Objective To evaluate the occurrence of nutritional risks for inpatients with advanced tumor. Methods Nutritional risks for eighty-eight inpatients with advanced tumor were screened using screening scale of nutritional risk（NRS2002）. Eastern Cooperative Oncology Group（ECOG） scale was used to evaluate patients’ general condition

to record tumor location

syndrome

Chinese medicine syndrome

duration of hospitalization

and to analyze the relations between nutritional risk and grading of ECOG and duration of hospitalization. Result 42 inpatients had nutritional risks

（ NRS2002 ≥3 points）

accounted for 47. 7% of eighty-eight inpatients with advanced tumor. Nutritional risks occurred in 56. 8% of the inpatients with digestive system neoplasm

including 100% of patients with esophagus cancer（5 /5）

100% cases with pancreatic cancer（4 /4）

66. 7% of gastric cancer（4 /6）

and 66. 7% of ampulla cancer（2 /3）. 11 inpatients were graded as 3 to 4 with ECOG scale. Among them

81. 8% had nutritional risks

which was significantly more than those without nutritional risks（ χ2= 6. 099

P < 0. 05）. The average duration of hospitalization of inpatients with nutritional risks was 29. 2 ± 19. 1 days

that was significantly longer than hospital stay of inpatients without nutritional risk（ 20. 5 ± 15. 1 days

P < 0. 05）. The most common digestive symptoms in inpatients with advanced tumors and nutritional risks were asitia（64. 3%） and nausea and vomiting（21. 4%）. The most common Chinese medicine syndromes were spleen Qi deficiency（ 35. 7%）

damp-heat retention in spleen（ 21. 4%）

and cold-damp affecting spleen（19. 0%）. Conclusion Inpatients with advanced tumors and inpatients graded as 3 to4 with ECOG scale were much easier to have nutritional risks. Hospital stay of inpatients with nutritional risks is longer.