{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T23:53:45Z","timestamp":1780098825436,"version":"3.54.0"},"reference-count":64,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T00:00:00Z","timestamp":1711584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurogastroenterology Motil"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The Gugging Swallowing Screen (GUSS) is a bedside dysphagia screening tool that has been designed to determine the risk of aspiration in acute stroke patients. There is no evidence in the literature for the GUSS for the pediatric population. The present study aimed to determine the diagnostic accuracy of GUSS as a screening tool in the Greek language for children with dysphagia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighty\u2010Greek\u2010Cypriot children aged 3\u201312\u2009years who had dysphagia participated in this retrospective study. The translated into Greek GUSS was administered twice (pre\u2010 and post\u2010therapy) to each patient throughout 24 sessions of dysphagia therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Results<\/jats:title><jats:p>The GUSS showed a high internal consistency (Cronbach's <jats:italic>\u03b1<\/jats:italic>\u2009=\u20090.826), good test\u2013retest reliability (<jats:italic>r<\/jats:italic><jats:sub>s<\/jats:sub>\u2009=\u20090.767), convergent validity compared to the Greek Pediatric Eating Assessment tool\u201010 (PEDI\u2010EAT\u201010) total score (<jats:italic>r<\/jats:italic><jats:sub>s<\/jats:sub>\u2009=\u2009\u22120.365), and inter\u2010rater reliability (<jats:italic>\u03ba<\/jats:italic>\u2009=\u20090.863). A total cutoff points equal to 13.00 was also calculated. Aspiration was identified by the GUSS with low sensitivity and high specificity (PPV 100%, NPV 57%, LR+ NA, LR\u2212 0.79); dysphagia\/penetration was identified with high sensitivity and low specificity (PPV 33%, NPV 100%, LR+ 0.102, LR\u2212 NA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Inferences<\/jats:title><jats:p>The pediatric version of GUSS has been found to be a valuable tool in identifying the risk of aspiration as that of adults. It proved to be used as a good screening guide for selecting and confirming the existence of dysphagia from instrumental assessments. This is the first study of the pediatric version of GUSS, and future studies on this topic are needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nmo.14790","type":"journal-article","created":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T08:14:12Z","timestamp":1711613652000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Exploring the diagnostic accuracy and applicability of the Gugging Swallowing Screen in children with feeding and\/or swallowing disorders"],"prefix":"10.1111","volume":"36","author":[{"given":"Rafaella","family":"Georgiou","sequence":"first","affiliation":[{"name":"Department of Speech &amp; Language Therapy, School of Health Sciences University of Ioannina  Ioannina Greece"},{"name":"Department of Health Sciences, Speech and Language Therapy European University  Nicosia Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louiza","family":"Voniati","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Speech and Language Therapy European University  Nicosia Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andri","family":"Papaleontiou","sequence":"additional","affiliation":[{"name":"Department of Speech &amp; 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