{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:36:17Z","timestamp":1787754977541,"version":"build-2784847793"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,10,26]],"date-time":"2018-10-26T00:00:00Z","timestamp":1540512000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec><jats:title>Background and purpose<\/jats:title><jats:p>Post\u2010stroke dysphagia occurs in up to three quarters of patients with acute stroke and is associated with a higher risk of respiratory infections and poor outcome. Systematic screening of dysphagia in the acute stroke unit is essential to identify patients at risk of aspiration and to provide dietary recommendations. Our study aimed to assess the impact of the systematic application of the Gugging Swallowing Screen (<jats:styled-content style=\"fixed-case\">GUSS<\/jats:styled-content>) in patients with acute ischaemic stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective study of consecutive patients with acute ischaemic stroke admitted to an acute stroke unit in two time periods: pre\u2010<jats:styled-content style=\"fixed-case\">GUSS<\/jats:styled-content> (February 2014\u2013July 2015), when the 10\u2010mL water\u2010swallowing test was systematically administered, and <jats:styled-content style=\"fixed-case\">GUSS<\/jats:styled-content> (August 2015\u2013October 2016), when the <jats:styled-content style=\"fixed-case\">GUSS<\/jats:styled-content> test was systematically administered. Groups were compared with regard to baseline and stroke characteristics, and the occurrence of stroke\u2010associated pneumonia (<jats:styled-content style=\"fixed-case\">SAP<\/jats:styled-content>), in\u2010hospital death and 3\u2010month outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 344 patients who were included in the study (median age 71\u00a0years), 51.7% were male with a median National Institutes of Health Stroke Scale score of 11. A total of 204 patients were included during the pre\u2010<jats:styled-content style=\"fixed-case\">GUSS<\/jats:styled-content> period and 140 during the <jats:styled-content style=\"fixed-case\">GUSS<\/jats:styled-content> period. Patients in the <jats:styled-content style=\"fixed-case\">GUSS<\/jats:styled-content> period more frequently had diabetes and partial anterior circulation syndromes, and were more frequently treated with thrombectomy. There was no difference in the occurrence of <jats:styled-content style=\"fixed-case\">SAP<\/jats:styled-content> between the two groups (pre\u2010<jats:styled-content style=\"fixed-case\">GUSS<\/jats:styled-content>, 12.5%; <jats:styled-content style=\"fixed-case\">GUSS<\/jats:styled-content>, 15.1%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.490) and no differences were found concerning in\u2010hospital mortality (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.996), 3\u2010month functional independence (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.647) or 3\u2010month mortality (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.598).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The systematic administration of <jats:styled-content style=\"fixed-case\">GUSS<\/jats:styled-content> in a population of patients with acute ischaemic stroke did not reduce the occurrence of <jats:styled-content style=\"fixed-case\">SAP<\/jats:styled-content>, mortality or 3\u2010month functional dependence when compared with the systematic administration of the 10\u2010mL water\u2010swallowing test.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.13825","type":"journal-article","created":{"date-parts":[[2018,10,9]],"date-time":"2018-10-09T07:49:35Z","timestamp":1539071375000},"page":"722-726","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Impact of the systematic use of the Gugging Swallowing Screen in patients with acute ischaemic stroke"],"prefix":"10.1111","volume":"26","author":[{"given":"M.","family":"Lopes","sequence":"first","affiliation":[{"name":"Neurology Department Hospital de Braga Braga"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Freitas","sequence":"additional","affiliation":[{"name":"Neurology Department Unidade Local de Sa\u00fado do Alto Minho Viana do 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