Postdoctoral Fellow
BSc., Dip. Stat, PhD
Centre for Clinical Epidemiology and Evaluation
7th Floor, 828 West 10th Ave
Vancouver, BC V5Z 1M9
6048754111 ext:67417

Experience:
2014 – present: Postdoctoral fellow, Centre for Clinical Epidemiology & Evaluation, School of Population & Public Health, UBC
2013 – 2014: Physiotherapist, Acute Care for Elders, Vancouver Coastal Health Authority
2012 – 2013: Postdoctoral fellow, Research for Independent Living and Irish Longitudinal Study on Ageing, Trinity College Dublin
2011 – 2012: Physiotherapist (PT), Orthopedics, UPMC Beacon Hospital Dublin
2008 – 2011: Physiotherapist (PT), Neurology, Multiple Sclerosis Ireland
2009 – 2010: Research assistant, Oncology and physical activity, Trinity College Dublin

Education:
2008 – 2012: Doctor of Philosophy, Biomechanics, Trinity College Dublin
2009 – 2010: Diploma, Statistics, Trinity College Dublin
2004 – 2008: Bachelor of Science (Physiotherapy), Trinity College Dublin

Course Development and Lecturer:
2012: “Research methods and statistics”, BSc Physiotherapy Program, Nanyang Polytechnic Singapore.
2010 – 2012: “Research methods and statistics”, BSc Physiotherapy Program, Trinity College Dublin.

Visiting Lecturer:
2013: “Falls risk assessment in higher functioning older adults”, MSc Neurology and Gerontology Program, Royal College of Surgeons Ireland.
2011 – 2012: “Clinical applications of 3D gait analysis”, BSc Physiotherapy Program, Trinity College Dublin.
2010 – 2011: “Body composition”, BSc Physiotherapy Program, Trinity College Dublin.
2011: “Clinical applications of 3D gait analysis”, MSc Medical Physics Program, Trinity College Dublin.

Teaching Assistant:
2010 – 2012: “Introduction to biomechanics”, BSc Physiotherapy Program, Trinity College Dublin.
2009 – 2011: “Musculoskeletal physiotherapy”, BSc Physiotherapy Program, Trinity College Dublin.

Advisor:
2012: “12 weeks of simulated barefoot running changes foot-strike patterns in female runners”, MSc Sports Medicine Program, Trinity College Dublin.
2011: “The influence of auditory cueing on gait parameters in healthy adults”, BSc Physiotherapy Program, Trinity College Dublin.
2010: “Gait analysis: inter-rater reliability of an active marker set-up”, BSc Physiotherapy Program, Trinity College Dublin.

Manuscripts:

Sobolev B, Sheehan KJ, Kuramoto L, Guy P. Excess mortality associated with second hip fracture. Osteoporosis International 2015; 26(7): 1903-1910. Supplement

Sobolev B, Sheehan KJ, Kuramoto L, Guy P. Risk of second hip fracture persists for years after initial trauma. Bone 2015; (75): 72-76.

Sheehan KJ, Sobolev B, Bohm E, Sutherland J, Kuramoto L, Guy P, Hellsten E, Jaglal S and the Canadian Collaborative on Hip Fractures. Constructing episode of care from acute hospital records for studying effects of timing of hip fracture surgery. Journal of Orthopaedic Research 2015; Epub ahead of print. doi: 10.1002/jor.22997

Guy P, Sobolev B, Sheehan KJ, Kuramoto L, Lefaivre K. Second hip fractures account for an increasing proportion of hip fracture surgeries and in-hospital days. BMC Health Services Research 2015; Under review.

Sobolev B, Sheehan KJ, Kuramoto L, Guy P. Utility of risk measures in the competing-risks setting: a second hip fracture case. BMC Medical Research Methodology 2015; Under review.

Sheehan KJ, Sobolev B, Guy P, Kuramoto L, Morin SN, Sutherland JM, Beaupre L, Griesdale D, Dunbar M, Bohm E for The Canadian Collaborative Study on Hip Fractures. Cumulative incidence of hospital death following hip fracture by hospital type in Canada, 2004-2012: Database study. BMJ 2015; Under review.

