The portuguese version of the gugging swallowing screen: results from its application
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
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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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 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0873-30152021000300093 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0873-30152021000300093 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
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 instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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 |
repository.mail.fl_str_mv |
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1799137303580377088 |