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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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, 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:

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:

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

Impacts of Remote Physical Exercises on Functional Status and Mobility among Community-Dwelling Pre-Disabled Seniors during the Covid-19 Lockdown

Journal Article

J Nutr Health Aging, 27 (5), 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:

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:

Fanaki C, Fortin J, Sirois MJ, Kröger E, Elliott J, Stolee P, Gregg S, Sims-Gould J, Giguere A

Potential Factors Influencing Adoption of a Primary Care Pathway to Prevent Functional Decline in Older Adults

Journal Article

Can Geriatr J, 26 (2), 2023.

Abstract | Links:

Dawes P, Pool J, Charalambous AP, Côté M, David R, Helmer C, Laforce R, Politis A, Russell G, Sirois MJ, Thodi C, Yeung WK, Leroi I

Assessing the pool activity level (PAL) checklist for use with people with hearing and vision loss

Journal Article

Geriatr Nurs, 53 , 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:

Peyrusqué E, Kergoat MJ, Sirois MJ, Veillette N, Fonseca R, Aubertin-Leheudre M

Implementation, Feasibility, and Acceptability of MATCH to Prevent Iatrogenic Disability in Hospitalized Older Adults: A Question of Geriatric Care Program

Journal Article

Healthcare (Basel), 11 (8), 2023.

Abstract | Links:

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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
  • 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
  • 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

  • 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
  • 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
Data provided by the Université Laval research projects registery