ScholarWorks@중앙대학교

초록

Objective: This cross-sectional pilot study aimed to translate, culturally adapt, and validate the Korean version of the Pediatric Eating Assessment Tool-10 (K-Pedi-EAT-10).Methods: To translate, culturally adapt, and validate the Korean version of the Pediatric Eating Assessment Tool-10 (K-Pedi-EAT-10).Results: The K-Pedi-EAT-10 demonstrated excellent internal consistency (Cronbach’s α=0.956) and strong test–retest reliability (ICC=0.988; 95% CI, 0.971–0.995). Content validity indices were high (I-CVI>0.80 for all items; S-CVI/Ave=0.92 for relevance, 0.88 for clarity). Children with dysphagia showed markedly higher K-Pedi-EAT-10 total scores (16.15±9.24) than controls (0.31±0.72; U=9.5, Z=-4.053, p<0.001), confirming discriminative validity. Higher K-Pedi-EAT-10 scores were observed in children with aspiration (Penetration-Aspiration Scale [PAS]≥6) than in those without (p<0.05). Significant correlations were found between K-Pedi-EAT-10 total and PAS scores (r=0.705, p=0.007), confirming its potential utility as a screening tool that reflects aspiration severity without radiation exposure from videofluoroscopic swallowing study. Receiver operating characteristic analysis yielded an area under the curve of 0.98 (95% CI, 0.95–1.00) and identified a cut-off score of 19 for predicting aspiration, with 100% sensitivity and 85.7% specificity.Conclusion: The K-Pedi-EAT-10 is a reliable, valid, and non-invasive tool for screening pediatric dysphagia. Its strong psychometric performance supports its potential use for the early identification and timely intervention of children at risk for dysphagia in clinical practice.

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