EBRU KARACA UMAY
(Department of Physical Medicine and Rehabilitation, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey)
EDA GÜRÇAY
(Department of Physical Medicine and Rehabilitation, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey)
Kadir BAHÇECİ
(Department of Physical Medicine and Rehabilitation, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey)
Erhan ÖZTÜRK
(Department of Physical Medicine and Rehabilitation, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey)
Volkan YILMAZ
(Department of Physical Medicine and Rehabilitation, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey)
İbrahim GÜNDOĞDU
(Department of Physical Medicine and Rehabilitation, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey)
Tijen CEYLAN
(Otolaryngology-Head&Neck Surgery Clinic, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey)
Yasemin EREN
(Neurology Clinic, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey)
Aytül ÇAKCI
(Department of Physical Medicine and Rehabilitation, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey)
Yıl: 2018Cilt: 35Sayı: 1ISSN: 1300-1817 / 2636-865XSayfa Aralığı: 6 - 13İngilizce

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Validity and reliability of Turkish version of the gugging swallowing screen test in the early period of hemispheric stroke
Objective: The Gugging Swallowing Screen (GUSS) test is a bedside screening test for the assessment of all phases of swallow- ing in acute-period stroke. The present study aimed to evaluate whether GUSS was effective for the detection of dysphagia in the early period after stroke, as well as to conduct Turkish translation, and validity and reliability studies. Methods: The scale was administered to 113 patients within the early periods of stroke (within 30 days after stroke). The proce- dures were scored by two blinded independent expert observers. Cronbach’s alpha and item-to-total correlations were used to assess internal consistency. Inter-rater reliability studies were also conducted. Endoscopic evaluations were performed within the first 4 hours following the application of the screening tests. The fiberoptic endoscopic evaluation of swallowing (FEES) method was used to describe the validity of measures. Results: The mean time since the stroke was 14.34±5.23 days. Internal consistency was found to be good with Cronbach’s α values between 0.844 and 0.846. The intraclass correlation coefficient scores indicated excellent inter-rater reliability with scores ranging from 0.881 to 1.000. A strong negative correlation was found between FEES stage and the total T-GUSS scores of the raters (r=-0.547 p<0.001; r=-0.515, p=0.001, respectively). Conclusion: T-GUSS has good internal consistency and very good reliability between raters, as well as good correlation with FEES evaluation regarding the detection of aspiration risk in the early period of stroke in Turkish patients.
Fen > Tıp > Nörolojik Bilimler
DergiAraştırma MakalesiErişime Açık
  • Falsetti P, Acciai C, Palilla R, et al. Oropharyngeal dysphagia after stroke: incidence, diagnosis, and clinical predictors in patients admitted to a neurorehabilitation unit. J Stroke Cerebrovasc Dis 2009; 18: 329-335. [CrossRef ]
  • Cohen DL, Roffe C, Beavan J, et al. Post-stroke dysphagia: A review and design considerations for future trials. Int J Stroke 2016; 11: 399-411. [CrossRef ]
  • Martino R, Foley N, Bhogal S, et al. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke 2005; 36: 2756-2763. [CrossRef ]
  • Jauch EC, Saver JL, Adams HP Jr, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2013; 44: 870-947. [CrossRef ]
  • Hebert D, Lindsay MP, McIntyre A, et al. Canadian stroke best practice recommendations: Stroke rehabilitation practice guidelines, update 2015. Int J Stroke 2016; 11: 459-484. [CrossRef ]
  • Donovan NJ, Daniels SK, Edmiaston J, et al. Dysphagia screening: state of the art: invitational conference proceeding from the State-of-the-Art Nursing Symposium, International Stroke Conference 2012. Stroke 2013; 44: e24-31. [CrossRef ]
  • Poorjavad M, Jalaie S. Systemic review on highly qualified screening tests for swallowing disorders following stroke: Validity and reliability issues. J Res Med Sci 2014; 19: 776-785.
