Browsing by Author "Alemdaroglu, E"
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Item Pulmonary rehabilitation principles in SARS-COV-2 infection (COVID-19): The revised guideline for the acute, subacute, and post-COVID-19 rehabilitationAytür, YK; Köseoglu, BF; Taskiran, ÖÖ; Ordu-Gökkaya, NK; Delialioglu, SÜ; Tur, BS; Sarikaya, S; Sirzai, H; Tiftik, TT; Alemdaroglu, E; Ayhan, FF; Çakit, BDD; Genç, A; Gündogdu, I; Güzel, R; Karayel, DD; Kaya, BB; Öken, Ö; Özdemir, H; Soyupek, F; Tikiz, CCoronavirus disease 2019 (COVID-19) is a contagious infection disease, which may cause respiratory, physical, psychological, and generalized systemic dysfunction. The severity of disease ranges from an asymptomatic infection or mild illness to mild or severe pneumonia with respiratory failure and/or death. COVID-19 dramatically affects the pulmonary system. This clinical practice guideline includes pulmonary rehabilitation (PR) recommendations for adult COVID-19 patients and has been developed in the light of the guidelines on the diagnosis and treatment of COVID-19 provided by the World Health Organization and Republic of Turkey, Ministry of Health, recently published scientific literature, and PR recommendations for COVID-19 regarding basic principles of PR. This national guideline provides suggestions regarding the PR methods during the clinical stages of COVID-19 and post-COVID-19 with its possible benefits, contraindications, and disadvantages.Item The GUSS test as a good indicator to evaluate dysphagia in healthy older people: a multicenter reliability and validity studyUmay, E; Eyigor, S; Karahan, AY; Gezer, IA; Kurkcu, A; Keskin, D; Karaca, G; Unlu, Z; Tikiz, C; Vural, M; Aydeniz, B; Alemdaroglu, E; Bilir, EE; Yaliman, A; Sen, EI; Akaltun, MS; Altindag, O; Keles, BY; Bilgilisoy, M; Ozcete, ZA; Demirhan, A; Gundogdu, I; Inanir, M; Calik, YPurpose 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.Item Which swallowing difficulty of food consistency is best predictor for oropharyngeal dysphagia risk in older person?Umay, E; Eyigor, S; Karahan, AY; Keskin, D; Karaca, G; Unlu, Z; Tikiz, C; Vural, M; Aydeniz, B; Alemdaroglu, E; Bilir, EE; Yaliman, A; Sen, EI; Akaltun, MS; Altindag, O; Keles, BY; Bilgilisoy, M; Ozcete, ZA; Demirhan, A; Gundogdu, IKey summary pointsAimOur aim was to investigate which swallowing difficulty of food consistency in older people who did not have any disease that might affect swallowing functions, and which symptoms were most likely related to oropharyngeal dysphagia (OD) risk.FindingsWe have found that the eating/drinking difficulty of thick liquids was the highest predictive value with respect to OD risk and the eating difficulty of mixed content food had the highest diagnostic ratio.MessageThe present study reports that even in older person who do not go to the hospital with the complaints of swallowing difficulty, the difficulty of swallowing thick liquids and especially the mixed content food should be questioned. AbstractPurposeThe present study aimed to investigate which swallowing difficulty of food consistency in participants over 65years of age who did not have any disease that might affect swallowing functions, and which symptoms were most likely related to oropharyngeal dysphagia (OD).MethodsThe cross-sectional and multicenter study was conducted at 12 hospitals including 883 participants aged >= 65years who were fed orally and who were admitted to the physical medicine and rehabilitation outpatient clinics between September 2017 and December 2018. Demographic characteristics were recorded. Katz Daily Living Activities Index (KDLAI), swallowing-related quality of life scale (Swal-QoL) and 10-item Eating Assessment Tool (EAT-10) were used. The participants were asked the yes or no questions including swallowing difficulty of various types of food consistency with the face-to-face interview.ResultsParticipants were divided into two groups as normal swallowing (EAT-10<3 group) (n=639) and OD risk groups (EAT-10 >= 3 group) (n=244) according to the EAT-10 scores. While there was no difference related to number of teeth and KDLAI scores between groups (p=0.327 and p=0.221, respectively), the significant difference was found between groups in terms of yes/no questions and Swal-QoL scores (p<0.05). Receiver operating characteristic analysis revealed that eating difficulty of mixed content food provided maximum sensitivity (99%) and eating/drinking difficulty of thick liquid had maximum specificity (77%). The higher area under curve was in eating/drinking difficulty of thick liquid (0.891), and higher positive likelihood ratio (LR) was eating/drinking difficulty of thick liquid (4.26) as well as lower negative LR was eating difficulty of mixed content food (0.01). The higher diagnostic odds ratio was eating difficulty of mixed content food (367.0), and the higher posttest probability was eating/drinking difficulty of thick liquid (0.211).ConclusionWhile eating difficulty of hard solid food is the most common symptom