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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Cairns K, Beaulieu-Bonneau S, Jomphe V, Lamontagne MÈ, de Guise É, Moore L, Savard J, Sirois MJ, Swaine B, Ouellet MC

Four-Year Trajectories of Symptoms and Quality of Life in Individuals Hospitalized After Mild Traumatic Brain Injury

Journal Article

Arch Phys Med Rehabil, 2024.

Abstract | Links:

Couture V, Germain N, Côté É, Lavoie L, Robitaille J, Morin M, Chouinard J, Couturier Y, Légaré F, Hardy MS, Chartier LB, Brousseau AA, Sourial N, Mercier É, Dallaire C, Fleet R, Leblanc A, Melady D, Roy D, Sinha S, Sirois MJ, Witteman HO, Émond M, Rivard J, Pelletier I, Turcotte S, Samb R, Giguère R, Abrougui L, Smith PY, Archambault PM,

Transitions of care for older adults discharged home from the emergency department: an inductive thematic content analysis of patient comments

Journal Article

BMC Geriatr, 24 (1), 2024.

Abstract | Links:

Souesme G, Poulin V, Ethier A, Grenier M, Sirois MJ, Beaulieu-Bonneau S, De Guise É, Lamontagne ME, Hudon C, Émond M, Ouellet MC

Challenges and facilitators in the experience of caregiving for an older adult with traumatic brain injury: A longitudinal qualitative study in the first-year postinjury

Journal Article

Rehabil Psychol, 69 (3), 2024.

Abstract | Links:

Boucher V, Jouhair EM, Sirois MJ, Tailleur L, Voyer P, Mercier É, Giguère A, Dionne CE, Légaré F, Dallaire C, Bergeron S, Carmichael PH, Emond M

The mobile seniors' clinic - an innovative transition of care for frail older adults

Journal Article

BMC Geriatr, 24 (1), 2024.

Abstract | Links:

Tanguay K, Nadeau A, Brousseau AA, Archambault PM, Carmichael PH, Emond M, Deshaies JF, Sirois MJ, Mowbray FI, Blanchard PG, Mercier E

Nonmedical problems among older adults visiting the emergency department for low acuity conditions: A prospective multicentre cohort study

Journal Article

Heliyon, 10 (15), 2024.

Abstract | Links:

Theocharous S, Savage G, Charalambous AP, Côté M, David R, Gallant K, Helmer C, Laforce R, Leroi I, Martins RN, Nasreddine Z, Politis A, Reeves D, Russell G, Sirois MJ, Sohrabi HR, Thodi C, Völter C, Yeung WK, Dawes P

A cross-cultural study of the Montreal Cognitive Assessment for people with hearing impairment

Journal Article

J Am Geriatr Soc, 72 (10), 2024.

Abstract | Links:

Giroux M, Sirois MJ, Gagnon MA, Émond M, Bérubé M, Morin M, Moore L

Identifying Quality Indicators for the Care of Hospitalized Injured Older Adults: A Scoping Review of the Literature

Journal Article

J Am Med Dir Assoc, 24 (7), 2023.

Abstract | Links:

Benhamed A, Batomen B, Boucher V, Yadav K, Mercier É, Isaac CJ, Bérubé M, Bernard F, Chauny JM, Moore L, Sirois MJ, Tazarourte K, Gossiome A, Émond M

Epidemiology, injury pattern and outcome of older trauma patients: A 15-year study of level-I trauma centers

Journal Article

PLoS One, 18 (1), 2023.

Abstract | Links:

Dawes P, Reeves D, Yeung WK, Holland F, Charalambous AP, Côté M, David R, Helmer C, Laforce R, Martins RN, Politis A, Pye A, Russell G, Sheikh S, Sirois MJ, Sohrabi HR, Thodi C, Gallant K, Nasreddine Z, Leroi I

Development and validation of the Montreal cognitive assessment for people with hearing impairment (MoCA-H)

Journal Article

J Am Geriatr Soc, 71 (5), 2023.

Abstract | Links:

Villeneuve K, Beaulieu-Bonneau S, Hudon C, Souesme G, Lévesque M, Predovan D, Sirois MJ, de Guise É, Lamontagne MÈ, Poulin V, Le Sage N, Émond M, Ouellet MC

Subjective and objective burden and psychological distress in care partners of older adults with traumatic brain injury

Journal Article

Rehabil Psychol, 68 (3), 2023.

Abstract | Links:

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Active projects

  • Dérivation et validation d'un outil de stratification du risque applicable en préhospitalier et visant à identifier les personnes âgées nécessitant des soins urgents ou une hospitalisation à la suite d’une chute, from 2023-10-01 to 2026-09-30
  • Implantation d’une clinique de paramédicine communautaire : Projet pilote et adaptation de la CP@Clinic au Québec, from 2024-02-20 to 2025-03-31
  • Interventions non pharmacologiques visant la réduction des symptômes comportementaux et psychologiques de la démence (SCPD) chez les personnes âgées hospitalisées présentant un trouble neurocognitif majeur (TNCM), from 2024-05-14 to 2026-03-31
  • Optimisation et évaluation d’un programme d’éducation pour vieillir en santé pendant le confinement, from 2021-03-15 to 2024-12-31

Recently finished projects

  • Caractérisation de la fragilité et trajectoires de services de santé chez les aînés du Québec, from 2023-08-09 to 2024-09-30
  • La clinique des ainés : une transition innovante des soins pour aînés fragilisés – Éviter le retour à la case départ, from 2019-04-01 to 2024-03-31
  • 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
  • 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 2023-03-31
Data provided by the Université Laval research projects registery