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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Sirois MJ, Carmichael PH, Daoust R, Eagles D, Griffith L, Lang E, Lee J, Perry JJ, Veillette N, Émond M,

Functional Decline After Nonhospitalized Injuries in Older Patients: Results From the Canadian Emergency Team Initiative Cohort in Elders

Journal Article

Ann Emerg Med, 2022.

Abstract | Links:

Lee JS, Tong T, Chignell M, Tierney MC, Goldstein J, Eagles D, Perry JJ, McRae A, Lang E, Hefferon D, Rose L, Kiss A, Borgundvaag B, McLeod S, Melady D, Boucher V, Sirois MJ, Émond M

Prevalence, management and outcomes of unrecognized delirium in a National Sample of 1,493 older emergency department patients: how many were sent home and what happened to them?

Journal Article

Age Ageing, 51 (2), 2022.

Abstract | Links:

Lamontagne G, Belleville G, Beaulieu-Bonneau S, Souesme G, Savard J, Sirois MJ, Giguère M, Tessier D, Le Sage N, Ouellet MC

Anxiety symptoms and disorders in the first year after sustaining mild traumatic brain injury

Journal Article

Rehabil Psychol, 67 (1), 2022.

Abstract | Links:

Buckinx F, Aubertin-Leheudre M, Daoust R, Hegg S, Martel D, Martel-Thibault M, Sirois MJ

Feasibility and Acceptability of Remote Physical Exercise Programs to Prevent Mobility Loss in Pre-Disabled Older Adults during Isolation Periods Such as the COVID-19 Pandemic

Journal Article

J Nutr Health Aging, 25 (9), 2021.

Abstract | Links:

Hegg S, Sirois MJ, Carmichael PH, Truchot J, Jouhair EM, Nadeau A, Emond M

[Relation between grip strength of independent elders and functional decline following an emergency department visit : a pan-Canadian study]

Journal Article

Rev Med Liege, 76 (12), 2021.

Abstract | Links:

Fruteau de Laclos L, Sirois MJ, Blanchette A, Martel D, Blais J, Émond 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), 2021.

Abstract | Links:

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:

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:

60 entries « 1 of 6 »
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Active projects

  • 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

Recently finished projects

  • Adaptation québécoise de l'outil PRÉSAGE et évaluation de sa valeur prédictive pour détecter les personnes âgées à risque de consultation à l'urgence, from 2021-04-01 to 2022-03-31
  • 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
  • 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
  • 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
  • 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
  • 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
Data provided by the Université Laval research projects registery