Alle Publikationen zum Thema GUSS
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GUSS - VALIDIERUNG und ADAPTATION für Laryngektomierte:
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Posterpräsentation auf der European Organisation of Stroke Conference von Anna Schwaninger, deren Masterthesis ich mit betreut habe.
EOSC, 22. – 24. May 2019, Milano, Italy
Abstract Topic: CLINICAL TRIAL RESULTS – REHABILITATION & RECOVERY
THE GUGGING SWALLOWING SCREEN (GUSS) RECOMMENDS A SIMILAR DIET AS THE FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING (FEES) FOR SEVERE STROKES WHEN COUGHING IS EVALUATED CRITICALLY
Anna Schwaninger1, Yvonne Teuschl2, Michaela Trapl-Grundschober3
1 Neurologie & Stroke Unit, Klinikum Braunschweig; Braunschweig, Germany
2 Donau-Universität Krems, Fakultät für Gesundheit und Medizin, Department Klinische Neurowissenschaften und Präventionsmedizin; Krems, Austria
3Universitätsklinikum Tulln; Tulln, Austria
Abstract for Poster-Presentation
Background:
Dysphagia is a common complication after stroke. Early assessment of swallowing can prevent severe consequences such as aspiration pneumonia. The Gugging Swallowing Screen (GUSS), a valid and widely-used bedside-screen, has been criticised to overestimate the necessity of nasogastric tubes (NGT) compared to fiberoptic endoscopic evaluation of swallowing (FEES) in severe stroke patients. This cross-sectional study compares the diet recommendations of GUSS and FEES as well as the actually implemented dietin severe stroke patients and investigates if they differ because of the items „vigilance“ and „voluntary cough“ in the GUSS-pretest.
Methods:
The diet-recommendations given by FEES, GUSS and the actually implemented diet were compared for 20 patients with severe acute stroke (National Institute of Health Stroke Scale [NIHSS] ≥ 15).
Results:
The GUSS recommended nothing per os (NPO) for all severe strokes; in 50% of these, FEES recommended equally NPO. For the other ten patients, the FEES recommended a less strict level-1 diet. This diet was implemented in five cases, all other patients received NPO. Eleven out of 15 patients with NPO showed insufficient vigilance whereas all five patients with level-1 diet were awake (p=0.004). Only 1/15 (7%) patients administered to NPO could cough voluntary compared to 2/5 (40%) with diet level-1 (p=0.071).
Conclusion:
GUSS is a suitable diagnostic-tool for dysphagia in severe stroke patients. In clinical practice, the decision for NPO is based on vigilance but not on the ability of voluntary coughing. The additional use of FEES may prevent NGT in severe stroke with good vigilance.
Posterpräsentation am 11th World Stroke Congress in Montreal / Kanada von 17.10-20.10.2018
von Fr. Dr. Teuschl
DOI: 10.13140/RG.2.2.24196.37761
Titel:
PATIENTS WITH MILD AS WELL AS WITH SEVERE ACUTE STROKES BENEFIT FROM SYSTEMATIC DYSPHAGIA SCREENING AND DIETARY MODIFICATION TO PREVENT PNEUMONIA: A REGISTRY STUDY.
Abstract:
Background and purpose: Early swallowing screening and dietary modifications are recommended to decrease the risk of stroke-associated pneumonia (SAP). Swallowing screenings are often not used in mild strokes, and might overestimate the necessity for nasogastric tubes in severe strokes. In this observational study we investigated how dietary recommendations based on the Gugging Swallowing Screen (GUSS) relate to SAP and dysphagia in stroke severity subgroups. Methods: Retrospective database analysis of 1394 patients admitted with acute stroke between 2012 and 2014 at the stroke-unit of the University Clinic Tulln. Results: Of 993 patients screened with GUSS, 50 patients developed SAP. National Institutes of Health Stroke Scale (NIHSS) scores on admission were 0-4 in 377 (38%), 5-9 in 296 (30%), 10-14 in 136 (14%), and ≥15 in 184 (19%) patients. In these NIHSS-subgroups, 3%, 4%, 6%, and 11% respectively developed SAP, and 34%, 61%, 89%, and 95% had dysphagia (GUSS score <20). Nasogastric tubes were necessary in 60/184 (33%) patients with severe strokes (NIHSS ≥15). Among severe strokes 118 (64%) were designated nil per mouth (NPO), and another 34 (19%) who were given pureed food would have received NPO according to a water-swallow test. Conclusion: Despite the low SAP rates in mild strokes, 34% of patients had dysphagia and should therefore not be omitted from dysphagia screening. The multi-consistency screening GUSS allows a special diet even in severe strokes if dysphagia is moderate. Patients with severe strokes might profit from an additional instrumental evaluation of swallowing to decrease the use of nasogastric tubes.
Early Dysphagia Screening by Trained Nurses Reduces Pneumonia Rate in Stroke Patients: A Clinical Intervention Study.
Palli C, Fandler S, Doppelhofer K, Niederkorn K, Enzinger C, Vetta C, Trampusch E, Schmidt R, Fazekas F, Gattringer T. Early Dysphagia Screening by Trained Nurses Reduces Pneumonia Rate in Stroke Patients: A Clinical Intervention Study. Stroke. 2017 Sep;48(9):2583-2585.
doi: 10.1161/STROKEAHA.117.018157. Epub 2017 Jul 17. PubMed PMID: 28716980.
