目前的黄金标准.
- 水吞测试 (WST) 和饮食评估工具 (EAT-10) 是常见的消化不良查方法.
研究的目的:
- 评估使用WST和EAT-10用于患者转诊到VFS的可行性.
- 为了确定 WST 和 EAT-10 对 VFS 发现的预测准确度.
主要方法:
- 150名被转诊VFS的患者在检查前完成了WST和EAT-10.
- WST参数包括定性 (咳,声音变化) 和定量 (球体大小,吞速度) 的措施.
- 分析了EAT-10分数,WST参数和VFS发现之间的相关性.
主要成果:
- 在WST中没有咳预测了89.7%的特异性正常的VFS发现.
- 在WST中,玻尿酸大小≤20毫升是异常VFS发现的最敏感 (79.1%) 预测因素.
- 简化的WST (咳+玻尿酸大小≤20毫升) 提高了异常发现的灵敏度至83.5%.
- 没有任何WST参数是透/吸收最敏感的预测指标 (84.6%).
- 吞速度和EAT-10/WST结合结果并没有提高预测准确度.
结论:
- 咳和球体大小是用于食障碍查转诊VFS的关键WST参数.
- 吞速度不是一个有用的参数,用于此选目的.
- WST在预测功能障碍评估的VFS发现方面表现出优于EAT-10的优势.
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