{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T13:20:58Z","timestamp":1770902458684,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,8,28]],"date-time":"2014-08-28T00:00:00Z","timestamp":1409184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Austrian Association for Clinical Nutrition"},{"DOI":"10.13039\/501100007743","name":"European Society for Clinical Nutrition and Metabolism","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007743","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100005788","name":"Medical University Vienna","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005788","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Clin Investigation"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In the general population, poor self\u2010rated health (<jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content>) is associated with malnutrition; however, these associations have not been studied in hospitalized patients. We aimed to evaluate <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content>, indicators of nutrition, nutritional status and their association with in\u2010hospital mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>The study is based on data from the nutritionDay, a multinational, multicentre European\u2010wide standardized 1\u2010day cross\u2010sectional survey of nutritional factors, food intake and in\u2010hospital mortality in hospitalized patients. A data set of surveys on <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content> in 2010 and 2011 was used in the analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Complete sets of data were available for 28\u00a0106 patients (64\u00a0\u00b1\u00a018\u00a0years, 50% men, 7% terminally ill). In relation to body mass index, 7% were undernourished and 16% were obese. Fair\/poor <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content> was reported by 59% of patients and was associated with low food intake during the previous week or on survey day (<jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00\u00b7005). Thirty\u2010day in\u2010hospital mortality was 3%; in adjusted multivariate survival analysis, fair\/poor <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content> [hazard ratio (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>) 1\u00b753, 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 1\u00b714\u20132\u00b705] and reduced food intake [nothing eaten (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> 2\u00b713, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1\u00b746\u20133\u00b711) or not allowed to eat on nutritionDay (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> 2\u00b701, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1\u00b730\u20133\u00b711)] predicted fatal outcome. At particularly high risk were patients who rated their health poor and had reduced food intake on the survey day or within the previous week with relative risks of 7\u00b737 and 8\u00b780, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We demonstrated high prevalence of poor <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content> and insufficient food intake in hospitalized patients. 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