<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0873-3015</journal-id>
<journal-title><![CDATA[Millenium - Journal of Education, Technologies, and Health]]></journal-title>
<abbrev-journal-title><![CDATA[Mill]]></abbrev-journal-title>
<issn>0873-3015</issn>
<publisher>
<publisher-name><![CDATA[Instituto Politécnico de Viseu (IPV)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0873-30152021000300093</article-id>
<article-id pub-id-type="doi">10.29352/mill0216.24585</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[The portuguese version of the gugging swallowing screen: results from its application]]></article-title>
<article-title xml:lang="pt"><![CDATA[A versão portuguesa do gugging swallowing screen: resultados da sua aplicação]]></article-title>
<article-title xml:lang="es"><![CDATA[La versión portuguesa de lo gugging swallowing screen: resultados de su aplicación]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Isabel de Jesus]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Couto]]></surname>
<given-names><![CDATA[Germano Rodrigues]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreira]]></surname>
<given-names><![CDATA[Alfredina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[Marlene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Pedro Lopes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Escola Superior de Saúde Norte da Cruz Vermelha Portuguesa  ]]></institution>
<addr-line><![CDATA[Oliveira de Azeméis ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Fernando Pessoa Centro de Investigação em Tecnologias e Serviços de Saúde ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Hospitalar Universitário de São João Unidade de AVC ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Unidade Local de Saúde da Guarda Unidade de AVC ]]></institution>
<addr-line><![CDATA[Guarda ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Economia ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidade de Coimbra Centro de Estudos e Investigação em Saúde ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>10</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>10</month>
<year>2021</year>
</pub-date>
<numero>16</numero>
<fpage>93</fpage>
<lpage>101</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0873-30152021000300093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0873-30152021000300093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0873-30152021000300093&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Dysphagia is a frequent complication after a stroke which is associated with increased risk of pneumonia, dehydration and malnutrition. Early screening reduces the incidence of pneumonia after stroke.  Objective:  To translate, cross cultural adapt and test the Portuguese version of the Gugging Swallowing Screen.  Methods:  226 acute stroke patients were prospectively enrolled in a multicentre study in stroke units. The Gugging Swallowing Screen was administered by nurses on patient&#8217;s admission. Results were compared to National Institute Health Stroke Scale and Glasgow Coma Scale scores and nurse&#8217;s clinical judgment. Inter-rater reliability was established.  Results:  The incidence of dysphagia using GUSS was 47.3%. Sensitivity, specificity and the area under the receiver operating characteristic curve were, respectively, 85.4%, 84.6% and 0.892., using nurse&#8217;s clinical judgment as a reference. A significant association was established between positive screening and a higher neurological deficit (&#967;2=32.99; p&lt;0.001) and no dysphagia with mild coma (&#967;2=15.15; p&lt;0.001). Excellent inter-rater reliability (k=0.940) was reached.  Conclusion:  The results suggest that the Portuguese version of the Gugging Swallowing Screen produces similar results as its original version, is simple to administer at bedside by nurses, is reliable and with adequate sensitivity to guide healthcare professionals in determining the need of a more comprehensive evaluation.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A disfagia é uma complicação frequente após o acidente vascular cerebral (AVC), estando associada a maior risco de pneumonia, desidratação e desnutrição. O rastreio precoce reduz a incidência de pneumonia após AVC.  Objetivo:  Traduzir, adaptar e testar a versão portuguesa do Gugging Swallowing Screen.  Métodos:  226 doentes com AVC foram prospectivamente incluídos num estudo multicêntrico e o Gugging Swallowing Screen aplicado pelos enfermeiros no momento de admissão. Os resultados foram comparados com as pontuações da National Institute Health Stroke Scale, a Escala de Coma de Glasgow e o juízo clínico do enfermeiro. A fiabilidade entre avaliadores foi calculada.  Resultados:  A incidência de disfagia foi de 47.3%. A sensibilidade, a especificidade e a área sob a curva característica operatória do recetor foram, respetivamente, 85.4%, 84.6% e 0.892, usando o juízo clínico como referência. Foi estabelecida uma associação estatisticamente significativa entre rastreio positivo e maior déficit neurológico (&#967;2 = 32.99; p &lt;0.001) e ausência de disfagia com coma leve (&#967;2 = 15.15; p &lt;0.001). Foi alcançada uma excelente confiabilidade inter observadores (k = 0.940).  Conclusão:  Os resultados sugerem que a versão portuguesa produz resultados semelhantes à versão original, é de simples aplicação pelo enfermeiro à cabeceira do doente, confiável e com sensibilidade adequada para orientar os profissionais de saúde na determinação da necessidade de uma avaliação mais abrangente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  la disfagia es una complicación frecuente después del ictus, estando asociada a mayor riesgo de neumonía, deshidratación y desnutrición. Lo cribado reduce la incidencia de neumonía después del ictus.  Objetivo:  Traducir, adaptarse e probar la versión portuguesa de lo Gugging Swallowing Screen.  Métodos:  226 pacientes con ictus fueron incluidos prospectivamente en un estudio multicêntrico e las enfermeras aplicaron lo Gugging Swallowing Screen cuando el paciente ingresó. Los resultados se compararon con las puntuaciones de la National Institute Health Stroke Scale, la Escala de Coma de Glasgow y el juicio clínico de la enfermera. Se calculó la confiabilidad entre evaluadores.  Resultados:  La incidencia de disfagia fue del 47.3%. La sensibilidad, especificidad y área bajo la curva característica operativa del receptor fueron 85.4%, 84.6% y 0.892, respectivamente, utilizando el juicio clínico como referencia. Se estableció asociación estadísticamente significativa entre cribado positivo y mayor déficit neurológico (&#967;2 = 32.99; p &lt;0.001) y ausencia de disfagia con coma leve (&#967;2 = 15.15; p &lt;0.001). Se logró excelente fiabilidad interobservador (k = 0.940).  Conclusión:  Los resultados sugieren que la versión portuguesa produce resultados similares a la versión original, es sencilla de aplicar por la enfermera a la cabecera del paciente, fiable y con la sensibilidad adecuada para orientar a los profesionales sanitarios en la determinación de la necesidad de una valoración más completa.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[deglutition disorders]]></kwd>
<kwd lng="en"><![CDATA[stroke]]></kwd>
<kwd lng="en"><![CDATA[reproducibility of results]]></kwd>
<kwd lng="pt"><![CDATA[transtornos de deglutição]]></kwd>
<kwd lng="pt"><![CDATA[acidente vascular cerebral]]></kwd>
<kwd lng="pt"><![CDATA[reprodutibilidade dos testes]]></kwd>
<kwd lng="es"><![CDATA[trastornos de deglución]]></kwd>
<kwd lng="es"><![CDATA[accidente cerebrovascular]]></kwd>
<kwd lng="es"><![CDATA[reproducibilidad de los resultados]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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