{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:48:20Z","timestamp":1791982100861,"version":"4.4.0"},"reference-count":38,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI21\/00738"],"award-info":[{"award-number":["PI21\/00738"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To determine the prevalence, incidence, associated factors and progression of suspected and clinically diagnosed dysphagia in hospitalised adults aged 65\u2009years and over.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A multicentre prospective observational cohort study in nine public hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Older adults (\u2265\u200965\u2009years) staying \u2265\u200948\u2009h were consecutively recruited. Sociodemographic, functional, cognitive, nutritional and clinical data were collected at admission and discharge. Dysphagia was screened using the Eating Assessment Tool\u201010 and clinically diagnosed with the Volume\u2010Viscosity Swallow Test. Descriptive, bivariate and multivariate analyses included logistic and Cox regression models. The study was approved by participating ethics committees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 3139 patients with discharge data available for 2817. Suspected dysphagia affected 16.01% at admission and 12.96% at discharge; among clinically assessed patients, diagnosed dysphagia affected 69.66% and 76.57%, respectively. New cases appeared during hospitalisation (2.50% suspected; 8.33% diagnosed). Lower calf circumference, functional dependence and mild cognitive impairment were independently associated with both suspected and confirmed dysphagia. The presence of dysphagia was linked to longer hospital stays.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dysphagia was common and often persisted or worsened during hospitalisation in older adults. Its association with functional, cognitive and nutritional vulnerability reinforces the need for systematic screening and follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Nurses can integrate dysphagia screening and reassessment into geriatric care, prioritising older inpatients with functional, cognitive or nutritional vulnerability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Dysphagia persisted or emerged during hospitalisation; findings support the potential value of nurse\u2010led screening and reassessment in hospitalised older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>Reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology statement for cohort studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>A patient representative contributed to study design and variable selection. The NUTRIFAG Public Advisory Group supported the interpretation of findings and clinical relevance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70852","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:05:32Z","timestamp":1791979532000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dysphagia in Hospitalised Older Adults: Prevalence, Incidence and Predictors in the Multicentre\n                    <scp>NUTRIFAG<\/scp>\n                    Cohort: Empirical Research Quantitative"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5124-5513","authenticated-orcid":false,"given":"Cristina","family":"Carretero\u2010Randez","sequence":"first","affiliation":[{"name":"Nursing Hospital University and Polytechnic La Fe  Valencia Spain"},{"name":"Nursing Research Group: Infection, Inflammation and Chronicity (IIS La Fe) Hospital University and Polytechnic La Fe  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1504-575X","authenticated-orcid":false,"given":"Mar\u00eda Isabel","family":"Orts\u2010Cort\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Nursing University of Alicante (BALMIS), Alicante Institute for Health and Biomedical Research (ISABIAL, Group 23)  Alicante Spain"},{"name":"Nursing and Healthcare Research Unit (Invest\u00e9n\u2010Isciii) Instituto de Salud Carlos III  Madrid Spain"},{"name":"CIBER of Frailty and Healthy Aging (CIBERFES)  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5387-3807","authenticated-orcid":false,"given":"Lilia","family":"De Souza\u2010Nogueira","sequence":"additional","affiliation":[{"name":"Department of Medical\u2010Surgical Nursing, School of Nursing University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joaqu\u00edn","family":"Moncho\u2010Vasallo","sequence":"additional","affiliation":[{"name":"Research Unit for the Analysis of Mortality and Health Statistics, Department of Community Nursing, Preventive Medicine, Public Health and History of Science University of Alicante, Alicante Institute for Health and Biomedical Research (ISABIAL)  Alicante Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0716-5038","authenticated-orcid":false,"given":"Rafaela","family":"Camacho\u2010Bejarano","sequence":"additional","affiliation":[{"name":"Nursing and Healthcare Research Unit (Invest\u00e9n\u2010Isciii) Instituto de Salud Carlos III  Madrid Spain"},{"name":"Department of Nursing, Nursing Faculty University of Huelva  Huelva Spain"},{"name":"Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS)  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the NUTRIFAG Working Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.24875\/gmm.25000223"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S107750"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000520326"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0211\u2010139X(01)74737\u20103"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/eci.13930"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.3305\/nh.2012.27.6.6100"},{"issue":"7","key":"e_1_2_16_8_1","first-page":"434","article-title":"Evaluation of the Reliability and Validity of a Scale of Social Evaluation of the Elderly","volume":"23","author":"Cabrera Gonz\u00e1lez D.","year":"1999","journal-title":"Atencion Primaria"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0288348"},{"issue":"1","key":"e_1_2_16_10_1","first-page":"61","article-title":"Prevalence of Dysphagia in Older Adults Using the EAT\u201010 Scale","volume":"53","author":"Castillo Mier O. 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