| ARCHETYPE ID | openEHR-EHR-OBSERVATION.guss_icu.v0 |
|---|---|
| Concept | Gugging Swallowing Screen for Intensive Care Units (GUSS - ICU) |
| Description | An assessment score used for the identification of post-extubation dysphagia and aspiration risk in the intensive care unit (ICU). |
| Use | Use to record the result for each component parameter and the total sum for the Gugging Swallowing Screen for Intensive Care Units (GUSS-ICU). |
| Misuse | Not to be used to record the Gugging Swallowing Screen (GUSS). Use the OBSERVATION.guss archetype for this purpose. |
| Purpose | To record the result for each component parameter and the total sum for the Gugging Swallowing Screen for Intensive Care Units (GUSS-ICU). |
| References | Troll C, Trapl‐Grundschober M, Teuschl Y, Cerrito A, Compte MG, Siegemund M. A bedside swallowing screen for the identification of post‐extubation dysphagia on the intensive care unit ‐ validation of the Gugging Swallowing Screen (GUSS)‐ICU. BMC Anesthesiol. 2023;23:122. doi: 10.1186/s12871‐023‐0207 University for Continuing Education Krems. GUSS - Gugging Swallowing Screen [Internet]. [cited 2025 September 05]. Available from: https://www.donau-uni.ac.at/en/university/faculties/health-medicine/departments/clinical-neurosciences-preventive-medicine/research/research-projects/guss/guss-translations-icu.html Brierley M, Seidler Krone V, Troll C, Trapl‐Grundschober M. Gugging Swallow Screen for Intensive Care Units (GUSS‐ICU) – Norsk revidert versjon (Norwegian revised version). Res Gate. 2023 Sep. doi: 10.13140/RG.2.2.17273.44648. The IDDSI Framwork. International Dysphagia Standardization Initiative. Retrieved from: https://www.iddsi.org/standards/framework |
| Copyright | © openEHR Foundation |
| Authors | Author name: John Tore Valand Organisation: Helse Vest IKT AS Email: john.tore.valand@helse-vest-ikt.no Date originally authored: 2025-02-03 |
| Other Details Language | Author name: John Tore Valand Organisation: Helse Vest IKT AS Email: john.tore.valand@helse-vest-ikt.no Date originally authored: 2025-02-03 |
| Other Details (Language Independent) |
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| Keywords | dysphagia, aspiration, swallowing, ICU, intensive care unit, stroke, extubation |
| Lifecycle | in_development |
| UID | 6c902bba-faf6-4f0f-bfce-f4b656262bab |
| Language used | en |
| Citeable Identifier | 1246.145.2868 |
| Revision Number | 0.0.1-alpha |
| protocol | |
| Extension | Extension: Additional information required to extend the model with local content or to align with other reference models or formalisms. For example: local information requirements; or additional metadata to align with FHIR. Include: All not explicitly excluded archetypes |
| data | |
| Preliminary Investigation / Indirect Swallowing Test | |
| RASS from 0 to +2 | RASS from 0 to +2: Richmond Agitation-Sedation Scale (RASS). 1: Yes 0: No |
| Stridor present | Stridor present: 0: Yes 1: No |
| Coughing and/or throat clearing efficiently | Coughing and/or throat clearing efficiently: 1: Yes 0: No |
| Swallowing saliva possible | Swallowing saliva possible: 1: Yes 0: No |
| Drooling (saliva) | Drooling (saliva): 0: Yes 1: No |
| Change of voice after swallowing saliva | Change of voice after swallowing saliva: 0: Yes 1: No |
| Sum | Sum: The sum of the Preliminary Investigation / Indirect Swallowing Test. min: >=0; max: <=6 |
| Direct Swallowing Test (4 subtests) | |
| Semisolid | Semisolid: 1: Pass 0: Fail |
| Liquids | Liquids: 1: Pass 0: Fail |
| Solids | Solids: 1: Pass 0: Fail |
| Liquids & Solids | Liquids & Solids: 1: Pass 0: Fail |
| Sum | Sum: The sum of the Direct Swallowing Test. min: >=0; max: <=4 |
| Total sum | Total sum: The sum of Indirect Swallowing Test and the Direct Swallowing Test. min: >=0; max: <=10 |
| Severity code | Severity code:
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| events | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Other contributors | Stein Arne Rimehaug, Sunnaas sykehus, Norway Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor) Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor) Keisha Barwise, openEHR Operations Program, Jamaica SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India Martin Brierley, Lovisenberg Diakonale Sykehus, Norway Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor) Inger Elise Engelund, Fagsenter for pasientrapporterte data, Helse Bergen HF, Norway Kristina Fjone, Oslo universitetssykehus, Norway Brita Fosser Olsen, Sykehuset Østfold, Norway Aleksander Furnes, Helse Nord IKT, Norway Ciprian Gerstenberger, Helse Nord IKT, Norway Tore Gravdal, Tietoevry Care, Norway Evelyn Hovenga, EJSH Consulting, Australia Matteus Janicki, Akershus Universitetssykehus, Norway June Marie Nepstad Knappskog, Helse Nord IKT AS, Norway (openEHR Editor) Anne Kristine Brekka, SSHF, Norway Kanika Kuwelker, Helse Vest IKT, Norway Jörgen Kuylenstierna, eWeave AB, Sweden Eli Larsen, UNN, Norway (openEHR Editor) Liv Laugen, Oslo University Hospital, Norway, Norway (openEHR Editor) Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Jonas Lyshaug, FSE/ HN IKT, Norway Charlotte Marie Schanke, Oslo Universitetssykehus, Norway Andjela Marjanovic, Better, Slovenia Ian McNicoll, freshEHR Clinical Informatics, United Kingdom Olha Nikolaieva, University Hospital Basel, Switzerland Mikael Nyström, Cambio Healthcare Systems AB, Sweden Marlene Pérez Colman, Digital Health and Care Wales, United Kingdom Vuk Radnić, Better, Slovenia Terje Sagmyr, Helse Vest IKT, Norway (openEHR Editor) Norwegian Review Summary, Norwegian Public Hospitals, Norway John Tore Valand, Helse Vest IKT, Norway (openEHR Editor) Elizaveta Yurchenko, GKU IAC at Department of Information Technologies of the city of Moscow (DIT Moscow), Russia Karsten Øvretveit, Helse Vest IKT, Norway (openEHR Editor) |
| Translators |