The portuguese version of the gugging swallowing screen: results from its application

Detalhes bibliográficos
Autor(a) principal: Oliveira,Isabel de Jesus
Data de Publicação: 2021
Outros Autores: Couto,Germano Rodrigues, Moreira,Alfredina, Gonçalves,Carlos, Marques,Marlene, Ferreira,Pedro Lopes
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0873-30152021000300093
Resumo: Abstract Introduction: Dysphagia is a frequent complication after a stroke which is associated with increased risk of pneumonia, dehydration and malnutrition. Early screening reduces the incidence of pneumonia after stroke. Objective: To translate, cross cultural adapt and test the Portuguese version of the Gugging Swallowing Screen. Methods: 226 acute stroke patients were prospectively enrolled in a multicentre study in stroke units. The Gugging Swallowing Screen was administered by nurses on patient’s admission. Results were compared to National Institute Health Stroke Scale and Glasgow Coma Scale scores and nurse’s clinical judgment. Inter-rater reliability was established. Results: The incidence of dysphagia using GUSS was 47.3%. Sensitivity, specificity and the area under the receiver operating characteristic curve were, respectively, 85.4%, 84.6% and 0.892., using nurse’s clinical judgment as a reference. A significant association was established between positive screening and a higher neurological deficit (χ2=32.99; p<0.001) and no dysphagia with mild coma (χ2=15.15; p<0.001). Excellent inter-rater reliability (k=0.940) was reached. Conclusion: The results suggest that the Portuguese version of the Gugging Swallowing Screen produces similar results as its original version, is simple to administer at bedside by nurses, is reliable and with adequate sensitivity to guide healthcare professionals in determining the need of a more comprehensive evaluation.
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spelling The portuguese version of the gugging swallowing screen: results from its applicationdeglutition disordersstrokereproducibility of resultsAbstract Introduction: Dysphagia is a frequent complication after a stroke which is associated with increased risk of pneumonia, dehydration and malnutrition. Early screening reduces the incidence of pneumonia after stroke. Objective: To translate, cross cultural adapt and test the Portuguese version of the Gugging Swallowing Screen. Methods: 226 acute stroke patients were prospectively enrolled in a multicentre study in stroke units. The Gugging Swallowing Screen was administered by nurses on patient’s admission. Results were compared to National Institute Health Stroke Scale and Glasgow Coma Scale scores and nurse’s clinical judgment. Inter-rater reliability was established. Results: The incidence of dysphagia using GUSS was 47.3%. Sensitivity, specificity and the area under the receiver operating characteristic curve were, respectively, 85.4%, 84.6% and 0.892., using nurse’s clinical judgment as a reference. A significant association was established between positive screening and a higher neurological deficit (χ2=32.99; p<0.001) and no dysphagia with mild coma (χ2=15.15; p<0.001). Excellent inter-rater reliability (k=0.940) was reached. Conclusion: The results suggest that the Portuguese version of the Gugging Swallowing Screen produces similar results as its original version, is simple to administer at bedside by nurses, is reliable and with adequate sensitivity to guide healthcare professionals in determining the need of a more comprehensive evaluation.Instituto Politécnico de Viseu (IPV)2021-10-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0873-30152021000300093Millenium - Journal of Education, Technologies, and Health n.16 2021reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0873-30152021000300093Oliveira,Isabel de JesusCouto,Germano RodriguesMoreira,AlfredinaGonçalves,CarlosMarques,MarleneFerreira,Pedro Lopesinfo:eu-repo/semantics/openAccess2024-02-06T17:10:15Zoai:scielo:S0873-30152021000300093Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:21:51.725211Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The portuguese version of the gugging swallowing screen: results from its application
title The portuguese version of the gugging swallowing screen: results from its application
spellingShingle The portuguese version of the gugging swallowing screen: results from its application
Oliveira,Isabel de Jesus
deglutition disorders
stroke
reproducibility of results
title_short The portuguese version of the gugging swallowing screen: results from its application
title_full The portuguese version of the gugging swallowing screen: results from its application
title_fullStr The portuguese version of the gugging swallowing screen: results from its application
title_full_unstemmed The portuguese version of the gugging swallowing screen: results from its application
title_sort The portuguese version of the gugging swallowing screen: results from its application
author Oliveira,Isabel de Jesus
author_facet Oliveira,Isabel de Jesus
Couto,Germano Rodrigues
Moreira,Alfredina
Gonçalves,Carlos
Marques,Marlene
Ferreira,Pedro Lopes
author_role author
author2 Couto,Germano Rodrigues
Moreira,Alfredina
Gonçalves,Carlos
Marques,Marlene
Ferreira,Pedro Lopes
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Oliveira,Isabel de Jesus
Couto,Germano Rodrigues
Moreira,Alfredina
Gonçalves,Carlos
Marques,Marlene
Ferreira,Pedro Lopes
dc.subject.por.fl_str_mv deglutition disorders
stroke
reproducibility of results
topic deglutition disorders
stroke
reproducibility of results
description Abstract Introduction: Dysphagia is a frequent complication after a stroke which is associated with increased risk of pneumonia, dehydration and malnutrition. Early screening reduces the incidence of pneumonia after stroke. Objective: To translate, cross cultural adapt and test the Portuguese version of the Gugging Swallowing Screen. Methods: 226 acute stroke patients were prospectively enrolled in a multicentre study in stroke units. The Gugging Swallowing Screen was administered by nurses on patient’s admission. Results were compared to National Institute Health Stroke Scale and Glasgow Coma Scale scores and nurse’s clinical judgment. Inter-rater reliability was established. Results: The incidence of dysphagia using GUSS was 47.3%. Sensitivity, specificity and the area under the receiver operating characteristic curve were, respectively, 85.4%, 84.6% and 0.892., using nurse’s clinical judgment as a reference. A significant association was established between positive screening and a higher neurological deficit (χ2=32.99; p<0.001) and no dysphagia with mild coma (χ2=15.15; p<0.001). Excellent inter-rater reliability (k=0.940) was reached. Conclusion: The results suggest that the Portuguese version of the Gugging Swallowing Screen produces similar results as its original version, is simple to administer at bedside by nurses, is reliable and with adequate sensitivity to guide healthcare professionals in determining the need of a more comprehensive evaluation.
publishDate 2021
dc.date.none.fl_str_mv 2021-10-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0873-30152021000300093
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dc.language.iso.fl_str_mv eng
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eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Instituto Politécnico de Viseu (IPV)
publisher.none.fl_str_mv Instituto Politécnico de Viseu (IPV)
dc.source.none.fl_str_mv Millenium - Journal of Education, Technologies, and Health n.16 2021
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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