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.
H-609
Québec, Québec
Canada G1J 1Z4
- Desjardins, AudreyMaster studentaudrey.desjardins@crchudequebec.ulaval.ca
- Giroux, MarianneDoctoral studentmarianne.giroux.1@ulaval.camarianne.giroux@crchudequebec.ulaval.ca
- Matta Dias, AndréiaEmployeeHôpital Saint-Sacrement+1 418-525-4444, extension 84877andreia.matta-dias.1@ulaval.caandreia.matta-dias@crchudequebec.ulaval.ca
1050, Chemin Ste-Foy
K0-17-01
Québec, Qc
Canada G1S 4L8
Assessing the pool activity level (PAL) checklist for use with people with hearing and vision loss
Journal ArticleGeriatr Nurs, 53 , 2023.
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Subjective and objective burden and psychological distress in care partners of older adults with traumatic brain injury
Journal ArticleRehabil Psychol, 68 (3), 2023.
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Potential Factors Influencing Adoption of a Primary Care Pathway to Prevent Functional Decline in Older Adults
Journal ArticleCan Geriatr J, 26 (2), 2023.
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Implementation, Feasibility, and Acceptability of MATCH to Prevent Iatrogenic Disability in Hospitalized Older Adults: A Question of Geriatric Care Program
Journal ArticleHealthcare (Basel), 11 (8), 2023.
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Identifying Quality Indicators for the Care of Hospitalized Injured Older Adults: A Scoping Review of the Literature
Journal ArticleJ Am Med Dir Assoc, 24 (7), 2023.
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Epidemiology, injury pattern and outcome of older trauma patients: A 15-year study of level-I trauma centers
Journal ArticlePLoS One, 18 (1), 2023.
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Development and validation of the Montreal cognitive assessment for people with hearing impairment (MoCA-H)
Journal ArticleJ Am Geriatr Soc, 71 (5), 2023.
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Cognitive functioning following traumatic brain injury in older adults: associations with social participation and health-related quality of life
Journal ArticleBrain Inj, 36 (9), 2022.
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Functional Decline After Nonhospitalized Injuries in Older Patients: Results From the Canadian Emergency Team Initiative Cohort in Elders
Journal ArticleAnn Emerg Med, 80 (2), 2022.
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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 ArticleAge Ageing, 51 (2), 2022.
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Active projects
- Caractérisation de la fragilité et trajectoires de services de santé chez les aînés du Québec, from 2023-08-09 to 2024-09-30
- 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
- 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
- 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
- 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 2023-03-31