Lauren Alexandria Coaxum

Journal Article Acad Emerg Med · April 2024 OBJECTIVE: The HEART score successfully risk stratifies emergency department (ED) patients with chest pain in high-income settings. However, this tool has not been validated in low-income countries. METHODS: This is a secondary analysis of a prospective ob ... Full text Link to item Cite

Improving acute myocardial infarction care in northern Tanzania: barrier identification and implementation strategy mapping.

Journal Article BMC Health Serv Res · March 28, 2024 BACKGROUND: Evidence-based care for acute myocardial infarction (AMI) reduces morbidity and mortality. Prior studies in Tanzania identified substantial gaps in the uptake of evidence-based AMI care. Implementation science has been used to improve uptake of ... Full text Open Access Link to item Cite

Provider attitudes towards quality improvement for myocardial infarction care in northern Tanzania.

Journal Article PLOS Glob Public Health · 2024 INTRODUCTION: Myocardial Infarction (MI) is a leading cause of death worldwide. In high income countries, quality improvement strategies have played an important role in increasing uptake of evidence-based MI care and improving MI outcomes. The incidence o ... Full text Link to item Cite

Characteristics and outcomes of patients with symptomatic chronic myocardial injury in a Tanzanian emergency department: A prospective observational study.

Journal Article PLoS One · 2024 BACKGROUND: Chronic myocardial injury is a condition defined by stably elevated cardiac biomarkers without acute myocardial ischemia. Although studies from high-income countries have reported that chronic myocardial injury predicts adverse prognosis, there ... Full text Open Access Link to item Cite

Six month incidence of major adverse cardiovascular events among adults with HIV in northern Tanzania: a prospective observational study.

Journal Article BMJ Open · November 19, 2023 OBJECTIVES: We aimed to prospectively describe incident cardiovascular events among people living with HIV (PLWH) in northern Tanzania. Secondary aims of this study were to understand non-communicable disease care-seeking behaviour and patient preferences ... Full text Link to item Cite

Disparities in Emergency Medical Services Care Delivery in the United States: A Scoping Review.

Journal Article Prehosp Emerg Care · 2023 BACKGROUND: Emergency medical services (EMS) often serve as the first medical contact for ill or injured patients, representing a critical access point to the health care delivery continuum. While a growing body of literature suggests inequities in care wi ... Full text Link to item Cite

Six-month blood pressure and glucose control among HIV-infected adults with elevated blood pressure and hyperglycemia in northern Tanzania: A prospective observational study.

Journal Article PLoS One · 2023 BACKGROUND: People with HIV in sub-Saharan Africa are increasingly developing age-related comorbidities. The purpose of this prospective observational study was to describe 6-month outcomes among Tanzanians with HIV and elevated blood pressure or hyperglyc ... Full text Link to item Cite

Longitudinal ECG changes among adults with HIV in Tanzania: A prospective cohort study.

Journal Article PLOS Glob Public Health · 2023 The prevalence of cardiovascular disease (CVD) is rising among people with HIV (PWH) in sub-Saharan Africa (SSA). Despite the utility of the electrocardiogram (ECG) in screening for CVD, there is limited data regarding longitudinal ECG changes among PWH in ... Full text Link to item Cite

Prevalence and Correlates of Ischemic ECG Findings among Adults With and Without HIV in Tanzania.

Journal Article Glob Heart · 2022 INTRODUCTION: HIV confers increased risk of myocardial infarction (MI), but there has been little study of ischemic electrocardiogram (ECG) findings among people with HIV in sub-Saharan Africa. OBJECTIVES: To compare the prevalence of ischemic ECG findings ... Full text Link to item Cite