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o Issue N# 1 - 2012 o

PHONIATRICS

Understanding the use of self-evaluation questionnaires when assessing a patient’s swallowing capacity and performing follow-up activities


Authors : Lauret Corthay D, Garnier Paillusseau L, Borel S, Tessier C, Sauvignet A, Crevier-Buchman L. (Paris)

Ref. : Rev Laryngol Otol Rhinol. 2012;133,1:19-26.

Article published in french
Downloadable PDF document french



Summary : The purpose of this study was to examine the possibility of improving the assessment protocol of dysphagia and show the interest of adding a self-assessment evaluation scale to the traditional functional assessment of the swallowing process. We have a comparison of the assessment of 30 dysphagic patients with two different scales (DHI and EAT-10). Results show that the self-evaluation scales selected led to quantitative data comparable to the objective results of the COLP-FR-G func­tio­nal assessment tool. We may therefore conclude that the patients’ own feelings do not differ from the results of the clini­cal dysphagia severity assessment. Results also highlight that both scales provide similar information in terms of content and also reflect the evolution of objective data. The EAT-10 scale, by its simplicity and limited number of questions, could be proposed as a screening test in neurological patients and geria­tric population, where the DHI scale, with its three sub-domains (physical, functional and emotional), would be a complementary tool for the functional swallowing evaluation. Indeed, in order to evaluate dysphagia, the association of DHI, EAT-10 and COLP-FR-G offers several advantages. This proto­col is convenient and rapid to administrate, it takes the diversity of etiologies into account and its score is easy to transmit to the patients’ medical practitioners. Consequently, its use in the assessment of swallowing functions should be encouraged as a consistent part of the clinical practice.

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