ORCID Profile
0000-0003-2595-1841
Current Organisation
St Vincent's Hospital Sydney
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Publisher: Elsevier BV
Date: 08-2021
Publisher: Elsevier BV
Date: 2020
Publisher: Elsevier BV
Date: 2020
Publisher: Elsevier BV
Date: 2020
Publisher: Maad Rayan Publishing Company
Date: 10-05-2023
DOI: 10.34172/IJA.2023.E7
Abstract: Objectives: To investigate the relationship between loneliness and hypertension in older people. Design: Cross-sectional study. Setting(s): Tabriz, the capital city of the East Azerbaijan province in northwestern Iran. Participants: A representative s le of≥60-year-old community dwellers. A total of 1362 participants (768 females and 594 males) were selected using the probability proportional to size (PPS) s ling method. Outcome Measures: Blood pressure, loneliness, and social support were assessed using a standard mercury sphygmomanometer, the 6-item De Jong Gierveld Loneliness Scale, and the Duke Social Support Index (DSSI), respectively. Results: The prevalence of hypertension was 81.0% among older adults (86.8% in women vs. 73.4% in men, P .001). In addition, 54% of respondents felt lonely. Loneliness was more prevalent in females than in males (58.7% vs. 47.9%, P .001). Hypertension was found to be associated with social loneliness score (OR=1.16, 95% CI=1.02 to 1.32), marital status (OR=0.49, 95% CI=0.31 to 0.78), body mass index (OR=1.11, 95% CI=1.07 to 1.15), diabetes mellitus (OR=1.56, 95% CI=1.03 to 2.31), and sleep quality score (OR=1.23, 95% CI=1.06 to 1.19). Conclusions: Social loneliness is associated with an increased risk of hypertension in older people. This highlights the importance of addressing psychosocial factors, especially social loneliness, when managing hypertension in older adults.
Publisher: Elsevier BV
Date: 2020
Publisher: Elsevier BV
Date: 2021
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 18-01-2021
Publisher: Wiley
Date: 25-01-2021
DOI: 10.1002/CCD.29488
Abstract: The aim of this systematic review and meta-analysis was to provide a comprehensive estimate for spontaneous coronary artery dissection (SCAD) related mortality, and explore factors associated with an increased risk of death. SCAD is an infrequent but increasingly recognized cause of acute coronary syndrome. Despite a growing body of evidence, there have been few detailed examinations of SCAD associated mortality. We searched MEDLINE, EMBASE, Cochrane, Web of Science and Google Scholar databases through May 7, 2020. We included studies reporting mortality data, confirmed SCAD with coronary angiography and included ≥10 participants. We excluded non-English studies, conference abstracts, review articles and duplicate datasets. Random-effects meta-analysis and meta-regression were used to evaluate estimates and predictors of mortality. From an initial 1,131 articles, 34 studies with 2,817 patients were eligible for inclusion. The weighted mean age was 50 years, and 84% of participants were female. The pooled estimate for SCAD mortality was 1% (Proportion 0.01 95% CI, 0.00-0.02). The mean duration of follow-up was 33 months. Meta-regression showed male sex was associated with 3.5-fold increased odds of mortality (OR, 3.50 95% CI, 1.22-10.03). In addition, smoking (current or previous) was associated with a 15-fold increased risk of mortality (OR 15.32 95% CI, 2.88-81.41). This meta-analysis has shown that SCAD is associated with favorable survival outcomes with an estimated mortality of 1% over a mean follow-up period of 33 months. We also found male sex and smoking were associated with an increased risk of mortality.
Publisher: Elsevier BV
Date: 2021
Publisher: Elsevier BV
Date: 10-2020
No related grants have been discovered for Cobi Adams.