Dysphagia Bedside Screening for Acute-Stroke Patients
Author(s) -
Michaela TraplGrundschober,
Paul Enderle,
Monika Nowotny,
Yvonne Teuschl,
Karl Matz,
Alexandra Dachenhausen,
Michael Brainin
Publication year - 2007
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.107.483933
Subject(s) - medicine , swallowing , dysphagia , stroke (engine) , aspiration pneumonia , inter rater reliability , receiver operating characteristic , acute stroke , area under the curve , physical therapy , pneumonia , surgery , rating scale , mechanical engineering , psychology , developmental psychology , tissue plasminogen activator , engineering
Acute-onset dysphagia after stroke is frequently associated with an increased risk of aspiration pneumonia. Because most screening tools are complex and biased toward fluid swallowing, we developed a simple, stepwise bedside screen that allows a graded rating with separate evaluations for nonfluid and fluid nutrition starting with nonfluid textures. The Gugging Swallowing Screen (GUSS) aims at reducing the risk of aspiration during the test to a minimum; it assesses the severity of aspiration risk and recommends a special diet accordingly.
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