Implementierung des GUSS auf der
Universitätsklinik für Neurologie in Graz
Aspiration and dysphagia screening in acute stroke - the Gugging Swallowing Screen revisited.
Warnecke T(1), Im S(2), Kaiser C(1), Hamacher C(1), Oelenberg S(1), Dziewas R(1).
Author information:
(1)Department of Neurology, University Hospital of Münster, Münster, Germany.
(2)Department of Rehabilitation Medicine, Bucheon St. Mary's Hospital, College of
Medicine, The Catholic University of Korea, Bucheon, Korea.
Eur J Neurol. 2017 Apr;24(4):594-601. doi: 10.1111/ene.13251. Epub 2017 Feb 3.
"Development of a modified swallowing screening tool to manage post-extubation dysphagia"
Nurs Crit Care. 2017 Dec 28. doi: 10.1111/nicc.12333. [Epub ahead of print]
Christensen M(1), Trapl M(2)
Author information:
(1)School of Nursing, Queensland University of Technology, Caboolture,Queensland, Australia.
(2)Department of Neurology, University Clinic, Tulln, Austria.
Posterpräsentation auf dem Kongress der ESSD und World Dysphagia Summit
in Barcelona 21.09.-22.09.2017
Titel: "The impact of dietary recommendations on stroke associated pneumonia based on the Gugging Swallowing Screen" DOI: 10.3252/pso.eu.ESSD2017.2017
Posterpräsenation auf der 3rd STROKE ORGANISATION CONFERENCE
in Prague / Czech Republic 16-18 Mai 2017
Titel: "Real-world use of the Gugging Swallowing Screen on a Stroke Unit"
Posterpräsenation auf dem Kongress der European Society of Swallowing Disorders (ESSD)
in Mailand von 14-15.10.2016
Titel: "International dissemination and usage of the Gugging Swallowing Screen (GUSS). Evaluation of an user questionnaire". DOI: 10.3252/pso.eu.ESSD2016.2016
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Posterpräsentation auf dem Kongress der ESSD und World Dysphagia Summit
in Barcelona 21.09.-22.09.2017
Titel: "The impact of dietary recommendations on stroke associated pneumonia based on the Gugging Swallowing Screen" DOI: 10.3252/pso.eu.ESSD2017.2017
M. Trapl 2, Y. Teuschl 1, P. Ratajczak 1, K. Matz 1,2, A. Dachenhausen 1, M. Brainin 1
1Danube University Krems, 2 University Hospital Tulln, Austria
***
"Overestimating the risk of aspiration in acute stroke."
Eur J Neurol. 2017 Jun;24(6):e34. doi: 10.1111/ene.13298.
Trapl M(1), Teuschl Y(2), Matz K(1)(2), Dachenhausen A(2), Brainin M(2).
Author information: (1)Department of Neurology, University Clinic Tulln, Tulln, Austria. (2)Department for Clinical Neurosciences and Preventive Medicine, Danube University Krems, Krems, Austria. DOI: 10.1111/ene.13298 PMID: 28544406
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Posterpräsentation auf der 3rd STROKE ORGANISATION CONFERENCE
in Prague / Czech Republic 16-18 Mai 2017
Titel: "Real-world use of the Gugging Swallowing Screen on a Stroke Unit"
Y. Teuschl 1, M. Trapl 2, P. Ratajczak 1, K. Matz 1,2 and M. Brainin 1,2
1Danube University Krems, Department for Clinical Medicine and Preventive Medicine, Krems, Austria
2 University Hospital Tulln, Department of Neurology, Tulln, Austria
***
Posterpräsentation auf dem Kongress der European Society of Swallowing Disorders (ESSD)
in Mailand von 14-15.10.2016
Titel: "International dissemination and usage of the Gugging Swallowing Screen (GUSS). Evaluation of an user questionnaire". DOI: 10.3252/pso.eu.ESSD2016.2016
M. Trapl 2, B. Firlinger 1, Y. Teuschl 1, A.Dachenhausen 1 and M. Brainin 1,2
1Danube University Krems, Department for Clinical Medicine and Preventive Medicine, Krems, Austria
2University Hospital Tulln, Department of Neurology, Tulln, Austria
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"Dysphagia Bedside Screening for Acute-Stroke Patients. The Gugging Swallowing Screen". Michaela Trapl, MSc. Ein Artikel in deutscher Sprache zur Erklärung der publizierten Studie und des GUSS-Screenings in der Fachzeitschrift des Berufsverbandes logpädieaustria: logoTHEMA 5.Jahrgang, Ausgabe 2/2008
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„Dysphagia Bedside Screening for Acute Stroke Patients:The Gugging Swallowing Screen (GUSS)”
Trapl M(1), Enderle P, Nowotny M, Teuschl Y, Matz K, Dachenhausen A, Brainin M.
Author information:
(1)Center of Clinical Neurosciences, Danube University, Krems, and the Department
of Neurology, Landesklinikum Donauregion, Maria Gugging, Austria.Stroke. 2007 Nov;38(11):2948-52. Epub 2007 Sep 20:
Verleihung des Niederösterreichischen Wissenschaftspreises 2008 durch die Medizinische Gesellschaft Niederösterreich für die Publikation des Dysphagie Bedside Screenings.