{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T08:28:41Z","timestamp":1776673721122,"version":"3.51.2"},"reference-count":29,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T00:00:00Z","timestamp":1776556800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Malnutrition is a known outcome of dysphagia. Objectives: To estimate the association between the timing of the Clinical Swallow Evaluation (CSE) at admission and nutrition status at hospital discharge. Methods: In this single-center prospective study, the electronic medical records of patients discharged from the neurogeriatric rehabilitation department at the participating hospital, who had undergone CSE by a speech pathologist per hospital bed-side evaluation protocol, were reviewed. The participants were divided into two groups: those who underwent CSE within 48 h of hospitalization per Israel Ministry of Health guidelines (early CSE, N = 31); and those who underwent CSE later than 48 h from admission (late CSE, N = 47). Nutrition status was evaluated by a registered dietitian using the Mini Nutritional Assessment Tool Short Form (MNA-SF). Nutrition status at discharge was categorized and compared between the groups. Results: Seventy-eight patients were included (mean age 80.7 \u00b1 8.1 years); 85.9% were malnourished at admission, with no difference between groups. At discharge, malnutrition was less prevalent in the early vs. late CSE group (61.3% vs. 78.7%; p = 0.012). In multivariable logistic regression, late CSE increased odds of malnutrition at discharge by more than six-fold. Each additional year of age increased the odds of malnutrition by 13%; each additional point in baseline MNA SF score reduced the odds by 48%; and greater cognitive decline increased the odds of discharge malnutrition risk by more than 2.6-fold. Sex and the number of dietitian consultations were not associated with malnutrition at discharge. Conclusions: Early CSE in elderly patients hospitalized for neurogeriatric rehabilitation is associated with less malnutrition at discharge.<\/jats:p>","DOI":"10.3390\/nu18081288","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T07:15:08Z","timestamp":1776669308000},"page":"1288","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Clinical Swallow Evaluation Is Associated with Lower Malnutrition Prevalence at Discharge in Neurogeriatric Rehabilitation Patients: A Prospective Study"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1832-9549","authenticated-orcid":false,"given":"Enav","family":"Horowitz-Bor","sequence":"first","affiliation":[{"name":"Department of Nutrition Sciences, Ariel University, Kiryat Hamada 3, Ramat Hagolan Street 36, Ariel 40700, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5768-5301","authenticated-orcid":false,"given":"Yulia","family":"Bugaevsky","sequence":"additional","affiliation":[{"name":"Bet-Rivka Geriatric Rehabilitation Center, Petah-Tikva 49245, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3920-7549","authenticated-orcid":false,"given":"Mona","family":"Boaz","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences, Ariel University, Kiryat Hamada 3, Ramat Hagolan Street 36, Ariel 40700, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"eAO4189","DOI":"10.1590\/s1679-45082018ao4189","article-title":"The importance of dysphagia screening and nutritional assessment in hospitalized patients","volume":"16","author":"Andrade","year":"2018","journal-title":"Einstein"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1038\/nrgastro.2015.49","article-title":"Dysphagia: Current reality and scope of the problem","volume":"12","author":"Shaker","year":"2015","journal-title":"Nat. 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