Browsing by Author "Gezer I.A."

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    The GUSS test as a good indicator to evaluate dysphagia in healthy older people: a multicenter reliability and validity study
    (Springer International Publishing, 2019) Umay 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.
    Purpose: 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. © 2019, © 2019, European Geriatric Medicine Society.
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    Best Practice Recommendations for Stroke Patients with Dysphagia: A Delphi-Based Consensus Study of Experts in Turkey-Part II: Rehabilitation
    (Springer, 2021) Umay E.; Eyigor S.; Ertekin C.; Unlu Z.; Selcuk B.; Bahat G.; Karahan A.Y.; Secil Y.; Gurcay E.; Kıylioglu N.; Keles B.Y.; Giray E.; Tikiz C.; Gezer I.A.; Yalıman A.; Sen E.I.; Vural M.; Saylam G.; Akaltun M.S.; Sari A.; Alicura S.; Karaahmet F.; Inanir M.; Demirhan A.; Aydeniz B.; Bilgilisoy M.; Yuksel A.; Ozcete Z.A.; Calik Y.; Alemdaroglu E.; Keskin D.; Sahin S.; Oztekin M.F.; Sezgin B.; Karaahmet O.
    Dysphagia 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). © 2021, Springer Science+Business Media, LLC, part of Springer Nature.