  • Mann G, Hankey GJ, Cameron D. Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovasc Dis 2000; 10: 380-386. [CrossRef ]
  • Teasell R, Foley N, Salter K, et al. Evidence-based review of stroke rehabilitation: executive summary, 12th edition. Top Stroke Rehabil 2009; 16:463-488. [CrossRef ]
  • Daniels SK, Anderson JA, Willson PC. Valid items for screening dysphagia risk in patients with stroke: a systematic review. Stroke 2012; 43: 892-897. [CrossRef ]
  • Oh JC, Park JH, Jung MY, et al. Relationship between Quantified Instrumental Swallowing Examination and Comprehensive Clinical Swallowing Examination. Occup Ther Int 2016; 23: 3-10. [CrossRef ]
  • Trapl M, Enderle P, Nowotny M, et al. Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke 2007; 38: 2948-2952. [CrossRef ]
  • Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000; 25: 3186-3191. [CrossRef ]
  • Dziewas R, Warnecke T, Olenberg S, et al. Towards a basic endoscopic assessment of swallowing in acute stroke - development and evaluation of a simple dysphagia score. Cerebrovasc Dis 2008; 26: 41-47. [CrossRef ]
  • Bowling A. Quality of Life: Measures and Meanings in Social Care Research. London: School for Social Care Research 2014.
  • Bland JM, Altman D. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 1: 307-310. [CrossRef ]
  • Dawson B. Lange: Basic & clinical biostatistics. New York: McGraw-Hill, 2004.
  • Matsuo K, Palmer JB. Anatomy and physiology of feeding and swallowing: normal and abnormal. Phys Med Rehabil Clin N Am 2008; 19: 691-707. [CrossRef ]
  • Baroni AF, Fabio SR, Dantas RO. Risk factors for swallowing dys- function in stroke patients. Arq Gastroenterol 2012; 49: 118-124. [CrossRef ]
  • Lee KM, Kim HJ. Practical assessment of dysphagia in stroke pa- tients. Ann Rehabil Med 2015; 39: 1018-1027. [CrossRef ]
  • Shin JC, Kim DY, Ji Heo JH, Song W, Yi SH. Comparison between Gugging Swallowing Screen and Other Dysphagia Screening Tests. Brain Neurorehabil 2009; 2: 146-154. [CrossRef ]
  • Schultheiss C, Nusser-Muller-Busch R, Seidl RO. The semisolid bolus swallow test for clinical diagnosis of oropharyngeal dysphagia: a prospective randomised study. Eur Arch Otorhinolaryngol 2011; 268: 1837-1844. [CrossRef ]
  • Sørensen RT, Rasmussen RS, Overgaard K, et al. Dysphagia screening and intensified oral hygiene reduce pneumonia after stroke. J Neurosci Nurs 2013; 45: 139-146. [CrossRef ]
  • Migliorini E, Vettorello A, Mottaran L, Irotto E, Tarozzo M. Screening della disfagia nei pazienti con stroke acuto: l'introduzione sistematica del GUSS test. Evidence 2012; 4: e1000016.
  • Shuqin X, Hong C, Jian W, et al. Reliability and validity of GUSS swallowing function assessment scale. Chinese Journal of Modern Nursing 2013; 19: 4189-4191.
  • Lee KW, Kim SB, Lee JH, et al. Clinical validity of Gugging Swallowing Screen for acute stroke patients. J Korean Acad Nurs 2009; 33: 458-462.
  • Park YH, Bang HL, Han HR, Chang HK. Dysphagia screening measures for use in nursing homes: a systematic review. J Korean Acad Nurs 2015; 45: 1-13. [CrossRef ]
  • John JS, Berger L. Using the gugging swallowing screen (GUSS) for dysphagia screening in acute stroke patients. J Contin Educ Nurs 2015; 46: 103-104. [CrossRef ]
  • Mourão AM, Lemos SM, Almeida EO, Vicente LC, Teixeira AL. Frequency and factors associated with dysphagia in stroke. Codas 2016; 28: 66-70. [CrossRef ]
  • Jiang JL, Fu SY, Wang WH, Ma YC. Validity and reliability of swallowing screening tools used by nurses for dysphagia: A systematic review. Ci Ji Yi Xue Za Zhi 2016; 28: 41-48. [CrossRef ]
  • González-Fernández M, Ottenstein L, Atanelov L, Christian AB. Dysphagia after Stroke: an Overview. Curr Phys Med Rehabil Rep 2013; 1: 187-196. [CrossRef ]
  • Takizawa C, Gemmell E, Kenworthy J, Speyer R. A Systematic Review of the Prevalence of Oropharyngeal Dysphagia in Stroke, Parkinson's Disease, Alzheimer's Disease, Head Injury, and Pneumonia. Dysphagia 2016; 31: 434-441. [CrossRef ]

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