Marie-Josée Sirois is an occupational therapist and epidemiologist, as well as a professor in the Department of Rehabilitation of the School of Medicine at Laval University. She is a clinical researcher with the Canadian Institutes of Health Research, and a regular researcher at the CRCHU of Quebec, as well as at the Centre d’Excellence sur le Vieillissement de Québec (CEVQ). Dr. Sirois’ clinical research program aims to maintain the mobility and functioning of frail and traumatized seniors by improving their care in emergency departments and in the community. Her preferred methods are large clinical cohort studies, intervention trials, and the use of large administrative databases.

Aging, injuries and loss of autonomy

In Canada, it is estimated that every year, about 80 out of every 1,000 seniors suffer from an injury; 60% of these injuries are related to falls and restrict the mobility of these people. Motor vehicle accidents are also a major cause of injuries that compromise the mobility of seniors.

At this time, while the vast majority (65%) of those aged 65 who have suffered minor- injuries return home following a consultation at the emergency room, there is no method to evaluate the risk of functional decline, nor a standardized and effective method of management (assessment and intervention) in emergency departments for this population. Epidemiology, clinical course, appropriate emergency services, and the need for follow-up services following emergency visits of seniors with minor injuries remain poorly understood. Furthermore, scientific literature indicates that active and independent seniors who have suffered injuries are likely to limit their activities for fear of getting injured again. This activity restriction may result in physical deconditioning or loss of social interaction, which are known risk factors for functional and mobility decline. Thus, minor trauma could be a precursor to functional disorders and an overall reduction in the quality of life in the elderly.

55 entries « 1 of 6 »

Provencher V, D'Amours M, Menear M, Obradovic N, Veillette N, Sirois MJ, Kergoat MJ

Understanding the positive outcomes of discharge planning interventions for older adults hospitalized following a fall: a realist synthesis.

Journal Article

BMC Geriatr, 21 (1), 2021.

Abstract | Links:

Giroux M, Emond M, Nadeau A, Boucher V, Carmichael PH, Voyer P, Pelletier M, Gouin E, Daoust R, Berthelot S, Lamontagne ME, Morin M, Lemire S, Sirois MJ

Functional and cognitive decline in older delirious adults after an emergency department visit.

Journal Article

Age Ageing, 50 (1), 2021.

Abstract | Links:

Fruteau de Laclos L, Sirois MJ, Blanchette A, Martel D, Blais J, Emond M, Daoust R, Aubertin-Leheudre M

Exercise Interventions for Community-Dwelling Older Adults Following an Emergency Department Consultation for a Minor Injury.

Journal Article

J Aging Phys Act, 29 (2), 2020.

Abstract | Links:

Archambault PM, Rivard J, Smith PY, Sinha S, Morin M, LeBlanc A, Couturier Y, Pelletier I, Ghandour EK, Legare F, Denis JL, Melady D, Pare D, Chouinard J, Kroon C, Huot-Lavoie M, Bert L, Witteman HO, Brousseau AA, Dallaire C, Sirois MJ, Emond M, Fleet R, Chandavong S

Learning Integrated Health System to Mobilize Context-Adapted Knowledge With a Wiki Platform to Improve the Transitions of Frail Seniors From Hospitals and Emergency Departments to the Community (LEARNING WISDOM): Protocol for a Mixed-Methods Implementation Study.

Journal Article

JMIR Res Protoc, 9 (8), 2020.

Abstract | Links:

Lanoue MP, Sirois MJ, Perry JJ, Lee J, Daoust R, Worster A, Hegg S, Carmichael PH, Brousseau-Turcotte AA, Emond M

Fear of falling in community-dwelling older adults presenting to the emergency department for minor injuries: Impact on return to the ED and future falls.

Journal Article

CJEM, 22 (5), 2020.

Abstract | Links:

Fillion V, Sirois MJ, Gamache P, Guertin JR, Morin SN, Jean S

Frailty and health services use among Quebec seniors with non-hip fractures: a population-based study using adminsitrative databases.

Journal Article

BMC Health Serv Res, 19 (1), 2019.

