The GUSS test as a good indicator to evaluate dysphagia in healthy older people: a multicenter reliability and validity study

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dc.authorid0000-0002-4137-7731
dc.contributor.authorUmay, Ebru
dc.contributor.authorEyigor, Sibel
dc.contributor.authorKarahan, Ali Yavuz
dc.contributor.authorGezer, İlknur Albayrak
dc.contributor.authorKürkcü, Ayşe
dc.contributor.authorKeskin, Dilek
dc.contributor.authorKaraca, Gülten
dc.contributor.authorUnlu, Zeliha
dc.contributor.authorTıkız, Canan
dc.contributor.authorVural, Meltem
dc.contributor.authorAydeniz, Banu
dc.contributor.authorAlemdaroğlu, Ebru
dc.contributor.authorBilir, Emine Esra
dc.contributor.authorYalıman, Ayşe
dc.contributor.authorŞen, Ekin İlke
dc.contributor.authorAkaltun, Mazlum Serdar
dc.contributor.authorAltındağ, Özlem
dc.contributor.authorKeleş, Betül Yavuz
dc.contributor.authorBilgilisoy, Meral
dc.contributor.authorÖzçete, Zeynep Alev
dc.contributor.authorDemirhan, Aylin
dc.contributor.authorGündoğdu, İbrahim
dc.contributor.authorİnanır, Murat
dc.contributor.authorÇalık, Yalkın
dc.date.accessioned2020-03-26T20:19:30Z
dc.date.available2020-03-26T20:19:30Z
dc.date.issued2019
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractPurpose Dysphagia is known to be a disorder of the swallowing function, and is a growing health problem in aging populations. Swallowing screening tests have mostly been studied in comorbidities such as stroke associated with old age. There is no simple, quick and easy screening test to best determine the risk of oropharyngeal dysphagia in geriatric guidelines. We aimed to evaluate whether the Gugging Swallowing Screen (GUSS) test is an effective method for evaluating swallowing difficulty in healthy older people. Methods This cross-sectional and multicenter study was conducted at 13 hospitals between September 2017 and February 2019. The study included 1163 participants aged >= 65 years and who had no secondary dysphagia. Reliability was evaluated for data quality, scaling assumptions, acceptability, reliability, and validity as well as cutoff points, specificity and sensitivity. Results The age distribution of 773 (66.5%) patients was between 65 and 74 years and 347 (29.8%) of them were male and 767 (66%) patients were female. The average total GUSS score was 18.57 +/- 1.41. The Cronbach's alpha was 0.968. There was a moderate statistically significant negative correlation between the total GUSS and 10-item Eating Assessment Tool scores as well as between the total GUSS score and quality of life. The cutoff point of the total GUSS score was 18.50, sensitivity was 95.5% and specificity was 94.4%. Conclusions The GUSS test is a valid and reliable test to identify possible oropharyngeal dysphagia risk in healthy older people who had no secondary dysphagia. It is suitable as a screen test for clinical practice. Key summary pointsAim We aimed to evaluate whether the Gugging Swallowing Screen (GUSS) test is an effective method for evaluating swallowing difficulty in healthy older people. Findings Total GUSS score sensitivity was 95.5% and its specificity was 94.4%. Message The GUSS test is a valid and reliable test to identify possible oropharyngeal dysphagia risk in healthy older person who had no secondary dysphagia. It is suitable as a screen test for clinical practice.en_US
dc.identifier.citationUmay, E., Eyigor, S., Karahan, A. Y., Gezer, I. A., Kurkcu, A., Keskin, D., Karaca, G., Unlu, Z., Tıkız, C., Vural, M., Aydeniz, B., Alemdaroglu, E., Bilir, E. E., Yalıman, A., Sen, E. I., Akaltun, M. S., Altındag, O., Keles, B. Y., Bilgilisoy, M., Ozcete, Z. A., Demirhan, A., Gundogdu, I., Inanir, M., Calik, Y. (2019). The GUSS Test as a Good Indicator to Evaluate Dysphagia in Healthy Older People: A Multicenter Reliability and Validity Study. European Geriatric Medicine, 10(6), 879-887.
dc.identifier.doi10.1007/s41999-019-00249-2en_US
dc.identifier.endpage887en_US
dc.identifier.issn1878-7649en_US
dc.identifier.issn1878-7657en_US
dc.identifier.issue6en_US
dc.identifier.pmid34652777en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage879en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s41999-019-00249-2
dc.identifier.urihttps://hdl.handle.net/20.500.12395/38293
dc.identifier.volume10en_US
dc.identifier.wosWOS:000496659300007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorGezer, Ilknur Albayrak.
dc.institutionauthorKurkcu, Ayse.
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofEUROPEAN GERIATRIC MEDICINEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectDysphagiaen_US
dc.subjectOlder peopleen_US
dc.subjectScreen testen_US
dc.subjectGUSSen_US
dc.titleThe GUSS test as a good indicator to evaluate dysphagia in healthy older people: a multicenter reliability and validity studyen_US
dc.typeArticleen_US

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