{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T21:00:36Z","timestamp":1780606836352,"version":"3.54.1"},"reference-count":31,"publisher":"Akademiai Kiado Zrt.","issue":"36","license":[{"start":{"date-parts":[[2022,9,4]],"date-time":"2022-09-04T00:00:00Z","timestamp":1662249600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2022,9,4]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A szakirodalom alapj\u00e1n a stroke okozta nyel\u00e9szavar a\n                    betegek fel\u00e9t is \u00e9rintheti. A nemzetk\u00f6zi aj\u00e1nl\u00e1sok ment\u00e9n a hazai stroke-betegek\n                    t\u00e1pl\u00e1l\u00e1ster\u00e1pi\u00e1s szakmai ir\u00e1nyelve t\u00f6bb nyel\u00e9szavarsz\u0171r\u00e9si m\u00f3dszert aj\u00e1nl. Ezek\n                    k\u00f6z\u00fcl vil\u00e1gszerte elterjedt a Gugging Swallowing Screen (GUSS), mely eddig\n                    magyar nyelven nem volt el\u00e9rhet\u0151. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A GUSS magyar\n                    nyelvre t\u00f6rt\u00e9n\u0151 adapt\u00e1l\u00e1sa \u00e9s valid\u00e1l\u00e1sa akut stroke-betegeken.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> A k\u00e9tf\u00e1zis\u00fa elrendez\u00e9s els\u0151 r\u00e9sz\u00e9ben az\n                    adapt\u00e1ci\u00f3hoz \u00f6tl\u00e9p\u00e9ses protokollt \u00e1ll\u00edtottunk \u00f6ssze a nemzetk\u00f6zi ir\u00e1nyelvek\n                    alapj\u00e1n, amelyet a m\u00e1sodik f\u00e1zisban valid\u00e1ltunk. A vizsg\u00e1lt betegekt\u0151l (n = 31)\n                    nyert adatokat a sz\u00e1loptik\u00e1s nyel\u00e9svizsg\u00e1lat (FEES) referencia\u00e9rt\u00e9keihez\n                    hasonl\u00edtottuk, mind dysphagia-, mind aspiratiokock\u00e1zat szempontj\u00e1b\u00f3l. A bels\u0151\n                    validit\u00e1st k\u00e9t f\u00fcggetlen meg\u00edt\u00e9l\u0151t\u0151l kapott adatok (n = 20) \u00f6sszehasonl\u00edt\u00e1s\u00e1val\n                    nyert\u00fck. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Mint\u00e1nkban a dysphagia el\u0151fordul\u00e1s\u00e1nak\n                    gyakoris\u00e1ga a FEES alapj\u00e1n 45%, m\u00edg az aspirati\u00f3\u00e9 32% volt. A meg\u00edt\u00e9l\u0151k k\u00f6z\u00f6tti\n                    egyet\u00e9rt\u00e9s er\u0151s volt, a GUSS-H-nyerspontok \u00e9s a dysphagia s\u00falyoss\u00e1g\u00e1t tekintve\n                    egyar\u00e1nt (\u03ba = 0,899, p&lt;0,001; \u03ba = 0,801, p&lt;0,001). A felm\u00e9r\u0151lap\n                    diagnosztikus \u00e9rz\u00e9kenys\u00e9ge j\u00f3 eredm\u00e9nyt mutatott mind a dysphagia, mind az\n                    aspiratio kock\u00e1zat\u00e1ra (szenzitivit\u00e1s: 93%, 90%; specificit\u00e1s: 65%, 57%; pozit\u00edv\n                    predikt\u00edv \u00e9rt\u00e9k: 68%, 50%; negat\u00edv predikt\u00edv \u00e9rt\u00e9k: 92%, 92%).\n                        <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> A GUSS eredeti v\u00e1ltozat\u00e1val \u00e9s m\u00e1s, beteg\u00e1gy\n                    melletti felm\u00e9r\u00e9sekkel \u00f6sszehasonl\u00edtva a GUSS-H a szenzitivit\u00e1s \u00e9s a negat\u00edv\n                    predikt\u00edv \u00e9rt\u00e9k tekintet\u00e9ben az \u00e1tlagosn\u00e1l jobb eredm\u00e9nyt mutatott. A felm\u00e9r\u0151lap\n                    a dysphagia \u00e9s az aspiratio kock\u00e1zat\u00e1t el\u0151re jelzi, a m\u0171szeres vizsg\u00e1lat\n                    sz\u00fcks\u00e9gess\u00e9g\u00e9re \u00e9s a dysphagia\u00e9trendre aj\u00e1nl\u00e1st tesz.