La versión portuguesa de lo gugging swallowing screen

resultados de su aplicación

Autores/as

  • Isabel de Jesus Oliveira Escola Superior de Saúde Norte da Cruz Vermelha Portuguesa, Oliveira de Azeméis, Portugal | Centro de Estudos e Investigação em Saúde da Universidade de Coimbra, Coimbra, Portugal https://orcid.org/0000-0001-6627-3907
  • Germano Rodrigues Couto Universidade Fernando Pessoa, Centro de Investigação em Tecnologias e Serviços de Saúde, Porto, Portugal https://orcid.org/0000-0002-5423-7375
  • Alfredina Moreira Centro Hospitalar Universitário de São João, Unidade de AVC, Porto, Portugal https://orcid.org/0000-0001-9789-9945
  • Carlos Gonçalves Centro Hospitalar Universitário de São João, Unidade de AVC, Porto, Portugal https://orcid.org/0000-0002-9878-8734
  • Marlene Marques Unidade Local de Saúde da Guarda, Unidade de AVC, Guarda, Portugal
  • Pedro Lopes Ferreira Faculdade de Economia da Universidade de Coimbra, Centro de Estudos e Investigação em Saúde da Universidade de Coimbra, Coimbra, Portugal https://orcid.org/0000-0002-9448-9542

DOI:

https://doi.org/10.29352/mill0216.24585

Palabras clave:

trastornos de deglución, accidente cerebrovascular, reproducibilidad de los resultados

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 (χ2 = 32.99; p <0.001) y ausencia de disfagia con coma leve (χ2 = 15.15; p <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.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Al-Khaled, M., Matthis, C., Binder, A., Mudter, J., Schattschneider, J., Pulkowski, U., Strohmaier, T., Niehoff, T., Zybur, R., Eggers, J., Valdueza, J.M., & Royl, G. (2016). Dysphagia in patients with acute ischemic stroke: Early dysphagia screening may reduce stroke-related pneumonia and improve stroke outcomes. Cerebrovascular Diseases, 42(1-2), 81-89. http://dx.doi.org/10.1159/000445299

Amaral, O., Veiga, N., Pereira, C., Coelho, I. & Pereira, J. (2016). Validation of the Portuguese Rome III Questionnaire for Diagnosis of Functional Dyspepsia in Adults. Millenium, 2(1), 87-93. https://revistas.rcaap.pt/millenium/article/view/10089

Cohen, D. L., Roffe, C., Beavan, J., Blackett, B., Fairfield, C. A., Hamdy, S., . . . Bath, P. C. (2016). Post-stroke dysphagia: A review and design considerations for future trials. International Journal of Stroke, 11, 399–411. http://dx.doi.org/10.1177/1747493016639057

Desai, R. (2019). Build a Case For Instrumental Swallowing Assessments in Long-Term Care. The ASHA Leader, 24(3), 38-40. http://dx.doi.org/10.1044/leader.OTP.24032019.38

Direção-Geral da Saúde. (2016). Portugal – Doenças Cérebro-Cardiovasculares em números – 2015. Lisboa: Direção-Geral da Saúde. Obtido de https://www.dgs.pt/estatisticas-de-saude/estatisticas-de-saude/publicacoes/portugal-doencas-cerebro-cardiovasculares-em-numeros-2015-pdf.aspx

Direção-Geral da Saúde. (2017). Programa Nacional para as Doenças Cérebro-Cardiovasculares - 2017. Lisboa. Obtido de https://www.dgs.pt/portal-da-estatistica-da-saude/diretorio-de-informacao/diretorio-de-informacao/por-serie-882061-pdf.aspx?v=%3d%3dDwAAAB%2bLCAAAAAAABAArySzItzVUy81MsTU1MDAFAHzFEfkPAAAA

Donovan, N.J., Daniels, S.K., Edmiaston, J., Weinhardt, J., & Summers, D. M., & Mitchell, P.H. (2013). Dysphagia screening: State of the art. Stroke, 44(4), e24-e31. http://dx.doi.org/10.1161/STR.0b013e3182877f57

Fiuza, M., Cortez-Dias, N., Martins, S., & Belo, A. (2009). Prevalence and risk factors for stroke in primary health care in Portugal: insights of the VALSIM study. Sociedade Portuguesa de Cardiologia/Centro Nacional de Coleção de Dados em Cardiologia. https://spc.pt/portfolio-item/estudo-epidemiologico-de-prevalencia-da-sindrome-metabolica-na-populacao-portuguesa-valsim/

Glanzman, A., Mazzone, E., Young, S., Gee, R., Rose, K., Mayhew, A., . . . Montes, J. (2018). Evaluator Training and Reliability for SMA Global Nusinersen Trials1. Journal of Neuromuscular Diseases, 5(2), 159–166. http://dx.doi.org/10.3233/JND-180301

Henke, C., Foerch, C., & Lapa, S. (2017). Early Screening Parameters for Dysphagia in Acute Ischemic Stroke. Cerebrovascular Diseases, 44(5-6), 285–290. http://dx.doi.org/10.1159/000480123

