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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Provencher V, Sirois MJ, Ouellet MC, Camden S, Neveu X, Allain-Boule N, Emond M,

Decline in activities of daily living after a visit to a Canadian emergency department for minor injuries in independent older adults: are frail older adults with cognitive impairment at greater risk?

Journal Article

J Am Geriatr Soc, 63 (5), 2015.

Abstract | Links:

Emond M, Sirois MJ, Guimont C, Chauny JM, Daoust R, Bergeron E, Vanier L, Camden S, Le Sage N

Functional Impact of a Minor Thoracic Injury: An Investigation of Age, Delayed Hemothorax, and Rib Fracture Effects

Journal Article

Ann Surg, 262 (6), 2015.

Abstract | Links:

Lee J, Sirois MJ, Moore L, Perry J, Daoust R, Griffith L, Worster A, Lang E, Emond M

Return to the ED and hospitalisation following minor injuries among older persons treated in the emergency department: predictors among independent seniors within 6 months

Journal Article

Age Ageing, 44 (4), 2015.

Abstract | Links:

Ouellet MC, Sirois MJ, Beaulieu-Bonneau S, Morin J, Perry J, Daoust R, Wilding L, Provencher V, Camden S, Allain-Boule N, Emond M

Is cognitive function a concern in independent elderly adults discharged home from the emergency department in Canada after a minor injury?

Journal Article

J Am Geriatr Soc, 62 (11), 2014.

Abstract | Links:

Gagné M, Dubé PA, Perron PA, Langlois E, Légaré G, Sirois MJ, Aubut C, Lefebvre M, St-Laurent D

Décès attribuables aux intoxications par opioïdes au Québec: 2000 à 2009


Institut national de santé publique du Québec, 2013, ISBN: 9782550693338.

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Moore L, Lavoie A, Sirois MJ, Belcaid A, Bourgeois G, Lapointe J, Sampalis JS, Le Sage N, Emond M

A comparison of methods to obtain a composite performance indicator for evaluating clinical processes in trauma care

Journal Article

J Trauma Acute Care Surg, 74 (5), 2013.

Abstract | Links:

Moore L, Lavoie A, Sirois MJ, Amini R, Belcaid A, Sampalis JS

Evaluating trauma center process performance in an integrated trauma system with registry data

Journal Article

J Emerg Trauma Shock, 6 (2), 2013.

Abstract | Links:

Moore L, Lavoie A, Sirois MJ, Swaine B, Murat V, Sage NL, Emond M

Evaluating trauma center structural performance: The experience of a Canadian provincial trauma system

Journal Article

J Emerg Trauma Shock, 6 (1), 2013.

Abstract | Links:

Sirois MJ, Emond M, Ouellet MC, Perry J, Daoust R, Morin J, Dionne C, Camden S, Moore L, Allain-Boule N

Cumulative incidence of functional decline after minor injuries in previously independent older Canadian individuals in the emergency department

Journal Article

J Am Geriatr Soc, 61 (10), 2013.

Abstract | Links:

Lamontagne ME, Poncet F, Careau E, Sirois MJ, Boucher N

Life habits performance of individuals with brain injury in different living environments

Journal Article

Brain Inj, 27 (2), 2013.

Abstract | Links:

60 entries « 5 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
  • 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