in healthy participants over 65years of age, the eating difficulty of thick liquids is the highest predictive value related to oropharyngeal dysphagia risk. Also, the eating difficulty of mixed content food had the highest diagnostic ratio.Item COVID-19, cardiac involvement and cardiac rehabilitation: Insights from a rehabilitation perspective - State of the ArtTur, BS; Köseoglu, BF; Gökkaya, NKO; Aytür, YK; Taskiran, ÖÖ; Kabayel, DD; Kesiktas, N; Tikiz, C; Özdemir, H; Alemdaroglu, E; Kaya, BB; Genç, A; Sütbeyaz, STSince the beginning of the pandemic, many novel coronavirus disease 2019 (COVID-19) patients have experienced multisystem involvement or become critically ill and treated in intensive care units, and even died. Among these systemic effects, cardiac involvement may have very important consequences for the patient's prognosis and later life. Patients with COVID-19 may develop cardiac complications such as heart failure, myocarditis, pericarditis, vasculitis, acute coronary syndrome, and cardiac arrhythmias or trigger an accompanying cardiac disease. The ratio of COVID-19 cardiac involvement ranges between 7 and 28% in hospitalized patients with worse outcomes, longer stay in the intensive care unit, and a higher risk of death. Furthermore, deconditioning due to immobility and muscle involvement can be seen in post-COVID-19 patients and significant physical, cognitive and psychosocial impairments may be observed in some cases. Considering that the definition of health is a state of complete physical, mental and social well-being, individuals with heart involvement due to COVID-19 should be rehabilitated by evaluating all these aspects of the disease effect. In the light of the rehabilitation perspective and given the increasing number of patients with cardiac manifestations of COVID-19, in this review, we discuss the rehabilitation principles in this group of patients.Item Best Practice Recommendations for Stroke Patients with Dysphagia: A Delphi-Based Consensus Study of Experts in Turkey-Part I: Management, Diagnosis, and Follow-upUmay, E; Eyigor, S; Ertekin, C; Unlu, Z; Selcuk, B; Bahat, G; Karahan, AY; Secil, Y; Gurcay, E; Kiylioglu, N; Keles, BY; Giray, E; Tikiz, C; Gezer, IA; Yaliman, A; Sen, EI; Vural, M; Saylam, G; Akaltun, MS; Sari, A; Alicura, S; Karaahmet, F; Inanir, M; Demirhan, A; Aydeniz, B; Bilgilisoy, M; Yuksel, A; Ozcete, ZA; Calik, Y; Alemdaroglu, E; Keskin, D; Sahin, S; Oztekin, MF; Sezgin, B; Karaahmet, O; Bengisu, S; Gokler, TY; Mercimekci, SDysphagia is one of the most common and important complications of stroke. It is an independent marker of poor outcome after acute stroke and may become chronic after the acute period and continues to affect all aspects of the patient's life. Patients with stroke may encounter any of the medical branches in the emergency room or outpatient clinic, and as in our country, there may not be specialists specific for dysphagia, such as speech-language pathologists (SLP), in every hospital. This study aimed to raise awareness and create a common opinion of medical specialists for stroke patients with dysphagia. This recommendation paper has been written by a multidisciplinary team and offers 45 recommendations for stroke patients with dysphagia. It was created using the eight-step Delphi round via e-mail. This study is mostly specific to Turkey. However, since it contains detailed recommendations from the perspective of various disciplines associated with stroke, this consensus-based recommendation paper is not only a useful guide to address clinical questions in practice for the clinical management of dysphagia in terms of management, diagnosis, and follow-up, but also includes detailed comments for these topics.Item Best Practice Recommendations for Stroke Patients with Dysphagia: A Delphi-Based Consensus Study of Experts in Turkey-Part II: RehabilitationUmay, E; Eyigor, S; Ertekin, C; Unlu, Z; Selcuk, B; Bahat, G; Karahan, AY; Secil, Y; Gurcay, E; Kiylioglu, N; Keles, BY; Giray, E; Tikiz, C; Gezer, IA; Yaliman, A; Sen, EI; Vural, M; Saylam, G; Akaltun, MS; Sari, A; Alicura, S; Karaahmet, F; Inanir, M; Demirhan, A; Aydeniz, B; Bilgilisoy, M; Yuksel, A; Ozcete, ZA; Calik, Y; Alemdaroglu, E; Keskin, D; Sahin, S; Oztekin, MF; Sezgin, B; Karaahmet, ODysphagia is one of the most common and important complications of stroke. It is an independent marker of poor outcome following acute stroke and it continues to be effective for many years. This consensus-based guideline is not only a good address to clinical questions in practice for the clinical management of dysphagia including management, diagnosis, follow-up, and rehabilitation methods, but also includes detailed algorithms for these topics. The recommendation paper has been written by a multidisciplinary team and offers 117 recommendations for stroke patients with dysphagia. While focusing on management principles, diagnosis, and follow-up in the 1st part (45 items), rehabilitation details were evaluated in the 2nd part (72 items).