Joundi, R., Martino, R., Saposnik, G., Giannakeas, V., Fang, J., & Kapral, M. (2018). Dysphagia screening after intracerebral hemorrhage. International Journal of Stroke, 13(5), 503-510. http://dx.doi.org/10.1177/1747493017729265

Koennecke, H.C., Belz, W., Berfelde, D., Endres, M., Fitzek, S., Hamilton, F., Kreitsch, P., Mackert, B.-M., Nabavi, D.G., Nolte, C.H., Pöhls, W., Schmehl, I., Schmitz, B., Brevern, M., Walter, G., & Heuschmann, P.U. (2011). Factors influencing in-hospital mortality and morbidity in patients treated on a stroke unit. Neurology, 77(10), 965-972. http://dx.doi.org/10.1212/WNL.0b013e31822dc795

Martino, R., Foley, N., Bhogal, S., Diamant, N., Speechley, M., & Teasell, R. (2005). Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke, 36(12), 2756-2763. http://dx.doi.org/10.1161/01.STR.0000190056.76543.eb

Mokkink, L.B., Terwee, C.B., Knol, D.L., Stratford, P.W., Alonso, J., Patrick, D. L., Bouter, L.M., & de Vet, H.C. (2010). The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: A clarification of its content. BMC Medical Research Methodology, 10(22), 1-8. http://dx.doi.org/10.1186/1471-2288-10-22

Oliveira, I. J., Mota, L. N., Freitas, S. V., & Ferreira, P. L. (2019). Dysphagia screening tools for acute stroke patients available for nurses: A systematic review. Nursing Practice Today, 6(3), 103-115. http://dx.doi.org/10.18502/npt.v6i3.1253

Oliveira, I., Couto, G., & Mota, L. (2020). Nurses' preferred items for dysphagia screening in acute stroke patients. Nursing Practice Today, 7(3), 226-233. http://dx.doi.org/10.18502/npt.v7i3.3351

Park, K., Kim, T., & Lee, S. (2020). The Gugging Swallowing Screen in dysphagia screening for patients with stroke: A systematic review. International Journal of Nursing Studies, 107, 103588. http://dx.doi.org/10.1016/j.ijnurstu.2020.103588

Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., . . . Tirschwell, D. L. (2018). 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke - A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke, 49(3), e46-e110. http://dx.doi.org/10.1161/STR.0000000000000158

Takizawa, C., Gemmell, E., Kenworthy, J., & Speyer, R. (2016). A Systematic Review of the Prevalence of Oropharyngeal Dysphagia in Stroke, Parkinson’s Disease, Alzheimer’s Disease, Head Injury, and Pneumonia. Dysphagia, 31(3), 434–441. http://dx.doi.org/10.1007/s00455-016-9695-9

Trapl, M., Enderle, P., Nowotny, M., Teuschl, Y., Matz, K., Dachenhausen, A., & Brainin, M. (2007). Dysphagia Bedside Screening for Acute-Stroke Patients - The Gugging Swallowing Screen. Stroke, 38, 2948-2952. http://dx.doi.org/10.1161/STROKEAHA.107.483933

Umay, E., Gurçay, E., Bahçeci, K., Ozturk, E., Yilmaz, V., Gundogdu, I., . . . Çakci, A. (2018). Validity and reliability of Turkish version of the gugging swallowing screen test in the early period of hemispheric stroke. Neurological Science and Neurophysiology, 35(1), 6-13. http://dx.doi.org/10.5152/NSN.2018.10436

Virvidaki, I. E., Nasios, G., Kosmidou, M., Giannopoulos, S., & Milionis, H. (2018). Swallowing and Aspiration Risk: A Critical Review of Non Instrumental Bedside Screening Tests. Journal of Clinical Neurology, 14(3), 265–274. http://dx.doi.org/10.3988/jcn.2018.14.3.265

Warnecke, T., Im, S., Kaiser, C., Hamacher, C., Oelenberg, S., & Dziewas, R. (2017). Aspiration and dysphagia screening in acute stroke – the Gugging Swallowing Screen revisited. European Journal of Neurology, 24, 594-601. http://dx.doi.org/10.1111/ene.13251

Wild, D., Grove, A., Martin, M., Eremenco, S., McElroy, S., Verjee-Lorenz, A., & Erikson, P. (2005). Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value in Health, 8(2), 94-104. http://dx.doi.org/10.1111/j.1524-4733.2005.04054.x

World Health Organization. (2018, june). World Health Organization. Retrieved from Top 10 causes of death: http://www.who.int/gho/mortality_burden_disease/causes_death/top_10/en/

Descargas

Publicado

2021-09-14

Cómo citar

Oliveira, I. de J., Rodrigues Couto, G., Moreira, A., Gonçalves, C. ., Marques, M., & Lopes Ferreira, P. (2021). La versión portuguesa de lo gugging swallowing screen: resultados de su aplicación. Millenium - Journal of Education, Technologies, and Health, 2(16), 93–101. https://doi.org/10.29352/mill0216.24585

Número

Sección

Ciencias de la Vida y de la Salud