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.

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Giroux M, Sirois MJ, Boucher V, Daoust R, Gouin E, Pelletier M, Berthelot S, Voyer P, Emond M

Frailty Assessment to Help Predict Patients at Risk of Delirium When Consulting the Emergency Department.

Journal Article

J Emerg Med, 55 (2), pp. 157-164, 2018, ISSN: 0736-4679.

Abstract | Links:

Brousseau AA, Emond M, Sirois MJ, Daoust R, Griffith LE, Lang E, Lee J, Perry JJ, Ouellet MC, Verreault R, Berthelot S, Mercier E, Allain-Boule N, Boucher V, Tardif PA, Le Sage N

Comparison of functional outcomes in elderly who have sustained a minor trauma with or without head injury: a prospective multicenter cohort study.

Journal Article

CJEM, 19 (5), pp. 329-337, 2017, ISSN: 1481-8035.

Abstract | Links:

Eagles D, Perry JJ, Sirois MJ, Lang E, Daoust R, Lee J, Griffith L, Wilding L, Neveu X, Emond M

Timed Up and Go predicts functional decline in older patients presenting to the emergency department following minor trauma†.

Journal Article

Age Ageing, 46 (2), pp. 214-218, 2017, ISSN: 0002-0729.

Abstract | Links:

Fougere B, Sirois MJ, Carmichael PH, Batomen-Kuimi BL, Chicoulaa B, Escourrou E, Nourhashemi F, Oustric S, Vellas B, FAP group

General Practitioners' Clinical Impression in the Screening for Frailty: Data From the FAP Study Pilot.

Journal Article

J Am Med Dir Assoc, 18 (2), pp. 193.e1-193.e5, 2017, ISSN: 1525-8610.

Abstract | Links:

Sirois MJ, Griffith L, Perry J, Daoust R, Veillette N, Lee J, Pelletier M, Wilding L, Emond M

Measuring Frailty Can Help Emergency Departments Identify Independent Seniors at Risk of Functional Decline After Minor Injuries.

Journal Article

J Gerontol A Biol Sci Med Sci, 72 (1), pp. 68-74, 2017, ISSN: 1079-5006.

Abstract | Links:

Gagne M, Moore L, Sirois MJ, Simard M, Beaudoin C, Kuimi BL

Performance of International Classification of Diseases-based injury severity measures used to predict in-hospital mortality and intensive care admission among traumatic brain-injured patients.

Journal Article

J Trauma Acute Care Surg, 82 (2), pp. 374-382, 2017.

Abstract | Links:

Daoust R, Sirois MJ, Lee JS, Perry JJ, Griffith LE, Worster A, Lang E, Paquet J, Chauny JM, Emond M

Painful Memories: Reliability of Pain Intensity Recall at 3 Months in Senior Patients.

Journal Article

Pain Res Manag, 2017 , pp. 5983721, 2017, ISSN: 1203-6765.

Abstract | Links:

Tong T, Chignell M, Tierney MC, Sirois MJ, Goldstein J, Émond M, Rockwood K, Lee JS

Technology profiles as proxies for measuring functional and frailty status

Journal Article

Procedia Comput Sci, 111 , pp. 77-86, 2017, ISSN: 1877-0509.

| Links:

Blouin M, Sirois MJ, Aubertin-Leheudre M, Griffith LE, Nadeau L, Daoust R, Lee J, Émond M

In the Emergency Department, Are Serum Biomarkers useful to Screen Independent Frail Seniors Exposed to Future Functional Decline or Mobility Impairments after a Minor Injury?

Journal Article

J Gerontol Geriatr Res, 6 (6), pp. 1000457 (7 pages), 2017.

| Links:

Abdulaziz KE, Brehaut J, Taljaard M, Emond M, Sirois MJ, Lee JS, Wilding L, Perry JJ

National survey of family physicians to define functional decline in elderly patients with minor trauma.

Journal Article

BMC Fam Pract, 17 (1), pp. 117, 2016.

Abstract | Links:

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Active projects

  • Centre de recherche du CHU de Québec - Université Laval, Subvention, Centre hospitalier universitaire de Québec - Université Laval, Centres de recherche affiliés, from 2017-01-01 to 2099-12-31
  • Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Subvention, CIUSSS - CN - Centre de recherche sur les soins et les services de première ligne de l'ULaval, Centres de recherche affiliés, from 2017-01-01 to 2099-12-31
  • Four Year Embedded Clinician Researcher Program, Subvention, Instituts de recherche en santé du Canada, Bourse salariale de clinicien-chercheur intégré, from 2016-09-01 to 2020-08-31
  • 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 ?, Subvention, Fonds de recherche du Québec - Santé, Réseaux thématiques de recherche, from 2020-04-01 to 2021-03-31
  • Institut sur le vieillissement et la participation sociale des aînés, Subvention, Institutionnel - BDR, Instituts reconnus, from 2002-06-01 to 2024-04-30
  • La clinique des ainés : une transition innovante des soins pour aînés fragilisés – Éviter le retour à la case départ, Subvention, Instituts de recherche en santé du Canada, Subvention de fonctionnement : Transitions dans les soins, from 2019-04-01 to 2021-03-31
  • Portrait et évolution des besoins en soins traumatologiques chez l'aîné: du pré-hospitalier à la réadaptation., Subvention, Fonds de recherche du Québec - Santé, Consortium pour le développement de la recherche en traumatologie, from 2016-04-01 to 2021-04-30
  • 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 ..., Subvention, Instituts de recherche en santé du Canada, Subvention Projet, from 2017-04-01 to 2021-03-31

Recently finished projects

  • 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, Subvention, Instituts de recherche en santé du Canada, Subvention Projet, from 2018-04-01 to 2020-03-31
  • Connecting Emergency Departments with Community services to prevent mobility losses in pre-frail & frail Seniors (CEDeComS), Subvention, Instituts de recherche en santé du Canada, Volet Projet: Concours pilotes, from 2016-07-01 to 2020-06-30
  • Santé mentale après un traumatisme craniocérébral chez les personnes âgées et leurs proches aidants., Subvention, Fonds de recherche du Québec - Santé, Consortium pour le développement de la recherche en traumatologie, from 2017-04-01 to 2020-05-31
Data provided by the Université Laval research projects registery