\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Az akut stroke-betegek t\u00e1pl\u00e1l\u00e1ster\u00e1pi\u00e1ja\n                    csak interdiszciplin\u00e1ris ell\u00e1t\u00e1s keret\u00e9ben val\u00f3sulhat meg, amelynek egyik els\u0151\n                    eleme a nyel\u00e9szavar sz\u0171r\u00e9se. A jelen tanulm\u00e1nnyal el\u00e9rhet\u0151v\u00e9 tett\u00fck a GUSS-H-t a\n                    magyar szakemberek sz\u00e1m\u00e1ra. Orv Hetil. 2022; 163(36): 1431\u20131439.<\/jats:p>","DOI":"10.1556\/650.2022.32566","type":"journal-article","created":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T02:04:22Z","timestamp":1668823462000},"page":"1431-1439","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":7,"title":["Egy nemzetk\u00f6zi nyel\u00e9szavarsz\u0171r\u00e9si m\u00f3dszer hazai adapt\u00e1l\u00e1sa"],"prefix":"10.1556","volume":"163","author":[{"given":"P\u00e1l Tam\u00e1s","family":"Szab\u00f3","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola Budapest Magyarorsz\u00e1g"},{"name":"\u00c9szak-K\u00f6z\u00e9p-budai Centrum, \u00daj Szent J\u00e1nos K\u00f3rh\u00e1z \u00e9s Szakrendel\u0151, Neurol\u00f3giai Oszt\u00e1ly \u2013 Stroke Centrum Budapest, Di\u00f3s \u00e1rok 1\u20133., 1125 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikt\u00f3ria","family":"M\u0171helyi","sequence":"additional","affiliation":[{"name":"\u00c9szak-K\u00f6z\u00e9p-budai Centrum, \u00daj Szent J\u00e1nos K\u00f3rh\u00e1z \u00e9s Szakrendel\u0151, Neurol\u00f3giai Oszt\u00e1ly \u2013 Stroke Centrum Budapest, Di\u00f3s \u00e1rok 1\u20133., 1125 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T\u00edmea","family":"Hal\u00e1sz","sequence":"additional","affiliation":[{"name":"\u00c9szak-K\u00f6z\u00e9p-budai Centrum, \u00daj Szent J\u00e1nos K\u00f3rh\u00e1z \u00e9s Szakrendel\u0151, F\u00fcl-Orr-G\u00e9ge \u00e9s Sz\u00e1jseb\u00e9szeti Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katalin Anna","family":"B\u00e9res-Moln\u00e1r","sequence":"additional","affiliation":[{"name":"\u00c9szak-K\u00f6z\u00e9p-budai Centrum, \u00daj Szent J\u00e1nos K\u00f3rh\u00e1z \u00e9s Szakrendel\u0151, Neurol\u00f3giai Oszt\u00e1ly \u2013 Stroke Centrum Budapest, Di\u00f3s \u00e1rok 1\u20133., 1125 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"Folyovich","sequence":"additional","affiliation":[{"name":"\u00c9szak-K\u00f6z\u00e9p-budai Centrum, \u00daj Szent J\u00e1nos K\u00f3rh\u00e1z \u00e9s Szakrendel\u0151, Neurol\u00f3giai Oszt\u00e1ly \u2013 Stroke Centrum Budapest, Di\u00f3s \u00e1rok 1\u20133., 1125 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Elm\u00e9leti \u00e9s Transzl\u00e1ci\u00f3s Orvostudom\u00e1nyok Doktori Iskola Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zolt\u00e1n","family":"Balogh","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1159\/000016094","article-title":"Swallowing disorders following acute stroke: prevalence and diagnostic accuracy","volume":"10","author":"1 Mann","year":"2000","unstructured":"1 Mann G, Hankey GJ, Cameron D. 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