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

Soutien aux activités du comité de traumatologie du CHA par le personnel de l’axe de recherche en traumatologie - urgence - soins intensifs

Book

CHA - Hôpital de l'Enfant-Jésus, Québec, 2012.

Lecours A, Sirois MJ, Ouellet MC, Boivin K, Simard JF

Long-term functional outcome of older adults after a traumatic brain injury

Journal Article

J Head Trauma Rehabil, 27 (6), 2012.

Abstract | Links:

Moore L, Turgeon AF, Sirois MJ, Lavoie A

Trauma centre outcome performance: a comparison of young adults and geriatric patients in an inclusive trauma system

Journal Article

Injury, 43 (9), 2012.

Abstract | Links:

Amini R, Lavoie A, Moore L, Sirois MJ, Emond M

Pediatric trauma mortality by type of designated hospital in a mature inclusive trauma system

Journal Article

J Emerg Trauma Shock, 4 (1), 2011.

Abstract | Links:

Moore L, Turgeon AF, Sirois MJ, Murat V, Lavoie A

Influence of socioeconomic status on trauma center performance evaluations in a Canadian trauma system

Journal Article

J Am Coll Surg, 213 (3), 2011.

Abstract | Links:

Ouellet MC, Sirois MJ, Lavoie A

Perceived mental health and needs for mental health services following trauma with and without brain injury

Journal Article

J Rehabil Med, 41 (3), 2009.

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Sirois MJ, Cote M, Pelet S

The burden of hospitalized hip fractures: patterns of admissions in a level I trauma center over 20 years

Journal Article

J Trauma, 66 (5), 2009.

Abstract | Links:

Sirois MJ, Dionne CE, Lavoie A

Regional differences in rehabilitation needs, rehabilitation access, and physical outcomes among multiple trauma survivors

Journal Article

Am J Phys Med Rehabil, 88 (5), 2009.

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Sirois MJ, Lavoie A, Dionne CE

Predicting discharge of trauma survivors to rehabilitation: a sampling frame solution for a population-based trauma-rehabilitation survey

Journal Article

Am J Phys Med Rehabil, 86 (7), 2007.

Abstract | Links:

Sirois MJ, Lavoie A, Dionne CE

Impact of transfer delays to rehabilitation in patients with severe trauma

Journal Article

Arch Phys Med Rehabil, 85 (2), 2004.

Abstract | Links:

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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
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