Abstract | Links:

Levesque MH, Trepanier J, Sirois MJ, Levasseur M

[Effects of Lifestyle Redesign on older adults: A systematic review].

Journal Article

Can J Occup Ther, 86 (1), 2019.

Abstract | Links:

Kroger E, Simard M, Sirois MJ, Giroux M, Sirois C, Kouladjian-O'Donnell L, Reeve E, Hilmer S, Carmichael PH, Emond M

Is the Drug Burden Index Related to Declining Functional Status at Follow-up in Community-Dwelling Seniors Consulting for Minor Injuries? Results from the Canadian Emergency Team Initiative Cohort Study.

Journal Article

Drugs Aging, 36 (1), 2019.

Abstract | Links:

Gagnon-Roy M, Hami B, Genereux M, Veillette N, Sirois MJ, Egan M, Provencher V

Preventing emergency department (ED) visits and hospitalisations of older adults with cognitive impairment compared with the general senior population: what do we know about avoidable incidents? Results from a scoping review.

Journal Article

BMJ Open, 8 (4), 2018.

Abstract | Links:

Lague A, Voyer P, Ouellet MC, Boucher VR, Giroux M, Pelletier M, Gouin EM, Daoust R, Berthelot S, Morin ML, Minh Vu TT, Lee J, Brousseau AA, Sirois ME, E Mond M, Émond M

Using the Bergman-Paris Question to screen seniors in the emergency department.

Journal Article

CJEM, 20 (5), 2018.

Abstract | Links:

55 entries « 1 of 6 »
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Active projects

  • La géronto-technologie peut-elle pallier les barrières d'accès aux services en exercices physiques afin de permettre aux aînés de maintenir leurs capacités fonctionnelles et de mobilité après une blessure mineure ? , from 2021-05-17 to 2022-05-16
  • Optimisation et évaluation d’un programme d’éducation pour vieillir en santé pendant le confinement, from 2021-03-15 to 2024-06-15
  • Physiotherapy care in Emergency Departments for Patients with Musculoskeletal Disorders: A Pragmatic Cluster Randomized Controlled Trial and Cost Analysis, from 2021-04-01 to 2024-09-30
  • Portrait et évolution des besoins en soins traumatologiques chez l'aîné: du pré-hospitalier à la réadaptation., from 2016-04-01 to 2022-04-30

Recently finished projects

  • Adoption de comportements préventifs chez les ainés vulnérables en situation d'épidémie /pandémie : vers une participation sociale sécuritaire (sans sortir de la maison) et une réduction des risques accrues , from 2020-04-01 to 2021-03-31
  • Comparative effectiveness of a comprehensive, patient-centered hospital discharge planning intervention for frail older adults: feasibility study for a large mixed-method randomized pragmatic trial, from 2018-04-01 to 2020-03-31
  • Connecting Emergency Departments with Community services to prevent mobility losses in pre-frail & frail Seniors (CEDeComS), from 2016-07-01 to 2020-06-30
  • Four Year Embedded Clinician Researcher Program, from 2016-09-01 to 2020-12-31
  • Impacts des recommandations COVID19 sur le statut fonctionnel et la mobilité des aînés robustes, préfragiles et fragiles de l’ECR-CEDeComS : l’Exercice Physique à domicile est-t-il une solution ?, from 2020-04-01 to 2021-03-31
  • La clinique des ainés : une transition innovante des soins pour aînés fragilisés – Éviter le retour à la case départ, from 2019-04-01 to 2021-03-31
  • Le cannabis médical contre les douleurs musculo-squelettiques chroniques : une étude de l'usage parmi des personnes âgées de 60 ans et plus au Québec et au Canada, from 2018-04-01 to 2020-03-31
  • Santé mentale après un traumatisme craniocérébral chez les personnes âgées et leurs proches aidants., from 2017-04-01 to 2020-05-31
  • Supporting the creation of a LEARNing INteGrated health system to mobilize context-adapted knowledge with a Wiki platform to Improve the transitions of frail Seniors from from hospitals and emergency Departments to the cOMmunity : The ..., from 2017-04-01 to 2021-03-31
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