1
|
Sirois MJ, Carmichael PH, Daoust R, Eagles D, Griffith L, Lee J, Perry J, Veillette N, Émond M. 53 - Conséquences fonctionnelles des blessures mineures et leurs déterminants chez les aînés - Cohortes CETIe. Rev Epidemiol Sante Publique 2022. [DOI: 10.1016/j.respe.2022.06.191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
|
2
|
Ouellet V, Boucher V, Beauchamp F, Neveu X, Archambault P, Berthelot S, Chauny JM, De Guise E, Émond M, Frenette J, Lang E, Lee J, Mercier, Moore L, Ouellet MC, Perry J, Le Sage N. Influence of concomitant injuries on post-concussion symptoms after a mild traumatic brain injury - a prospective multicentre cohort study. Brain Inj 2021; 35:1028-1034. [PMID: 34224275 DOI: 10.1080/02699052.2021.1945145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Objectives: To compare post-concussion symptoms (PCS) and return to normal activities between mild Traumatic Brain Injury (mTBI) patients with or without concomitant injuries at 7-and 90 days post-mTBI.Methods: Design: Sub-analysis of a multicentre prospective cohort study. PARTICIPANTS AND SETTING patients with mTBI from 7 Canadian Emergency Departments. PROCEDURE Research assistants conducted telephone follow-ups using the Rivermead Postconcussion Symptoms Questionnaire (RPQ) at 7-, 30- and 90 days post-mTBI. MAIN OUTCOME Presence of PCS (RPQ: ≥3 symptoms) at 90 days. SECONDARY OUTCOMES RPQ score ≥21, prevalence of individual RPQ symptoms and patients' return to normal activities, at 7- and 90-days. Adjusted risk ratios (RR) were calculated.Results: 1725 mTBI patients were included and 1055 (61.1%) had concomitant injuries. Patients with concomitant injuries were at higher risk of having ≥3 symptoms on the RPQ (RR:1.26 [95% CI 1.01-1.58]) at 90 days. They were also at higher risk of experiencing specific symptoms (dizziness, fatigue, headaches and taking longer to think) and of non-return to their normal activities (RR:2.11 [95% CI 1.30-3.45]).Conclusion: Patients with concomitant injuries have slightly more PCS and seemed to be at higher risk of non-return to their normal activities 90 days, compared to patients without concomitant injuries.
Collapse
Affiliation(s)
- V Ouellet
- CHU De Québec-Université Laval Research Center, Quebec, Canada.,Centre De Recherche Sur Les Soins Et Les Services De Première Ligne De l'Université Laval (CERSSPL-UL), Canada.,Département De Médecine Familiale Et De Médecine D'urgence, Faculté De Médecine, Université Laval Québec Canada
| | - V Boucher
- CHU De Québec-Université Laval Research Center, Quebec, Canada.,Centre De Recherche Sur Les Soins Et Les Services De Première Ligne De l'Université Laval (CERSSPL-UL), Canada
| | - F Beauchamp
- CHU De Québec-Université Laval Research Center, Quebec, Canada.,Centre De Recherche Sur Les Soins Et Les Services De Première Ligne De l'Université Laval (CERSSPL-UL), Canada.,Département De Médecine Familiale Et De Médecine D'urgence, Faculté De Médecine, Université Laval Québec Canada
| | - X Neveu
- CHU De Québec-Université Laval Research Center, Quebec, Canada.,Centre De Recherche Sur Les Soins Et Les Services De Première Ligne De l'Université Laval (CERSSPL-UL), Canada
| | - P Archambault
- Département De Médecine Familiale Et De Médecine D'urgence, Faculté De Médecine, Université Laval Québec Canada.,Centre Intégré De Santé Et De Services Sociaux De Chaudière-Appalaches, Centre Hospitalier Affilié Universitaire Hôtel-Dieu De Lévis, Lévis (Quebec) Canada
| | - S Berthelot
- CHU De Québec-Université Laval Research Center, Quebec, Canada.,Centre De Recherche Sur Les Soins Et Les Services De Première Ligne De l'Université Laval (CERSSPL-UL), Canada.,Département De Médecine Familiale Et De Médecine D'urgence, Faculté De Médecine, Université Laval Québec Canada
| | - J M Chauny
- Université De Montréal, Montréal, Québec, Canada
| | - E De Guise
- Université De Montréal, Montréal, Québec, Canada.,Research-Institute, McGill University Health CentreMontreal, Quebec, Canada.,Centre De Recherche Interdisciplinaire En Réadaptation Du Montréal Métropolitain (CRIR), Montreal, Quebec, Canada
| | - M Émond
