Epidemiology; Heart Diseases; Quality of Health Care; Research; Stroke
Public Health Interests
Cardiovascular Disease; Women's Health
Dr. Lichtman’s primary research interests are the epidemiology of heart disease and stroke. She has extensive experience examining vascular disease outcomes using large administrative databases. Dr. Lichtman has also developed a national, longitudinal, 14-year database from Medicare data to examine disease trends, patterns of care, and outcomes among elderly patients with heart disease and stroke. She is also Principal Investigator for several studies examining heart disease in young women, and Co-Principal Investigator for an on-going large prospective study of young heart attack survivors. Her research examines biological, social, and environmental factors that influence the presentation and outcomes of young women with heart disease.
Extensive Research Description
Dr. Lichtman’s primary research interests are the epidemiology of heart disease and stroke. As part of an initiative to achieve the disease objectives listed in the Healthy People 2010, the National Conference on CVD Prevention identified the need for better data to look at national trends across the population, and in subgroups defined by race/ethnicity, socioeconomic status, and geography. Despite this initiative, the United States lacks a cohesive, informative surveillance system that provides insights into national patterns of vascular care, revealing national trends over time, and tracking long-term patient outcomes. To help address this gap, Dr. Lichtman has created a national, longitudinal, 14-year database from Medicare data to examine disease trends, patterns of care, and outcomes among elderly patients with heart disease and stroke. She is also Principal Investigator for several studies examining heart disease in young women. Despite perceptions that young women are protected from heart disease, it is one of the leading causes of death for this group. Her research examines biological, social, and environmental factors that influence the presentation and outcomes of young women with heart disease.
Dr. Lichtman has served on several national committees related to cardiovascular and cerebrovascular disorders including the AHA Patient Education System Task Force, the AHA Peer Review Evaluation Design Task Force, the AHA Stroke and Epidemiology Councils, and the AHA Quality of Care and Outcomes Research Expert Panel. She has been a member of the Program Committee for the American Heart Association Conference on Cardiovascular Disease Epidemiology and Prevention, and currently serves as the co-chair for a National American Heart Association Writing Committee and a recently appointed member of the American Stroke Association Advisory Committee.
- Prospective Registry for the Predisposing Factors, Care, and Outcomes of Myocardial Infarction in Young Women
- Determinants of Disparities in the Care and Outcomes for Young Women with Acute Myocardial Infarction
- Cardiovascular Disease Trends in the Elderly
- Care and Outcomes for Elderly ACS/PCI Medicare Beneficiaries
- Stroke Hospitalization in the Elderly with Medicare FFS
- Impact of Aging on Stroke Care: A National Perspective
- Process-Outcome Links in the National Stroke Project.
- Lichtman, J.H., Jones, S.B., Wang, Y., Leifheit-Limson, E.C., & Goldstein, L.B. (2013). Seasonal variation in 30-day mortality after stroke: Teaching versus nonteaching hospitals. Stroke, published online ahead of print January 8, 2013.
- Lichtman, J.H., Leifheit-Limson, E.C., Jones, S.B., Wang, Y., & Goldstein, L.B. (2012). 30-day risk-standardized mortality and readmission rates after ischemic stroke in critical access hospitals. Stroke, 43(10):2741-2747.
- Lichtman, J.H., Jones, S.B., Leifheit-Limson, E., Wang, Y., & Goldstein, L.B. 30-Day Mortality and Readmission after Hemorrhagic Stroke among Medicare Beneficiaries in Joint Commission Primary Stroke Center-Certified and Noncertified Hospitals. Stroke, 42
- Lichtman, J.H. Jones, S.B. Wang, Y., Watanabe, E., Goldstein, L.B. 30-Day Risk-Standardized Mortality and Readmission among US JC-Certified versus Noncertified Hospital in 2006. Neurology. 2011 Jun; 76(23):1976-82.
- Lichtman, J.H., Naert, L., Allen, N.B., Watanabe, E., Jones, S.B., Barry, L.C., Bravata, D.M., Goldstein, L.B. Use of Antithrombotic Medications among Elderly Ischemic Stroke Patients. Circ: Cardiovasc Qual Outcomes. 2011, 4(1):30-8.
- Lichtman, J.H., Lorenze, N.P., D’Onofrio, G., Spertus, J.A., Lindau, S.T., Morgan, T.M., Herrin, J., Bueno, H., Mattera, J.A., Ridker, P.M., Krumholz, H.M. Variation in recovery: role of gender on outcomes of young AMI patients (VIRGO) study design. Circ
- Lichtman, J.H., Leifheit-Limson, E.C., Jones, S.B., Watanabe, E., Bernheim, S.M., Phipps, M.S., Bhat, K.R., Savage, S.V., Goldstein, L.B. Predictors of Hospital Readmission after Stroke: A Systematic Review. Stroke. 2010, 41:2525-2533.
- Leifheit-Limson, E.C., Reid, K.J., Kasl, S.V., Lin, H., Jones, P.G., Buchanan, D.M., Parashar, S., Peterson, P.N., Spertus, J.A., Lichtman, J.H. The Role of Social Support in Health Status and Depressive Symptoms after Acute Myocardial Infarction: Evidenc
- Allen, N.B., Holford T.R., Bracken M.B., Goldstein L.B., Howard G., Wang Y., Lichtman J.H. Trends in One-Year Recurrent Ischemic Stroke among the Elderly in the United States: 1994-2002. Cerebrovascular Diseases 2010, 30:525-532.
- Lichtman, J.H., Allen, N.B., Wang, Y., Watanabe, E., Jones, S.B., Goldstein, L.B. Stroke Patient Outcomes in US Hospitals before the Start of the Joint Commission Primary Stroke Center Certification Program. Stroke. 2009, 40;3574-3579.
- Lichtman, J.H., Jones, S.B., Watanabe, E., Allen, N.B., Wang, Y., Howard, V.J., Goldstein, L.B. Elderly Women have Lower Rates of Stroke, Cardiovascular Events, and Mortality after Hospitalization for Transient Ischemic Attack. Stroke. 2009, 40;2116-2122.
- Lichtman, J.H., Watanabe, E., Allen, N.B., Jones, S.B., Dostal, J., Goldstein, L.B. Hospital Arrival Time and Intravenous t-PA use in US Academic Medical Centers, 2001-2004. Stroke. 2009, 40;3845-3850.
- Lichtman, J.H., Jones, S.B., Wang, Y., Watanabe, E., Allen, N.B., Fayad, P., and Goldstein, L.B. Post-Endarterectomy Mortality in Octogenarians and Nonagenarians in the United States from 1993-1999. Cerebrovascular Diseases 2009. In Process.
- Watanabe, E., Allen, N.B., Dostal, J., Sama, D., Claus, E.B., Goldstein, L.B., and Lichtman, J.H. Diagnostic Evaluation for Patients with Ischemic Stroke: Are There Sex Differences? Cerebrovascular Diseases 27: 450-455, 2009.
- Lichtman, J.H. (Co-Chair), Bigger, J.T. Jr, Blumenthal, J.A., Frasure-Smith, N., Kaufmann, P.G., Lesperance, F., Mark, D.B., Sheps, D.S., Taylor, C.B., Froelicher, E.S. (Co-Chair), American Heart Association Prevention Committee of the Council on Cardiova