Objective:To determine frequency of dysphagia risk and associated factors in hospitalized patients as well as to evaluate nutritional status by using different methods and correlate the status with scores of the Eating Assessment Tool (EAT-10).Methods:This was a cross-sectional study including 909 inpatients of a philanthropic hospital. For the diagnosis of dysphagia we used an adapted and validated Brazilian version of the Eating Assessment Tool (EAT-10). The nutritional status was evaluated through the subjective global assessment, and anthropometric measurements included weight, calf and arm circumference, and knee height. The Mann-Whitney test, associations using the Pearson’s χ2 and Spearman’s correlation were used to verify differences between the groups.Results:The prevalence of dysphagia risk was 10.5%, and aging was the associated factor with this condition. Patients at risk presented lower values of arm and calf circumference, variables that correlated inversely with the Eating Assessment Tool (EAT-10) score. Malnutrition was observed in 13.2% of patients based on the subjective global assessment and in 15.2% based on the Body Mass Index.Conclusion:Screening for dysphagia and malnutrition should be introduced in hospitals routine to avoid or minimize damages caused by dysphagia or malnutrition, especially among older people.

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Background We evaluated the impact of Screening Tool for Risk on Nutritional Status and Growth (STRONGkids) classification in time to discharge and verify whether the nutrition risk assessed by this method is an independent predictor of hospital length of stay (LOS) in pediatric inpatients. Methods A cohort study was conducted in a Brazilian hospital from February 2014 to July 2018. The outcome in the survivor analysis was hospital discharge. Kaplan‐Meier curves were used to estimate the cumulative survival time according to STRONGkids categories. Multivariable Cox proportional hazard models were fitted, and the adjusted hazard ratio (aHR), with respective 95% CI, was used to measure the strength of association. The discriminatory ability of STRONGkids was verified by a receiver operating characteristic curve Results A total 641 patients were included in the study: 54.9% males, median age of 2.8 years. The frequencies of low, moderate, and high nutrition risk were 15.6%, 63.7%, and 20.7%, respectively. The mean LOS was 5.9 days. Survival curves differed significantly according to nutrition‐risk categories. Patients classified as high risk had a 52% less chance of hospital discharge when compared with low‐risk patients (aHR: 0.48; 95% CI, 0.35–0.65). STRONGkids score ≥ 3 showed the best discriminatory power to identify LOS. From this score, there was a significant increase in the days of hospitalization. Conclusion The nutrition risk assessed by STRONGkids independently predicts LOS in pediatric patients. For this outcome, patients with 3 points (moderate risk) should be treated with the same priority as those with high risk.

A avaliação do estado nutricional de crianças hospitalizadas assume um papel fundamental na identificação precoce de riscos nutricionais. Assim, é de grande relevância identificar variáveis que exercem impacto no estado nutricional e na aceitação dos alimentos no ambiente hospitalar. O objetivo do trabalho foi avaliar o perfil nutricional de crianças internadas em um hospital e analisar as variáveis que exercem influência no diagnóstico nutricional e no consumo alimentar durante a hospitalização. O estado nutricional foi avaliado por meio da aferição de peso, comprimento/estatura, cálculo do Índice de Massa Corporal e avaliação dos índices antropométricos. A avaliação bioquímica foi realizada a partir das informações disponíveis no prontuário clínico. Os dados socioeconômicos, alimentares, de aleitamento materno e avaliação da aceitação das refeições oferecidas foram coletados por meio de aplicação de um questionário ao responsável pela criança. Participaram do estudo 208 crianças, sendo 61,5% do sexo masculino e mediana de idade de 21,5(6-59) meses. Quanto ao estado nutricional, 80% das crianças foram classificadas como eutróficas, 10% apresentavam magreza e 10% excesso de peso. As crianças com baixo peso tiveram mais linfocitopenia (p=0,038) e também foram as que apresentaram menor tempo de aleitamento materno exclusivo (p=0,015). As crianças que apresentaram concentrações elevadas de PCR e leucócitos apresentaram baixa aceitação da dieta oferecida (p=0,034 e p=0,040, respectivamente). Foram identificados fatores que se associaram ao baixo peso e a menor aceitação das refeições pelas crianças. Assim, atenção específica deve ser dada àquelas com alteração do estado inflamatório e com menor tempo de aleitamento materno exclusivo. Palavras-chave:Avaliação nutricional. Pediatria. Ingestão de alimentos. Hospitalização.The evaluation of nutritional status in hospitalized children plays a critical role in the early identification of nutritional risk. Thus, it is of great importance to identify variables that have an impact on nutritional status and acceptance of food in the hospital environment. The objective of this work to evaluate the nutritional status of hospitalized children, the variables that influence the nutritional diagnosis and food intake during hospitalization. Nutritional status was evaluated by measurement of weight, length / height, body mass index and anthropometric indices. The biochemical evaluation was performed based on the information available in the medical record. Socioeconomic, dietary and breastfeeding data and, evaluation of the acceptance of meals offered were obtained through a questionnaire to the responsable for the children. The study included 208 children, predominantly male (61.5%) and median age of 21.5 (6-59) months. In relation to nutritional status, 80% of children were classified eutrophic, 10% were thinness and 10% overweight. Children with low weight had more cases of lymphocytopenia (p = 0.038) and were also those who had shorter time of exclusive breastfeeding (p =...