Sheehan KJ, Sobolev B, Chudyk A, Stephens T, Guy P. Patient and system factors associated with mortality post hip fracture: a scoping review. The Bone and Joint Journal 2015; Under review.

Sobolev B, Guy P, Sheehan KJ, Kuramoto L, Bohm E, Beaupre L, Sutherland JM, Dunbar M, Griesdale D, Morin SN, Harvey E for The Canadian Collaborative Study on Hip Fractures. Time trends in hospital stay after hip fracture in Canada, 2004-2012: Database study. Osteoporosis International 2015; Under review.

Sheehan KJ, Sobolev B, Filliter C, Chudyk A, Guy P. Patient and system factors associated with functional outcomes post hip fracture: a scoping review. Under development.

Sobolev B, Guy P, Sheehan KJ, Kuramoto L, and the Canadian Collaborative on Hip Fractures. Hospital stay and mortality after admission with hip fracture in Canada. Under development.

McGrath D, Greene BR, Sheehan KJ, Walsh L, Kenny RA, Caulfield B. Stability of daily home-based measures of postural control over an 8-week period in highly-functioning older adults. The European Journal of Applied Physiology 2015; (115):437-449.

Sheehan KJ, OConnell MDL, Kenny RA. Central adiposity is an independent predictor for the development of frailty in community dwelling older adults. Age & Ageing 2014; 43(suppl 1):27.

Sheehan KJ, Greene BR, Crosby LF, Cunningham C, Kenny RA. Early identification of declining balance in higher functioning older adults, an inertial sensor based method. Gait & Posture 2014; 39(4): 1034-1039.

Sheehan KJ, OConnell MDL, Crosby LF, Cunningham C, Kenny RA. The relationship between increased body mass index and frailty on falls in community dwelling older adults. BMC Geriatrics 2013; 13(132).

Sheehan KJ, Gormley J. The influence of body mass on adult gait. Clinical Biomechanics 2013; 28(3):337-343.

Sheehan KJ, Gormley J. Gait and increased body weight: potential implications for musculoskeletal disease. Physical Therapy Reviews 2012; 17(2): 91-98.

Conference Proceedings:

Sheehan KJ, Guy P, Kuramoto L, Sobolev B. Risk of second hip fracture persists for years after initial trauma. Orthopedic Trauma Association 2015, San Diego, USA.

Sheehan KJ, Guy P, Kuramoto L, Lefaivre K, Sobolev B. Second hip fractures account for an increasing proportion of hip fracture surgeries and in-hospital days. International Forum on Quality and Safety in Healthcare 2015, London, UK.

Sheehan KJ, Guy P, Kuramoto L, Sobolev B. Risk of second hip fracture persists for years after initial trauma. International Forum on Quality and Safety in Healthcare 2015, London, UK.

Sheehan KJ, Guy P, Kuramoto L, Sobolev B. Excess mortality associated with second hip fracture. Evidence 2015, Oxford, UK.

Sheehan KJ, Guy P, Kuramoto L, Lefaivre K, Sobolev B. Second hip fractures account for an increasing proportion of hip fracture surgeries and in-hospital days. Academy Health 2015, Minneapolis, USA.

Sheehan KJ, Guy P, Kuramoto L, Sobolev B. Risk of second hip fracture persists for years after initial trauma. Academy Health 2015, Minneapolis, USA.

Sheehan KJ, Guy P, Kuramoto L, Sobolev B. Excess mortality associated with second hip fracture. Academy Health 2015, Minneapolis, USA.

Sheehan KJ, Greene BR, Cunningham C, Crosby L, Kenny RA. Early identification of declining balance in higher functioning older adults. Conference of the International Society for Posture and Gait Research 2014 Vancouver, Canada.

Sheehan KJ, Killane I, Gormley J, Kenny RA, Foran T. The influence of the content of speech production and perception on gait variability. Conference of the International Society for Posture and Gait Research 2014, Vancouver, Canada.

Sheehan KJ, OConnell MDL, Kenny RA. Increased body mass and central adiposity are associated with frailty in community dwelling older adults. Irish Geriatrics Society 2013, Cork, Ireland.

