Description of Research Expertise:
My primary research interest lies in understanding how non-clinical social determinants of health as well as organizational and policy variations impact utilization and outcomes in critical illness. I am particularly interested in understanding disparities in healthcare utilization and outcomes and hope that my research will lead to clinical and policy efforts to help reduce disparities in critical illness. My masters in clinial epidemiology thesis has focused on the impact of insurance status on ICU utilization and outcomes using Pennsylvania hospital discharge data. This project found a decreased utilization and increased 30-day mortality for uninsured critically ill patients. I expanded on this research with an F32 NIH grant to examine how MA insurance reform impacted critical care utilization and outcomes.
Lyon SM, Moore N, Douglas IS, Cooke CR: Update on the Affordable Care Act. King v. Burwell and Obergefell v. Hodge Annals ATS 13 (4): 2016.
Lyon SM, Douglas IS, Cooke CR: Health Policy: Toward Achieving Respiratory Health Equality Achieving Respiratory Health Equality : 2016.
Aureimma CL, Lyon SM, Strelec LE, Kent S, Cooney E, Barg FK, Halpern SD: Defining the medical intensive care unit in the words of patients and family members: a freelisting analysis AJCC : 2015.
Reid Michael J A, Biller Nancy, Lyon Sarah M, Reilly John P, Merlin Jessica, Dacso Matthew, Friedman Harvey M: Reducing risk and enhancing education: U.S. medical students on global health electives. American journal of infection control 42 (12): 1319-21,2014.
Lyon SM, Auriemma C, Hilbert C, Cooney B, Strelect L, Kent S, Barg FK, Halpern SD.: Defining Patient- and Surrogate-Centered Outcomes for Critical Care Research. Mini-symposium presentation. American Thoracic Society, San Diego, CA. Oral presentation. : 2014.
Lyon Sarah M, Douglas Ivor S, Cooke Colin R: Medicaid expansion under the Affordable Care Act: Implications for insurance-related disparities in pulmonary, critical care and sleep. Annals American Thoracic Society 11 (4): 661-7,2014.
Lyon Sarah M, Wunsch Hannah, Asch David A, Carr Brendan G, Kahn Jeremy M, Cooke Colin R: Use of intensive care services and associated hospital mortality after Massachusetts healthcare reform*. Critical Care Medicine 42 (4): 763-70,2014.
Mikkelsen Mark E, Shah Chirag V, Meyer Nuala J, Gaieski David F, Lyon Sarah, Miltiades Andrea N, Goyal Munish, Fuchs Barry D, Bellamy Scarlett L, Christie Jason D: The epidemiology of acute respiratory distress syndrome in patients presenting to the Emergency Department with severe sepsis. Shock 40 (5): 375-81,2013.
Lyon SM, Sahli, RA, Reilly, PM, Carr BG: A national analysis of the impact of insurance status on trauma outcomes. Academy Health, Orlando, FL. Poster presentation. : 2012.
Cooke, CR, Lyon, SM, Iwashyna TJ,Wunsch, H, Kahn, JM: The impact of Massachusetts health insurance reform on mortality and discharge location in the critically ill. American Thoracic Society, San Francisco, CA. Poster presentation. : 2012.