- CHU De Québec-Université Laval Research Center, Quebec, Canada.,Centre De Recherche Sur Les Soins Et Les Services De Première Ligne De l'Université Laval (CERSSPL-UL), Canada.,Département De Médecine Familiale Et De Médecine D'urgence, Faculté De Médecine, Université Laval Québec Canada
| | - J Frenette
- Centre De Recherche Sur Les Soins Et Les Services De Première Ligne De l'Université Laval (CERSSPL-UL), Canada
| | - E Lang
- University of Calgary, Calgary, Alberta, Canada
| | - J Lee
- Schwartz/Reisman Emergency Medicine Institute, Toronto, Ontario, Canada
| | - Mercier
- CHU De Québec-Université Laval Research Center, Quebec, Canada.,Centre De Recherche Sur Les Soins Et Les Services De Première Ligne De l'Université Laval (CERSSPL-UL), Canada.,Département De Médecine Familiale Et De Médecine D'urgence, Faculté De Médecine, Université Laval Québec Canada
| | - L Moore
- Department of Social and Preventive Medicine, Faculté De Médecine, Université Laval Québec Canada
| | - M C Ouellet
- Département De Psychologie, Université Laval Québec Canada.,Centre Interdisciplinaire De Recherche En Réadaptation Et Intégration Sociale CIRRIS, Quebec, Canada
| | - J Perry
- Department of Emergency Medicine, Ottawa Hospital Research Institute, University of Ottawa Ottawa Canada
| | - N Le Sage
- CHU De Québec-Université Laval Research Center, Quebec, Canada.,Centre De Recherche Sur Les Soins Et Les Services De Première Ligne De l'Université Laval (CERSSPL-UL), Canada.,Département De Médecine Familiale Et De Médecine D'urgence, Faculté De Médecine, Université Laval Québec Canada
| |
Collapse
|
3
|
Lauzé M, Martel DD, Agnoux A, Sirois MJ, Émond M, Daoust R, Aubertin-Leheudre M. Feasibility, Acceptability and Effects of a Home-Based Exercise Program Using a Gerontechnology on Physical Capacities after a Minor Injury in Community-Living Older Adults: A Pilot Study. J Nutr Health Aging 2018; 22:16-25. [PMID: 29300417 DOI: 10.1007/s12603-017-0938-8] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
CONTEXT Several studies have demonstrated that physical activity can help limit decline in functional capacities of older adults. Nevertheless, many adults aged 65 and over are inactive. OBJECTIVE To explore the feasibility, the acceptability and the effects of a home-based exercise program (HEP) using a motion capture gerontechnology in independent community-living older adults at risk of function decline. DESIGN Interventionnal clinical trial. PARTICIPANTS Sixteen previously independent individuals aged 65 and older recruited at the Emergency Department after being treated for a minor injury and discharged home were assigned to a home-based exercise program group (HEP=8) or to a control group (CONTR=8). Twelve participants completed the study, 6 in each group Setting: Canadian Community-dwelling in Montreal area. INTERVENTION The HEP group engaged in a twelve-week physical activity intervention using a gerontechnology while the CONTR group continued with discharge plan from ED. MEASUREMENTS Participants were evaluated for functional status using validated questionnaires and objective physical measures at baseline, three and six months later. Feasibility and acceptability of the HEP was assessed using data reports from the gerontechnology and from self-reported assessments. RESULTS There was no differences between groups at baseline except for the fallrelated self-efficacy: HEP=8.33/28±1.51 vs CONTR=7/28±0 p=0.022. The HEP was found to be feasible and acceptable (adherence rate at 86% and average quality of movements at 87.5%). Significant improvement in walking speed on 4m was observed three months after baseline for HEP vs CONTR group (+0.25 vs +0.05 m/sec, p=0.025). Effects remained at follow-up. Only CONTR group resulted in a significant increase in SF-36 global score. CONCLUSION This twelve-week HEP intervention using the Jintronix® gerontechnology is feasible, acceptable and safe for community-living older adults who sustained a minor injury. This intervention could increase walking speed, the most important predictor of adverse events in the elderly population, and that the improvement could be maintained over time.
