Validity and Reliability of the Swedish Version of the Gugging Swallowing Screen for use in Acute Stroke Care.

IF 2.2 3区医学 Q1 OTORHINOLARYNGOLOGY

Dysphagia Pub Date : 2025-02-01 Epub Date: 2024-05-16 DOI:10.1007/s00455-024-10717-y

Jenny Selg, Thorbjörn Holmlund, Eva Levring Jäghagen, Jenny McGreevy, Sara Svanberg, Per Wester, Patricia Hägglund

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Abstract

The purpose of this study was to cross-culturally validate the Swedish version of the Gugging Swallowing Screen (GUSS-S) for use in the acute phase of stroke. Further, to evaluate the inter-rater reliability between different healthcare professionals. GUSS was translated into Swedish using a forward-backward method followed by expert rating to obtain content validity. For criterion validity, the GUSS-S score was compared with Flexible Endoscopic Evaluation of Swallowing (FEES) assessed with the Penetration-Aspiration Scale (PAS) in acute stroke patients (≤ 96 h after stroke onset). Convergent validity was calculated by comparison with the Functional Oral Intake Scale (FOIS) as per the comprehensive FEES assessment, the Standardized Swallowing Assessment (SSA), and the National Institutes of Health Stroke Scale (NIHSS). To evaluate inter-rater reliability, a nurse and a speech-language pathologist (SLP) independently assessed 30 patients. In total, 80 patients (32 women, median age 77 years (range 29-93) were included, mean 1.7 ± 0.9 days after admission. With a cut-off value of 14 points, the GUSS-S identified aspiration with a sensitivity of 100% and a specificity of 73% (area under the curve: 0.87, 95% CI 0.78-0.95). Spearman rank correlation showed very strong correlation between the GUSS-S and PAS (r_s=-0.718, P = < 0.001) and FOIS (r_s=0.720, P = 0.001) and strong correlation between the GUSS-S and SSA (r_s=0.545, P = < 0.001) and NIHSS (r_s=-0.447, P = 0.001). The inter-rater agreement for GUSS-S was substantial (_Kw=0.67, P = < 0.001). The results indicate that the GUSS-S is a valid and reliable tool for the assessment of dysphagia in acute stroke patients by different healthcare professionals.

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用于急性脑卒中护理的瑞典版 Gugging 吞咽筛查的有效性和可靠性。

本研究的目的是对用于脑卒中急性期的瑞典语版 Gugging 吞咽筛查（GUSS-S）进行跨文化验证。此外，还要评估不同医护人员之间的互评可靠性。GUSS 被翻译成瑞典语时采用了前向-后向法，然后由专家评分以获得内容效度。在标准效度方面，对急性中风患者（中风发作后 ≤ 96 小时）进行了 GUSS-S 评分与灵活内窥镜吞咽评估（FEES）和穿刺-吸气量表（PAS）的比较。通过与功能性口腔摄入量表（FOIS）（根据 FEES 综合评估）、标准化吞咽评估（SSA）和美国国立卫生研究院卒中量表（NIHSS）进行比较，计算出收敛效度。为了评估评分者之间的可靠性，一名护士和一名语言病理学家（SLP）对 30 名患者进行了独立评估。共纳入 80 名患者（32 名女性，中位年龄 77 岁（29-93 岁不等），平均入院后 1.7 ± 0.9 天）。以 14 分为临界值，GUSS-S 识别吸入的灵敏度为 100%，特异度为 73%（曲线下面积：0.87，95% CI 0.78-0.95）。斯皮尔曼等级相关性显示，GUSS-S 和 PAS 之间具有很强的相关性（rs=-0.718，P = s=0.720，P = 0.001），GUSS-S 和 SSA 之间具有很强的相关性（rs=0.545，P = s=-0.447，P = 0.001）。评分者之间对 GUSS-S 的一致性非常高（Kw=0.67，P=0.001）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dysphagia 医学-耳鼻喉科学

CiteScore

4.90

自引率

15.40%

发文量

149

审稿时长

6-12 weeks

期刊介绍： Dysphagia aims to serve as a voice for the benefit of the patient. The journal is devoted exclusively to swallowing and its disorders. The purpose of the journal is to provide a source of information to the flourishing dysphagia community. Over the past years, the field of dysphagia has grown rapidly, and the community of dysphagia researchers have galvanized with ambition to represent dysphagia patients. In addition to covering a myriad of disciplines in medicine and speech pathology, the following topics are also covered, but are not limited to: bio-engineering, deglutition, esophageal motility, immunology, and neuro-gastroenterology. The journal aims to foster a growing need for further dysphagia investigation, to disseminate knowledge through research, and to stimulate communication among interested professionals. The journal publishes original papers, technical and instrumental notes, letters to the editor, and review articles.