We would like to make aware about the conference DGE-BV MEETS ENDOSKOPIE LIVE from 6th to 8th April 2017 in Berlin, Estrel Hotel: dge-bv_endolive2017_tp_web

Michaela Trapl, SLT will talk about: “Dysphagiescreeningsverfahren in der Akutphase nach Schlaganfall” – “Dysphagia screening procedures in the acute phase of
stroke” on 7th April at 11 o`clock a.m. 

Authors: M. Trapl1,2, Y. Teuschl2, M. Brainin1,2 – 1Universitätsklinikum Tulln/Österreich, 2Donau Universtität Krems/Österreich


Recent Article: Dysphagia in stroke Patients

An article about the Frequency and´Predictors of Dysphagia in Patients With Recent Small Subcortical Infarcts has been recently published by Fandler S et al.: Fandler S et al 2017.


For the determination of Dysphagie the Gugging Swallowing Screen has been used.

The study reported that 83 of the 332 included patients (25%) with recent small subcortical infarcts (RSSI) had dysphagia. A higher stroke severity, ontine infarction, and severe white matter hyperintensities were determined as risk factors for swallowing dysfunction (Fandler et al. 2017). 

GUSS Adaption IDDSI Framework

The GUSS in German and English language has been adapted concerning the International Terminology  and Definitions for Texture-Modified Foods & Thickened Fluids used in Dysphagia Management-The IDDSI Framework

Modified Foods & Thickened Fluids – IDDSI Framework


The modified version in German and in English is available under the menu


where you also find additional languages of the GUSS.




We are excited to announce that an extended GUSS protocol (GUSS-Plus) for stroke patients in the post-acute phase has been developed by Dipl. phil. Stephan Werner et al. at the Neurologisches Therapiezentrum Kapfenberg, Austria.

In comparison to the original GUSS, an additional trial in the direct swallowing test has been included. After the common procedures of the semi-solid , liquid and solid swallowing trial a combined test of solid and liquid swallowing is conducted, if the maximum number of 5 points was achieved in the solid swallowing trial . After approximately half of the determined time for chewing in the solid swallowing trial the patients has to drink some water. Like in the other trials cough, drooling and voice change are assessed. The assessment of deglutition is not part of this subtest.


Presentation and lectures

Dipl. phil. Stephan Werner has presented a poster as well has given a lecture at the ‘Jahrestagung der Österreichischen Gesellschaft für NeuroRehabilitation’,  13.-15. October 2016 in Pörtschach, Austria.


Furthermore he has given a lecture at the ‘6th DGNR-Jahrestagung’ in Bonn-Bad Godesberg, Germany, 1.–3. December 2016.




GUSS recommended in guidelines

GUSS is currently recommended in the guidelines:

of the “Deutschen Gesellschaft für Ernährungsmedizin (DGEM) (Wirth et al. 2013)

for Diagnostic and Therapy in the Neurology (Deutsche Gesellschaft der Neurologie (DGN))

as well in the “National Clinical Guidelines for diagnosis and initial management of acute stroke and transient ischaemic attack (TIA) (Royal College of Physicians, 2008).

Wirth R, Dziewas R, Jäger M, et al. Leitlinie der Deutschen Gesellschaft für Ernährungsmedizin (DGEM) in Zusammenarbeit mit der GESKES, der AKE, der DGN und der DGG. Aktuelle Ernährungsmedizin. 2013;38(04):e49-e89.

Deutsche Gesellschaft der Neurologie (DGN) Leitlinien für Diagnostik und Therapie in der Neurologie. Neurogene Dysphagien. 2012 http://www.dgn.org/images/red_leitlinien/LL_2014/PDFs_Download/030111_DGN_LL_neurogene_dysphagien_final.pdf. Accessed October 11, 2016.

National Collaborating Centre for Chronic Conditions (Great Britain), Royal College of Physicians of London. Stroke: National Clinical Guideline for Diagnosis and Initial Management of Acute Stroke and Transient Ischaemic Attack (TIA). London: Royal College of Physicians; 2008.

Inquiries about GUSS since the original publication

Since the publication of the original paper in 2007, we received 132 requests regarding the GUSS. The most common request was regarding the implementation and respectively the use of the GUSS. Other requests concerned mainly the access to the GUSS protocol, the permission to use the GUSS in a research project and the permission to translate or validate the GUSS.


So far, we received requests fom 36 different countries, with the majority coming from Austria, Germany and Portugal.