Collapse
Affiliation(s)
- M Lauzé
- Mylène Aubertin-Leheudre, Département des Sciences de l'activité physique, Université du Québec à Montréal, 141 avenu Président-Kennedy, SB-4615, Montréal (Québec) Canada H3C 3P8,
| | | | | | | | | | | | | |
Collapse
|
4
|
Lee J, Chignell M, Tong T, Émond M, Sirois M, Goldstein J, Rockwood K, Tierney M. PREDICT - PREDICTING EMERGENCY DEPARTMENT INCIDENT DELIRIUM WITH AN INTERACTIVE COMPUTER TABLET. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J.S. Lee
- Medicine, Div of Emergency Medicine, University of Toronto, Toronto, Ontario, Canada,
- Sunnybrook Research Institute, Toronto, Ontario, Canada,
| | - M. Chignell
- Medicine, Div of Emergency Medicine, University of Toronto, Toronto, Ontario, Canada,
| | - T. Tong
- Medicine, Div of Emergency Medicine, University of Toronto, Toronto, Ontario, Canada,
| | - M. Émond
- Laval University, Quebec, Quebec, Canada,
| | - M. Sirois
- Laval University, Quebec, Quebec, Canada,
| | - J. Goldstein
- Dalhousie University, Halifax, Nova Scotia, Canada
| | - K. Rockwood
- Dalhousie University, Halifax, Nova Scotia, Canada
| | - M.C. Tierney
- Medicine, Div of Emergency Medicine, University of Toronto, Toronto, Ontario, Canada,
- Sunnybrook Research Institute, Toronto, Ontario, Canada,
| |
Collapse
|
5
|
Giroux M, Émond M, Sirois M, Boucher V, Daoust R, Gouin E, Pelletier M, Berthelot S. ASSOCIATION BETWEEN ED-INDUCED DELIRIUM AND COGNITIVE AND FUNCTIONAL DECLINE IN SENIORS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- M. Giroux
- Readaptation, CHU de Québec, Québec, Quebec, Canada,
- Université Laval, Québec, Quebec, Canada,
- Centre d’excellence vieillissment de Québec, Québec, Quebec, Canada,
| | - M. Émond
- Readaptation, CHU de Québec, Québec, Quebec, Canada,
- Université Laval, Québec, Quebec, Canada,
- Centre d’excellence vieillissment de Québec, Québec, Quebec, Canada,
| | - M. Sirois
- Readaptation, CHU de Québec, Québec, Quebec, Canada,
- Université Laval, Québec, Quebec, Canada,
- Centre d’excellence vieillissment de Québec, Québec, Quebec, Canada,
| | - V. Boucher
- Readaptation, CHU de Québec, Québec, Quebec, Canada,
- Centre d’excellence vieillissment de Québec, Québec, Quebec, Canada,
- Université Laval, Québec, Quebec, Canada,
| | - R. Daoust
- CIUSSS Nord-de-l’ile-de-Montréal, Québec, Quebec, Canada,
- Université de montréal, Québec, Quebec, Canada,
| | - E. Gouin
- CIUSSS Mauricie-Centre-du-Québec, Québec, Quebec, Canada,
| | | | - S. Berthelot
- Readaptation, CHU de Québec, Québec, Quebec, Canada,
- Université Laval, Québec, Quebec, Canada,
| |
Collapse
|
6
|
Giroux M, Émond M, Sirois M, Boucher V, Daoust R, Gouin E, Pelletier M, Berthelot S. FRAILTY ASSESSMENT TO HELP PREDICT PATIENTS AT RISK OF ED-INDUCED DELIRIUM. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- M. Giroux
- Readaptation, CHU de Québec, Québec, Quebec, Canada,
- Centre d’excellence du Vieillissement de Québec, Québec, Quebec, Canada,
- Université Laval, Québec, Quebec, Canada,
| | - M. Émond
- Readaptation, CHU de Québec, Québec, Quebec, Canada,
- Centre d’excellence du Vieillissement de Québec, Québec, Quebec, Canada,
- Université Laval, Québec, Quebec, Canada,
| | - M. Sirois
- Readaptation, CHU de Québec, Québec, Quebec, Canada,
- Centre d’excellence du Vieillissement de Québec, Québec, Quebec, Canada,
- Université Laval, Québec, Quebec, Canada,
| | - V. Boucher
- Readaptation, CHU de Québec, Québec, Quebec, Canada,
- Centre d’excellence du Vieillissement de Québec, Québec, Quebec, Canada,
- Université Laval, Québec, Quebec, Canada,
| | - R. Daoust
- Université de Montréal, Québec, Quebec, Canada,
- CIUSSS du Nord-de-l’ile-de-Montreal, Québec, Quebec, Canada,
| | - E. Gouin
- CIUSSS Mauricie-centre-du-Québec, Quebec, Quebec, Canada,
| | | | - S. Berthelot
- Readaptation, CHU de Québec, Québec, Quebec, Canada,
- Université Laval, Québec, Quebec, Canada,
| |
Collapse
|
7
|
Carpenter CR, Émond M. Pragmatic barriers to assessing post-emergency department vulnerability for poor outcomes in an ageing society. Neth J Med 2016; 74:327-329. [PMID: 27762222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- C R Carpenter
- Department of Emergency Medicine, Washington University in St. Louis, St. Louis, USA
| | | |
Collapse
|