Sheehan KJ, OConnell MDL, Kenny RA. Increased body mass and central adiposity are associated with frailty in community dwelling older adults. Association for the Study of Obesity 2013, Dublin, Ireland.

Sheehan KJ, Greene BR, Cunningham C, Crosby L, Kenny RA. Early identification of declining balance in higher functioning older adults. MIRA Research Presentations 2013, Dublin, Ireland.

Foran T, Reilly RB, Killane I, Sheehan KJ, Kenny RA. Lyapunov exponents in the non linear analysis of falls and frailty. Conference of the International Society for Posture and Gait Research 2014, Vancouver, Canada.

Killane I, Cosgrave N, McDevitt N, Foran T, Sheehan KJ, Gormley J, Kenny RA, Reilly RB. Contributions of the Montreal cognitive assessment (MOCA) to dual task gait performance. Conference of the International Society for Posture and Gait Research 2014, Vancouver, Canada.

McGrath D, Greene BR, Sheehan KJ, Kenny RA, Caulfield B. Day-to-day variability of home-based measures of postural sway in older adults 2013, Omaha, United States of America.

Sheehan KJ. High-tech help for independence and mobility. Firsthand, an official publication of the Irish Society of Chartered Physiotherapists 2012.

Sheehan KJ, Roche EF, Gormley J. The influence of obesity on joint moments during gait in children. 20th European Childhood Obesity Group 2010, Brussels, Belgium.

Sheehan KJ, Gormley J. The influence of auditory cueing on sagittal kinematics in healthy adults. Gait & Posture 2012; 36(S1):S23.
Presentations

Other contributions:

Sheehan KJ. Blog for the British Geriatrics Society website ‘You don’t need to be thin to be frail’: http://britishgeriatricssociety.wordpress.com/2013/11/21/you-dont-need-to-be-thin-to-be-frail/#comments

Sheehan KJ. Falls: Implications, risk factors and prevention. Guest speaker at the launch of technology based research by the Centre for Ageing Research and Development in Ireland, Belfast, 2012.

Sheehan KJ. Technology in the prevention of falls in the older adult. Interview for Radio Telifis Eireann primetime news, 2012.

Injurious falls are one of the most detrimental events in the life of older adults. Potentially the most detrimental outcome of falls is hip fracture which is associated with increased functional decline, loss of independence and mortality. In order to improve outcomes following hip fracture current care practices need to be evaluated. My research interest lies in completing this evaluation and providing policymakers and decision-makers with evidence based recommendations for improvement.

Current research:
I am the current postdoctoral fellow of the Canadian Collaborative on Hip Fractures. This collaborative was formed following the award of CIHR funding to lead investigators Drs. Sobolev and Guy and a team of researchers, clinicians and policymakers from across Canada.

My research with members of the collaborative is three-fold:

First, I am working with the collaborative to conduct a population-bases study to determine health outcomes of patients exposed to various wait times before hip fracture surgery and across subgroups of patients stratified by various patient and system related factors for delay. This research will further the understanding of health outcomes following delay to hip fracture surgery and enable policymakers to identify which patients benefit most from accelerated access to the procedure.

Second, I am working with my collaborative colleagues at UBC in using population-level data to better understand the risks and consequences of subsequent hip fractures. This research will be used to inform secondary prevention strategies in this vulnerable population.

Third, I am conducting a series of scoping reviews to identify patient and system factors associated with adverse outcomes following hip fracture. This series of reviews will be the first to collectively identify potential mechanisms linking factors to adverse outcomes and guide future research in the field.

Previous research:
Prior to joining UBC I completed postdoctoral training at Trinity College Dublin. There I sought to identify risk factors for falls in higher functioning older adults. Using technology developed by the team at Technology Research for Independent Living I demonstrated that inertial sensors were capable of identifying early decline in balance for higher functioning older adults at one year follow up. This information matters as often patients who score poorly on conventional balance tools have already fallen. More sensitive measures are required to capture declining functioning earlier to enable prevention measures to be put in place.

I also investigated the impact of obesity on frailty at Technology Research for Independent Living and The Irish Longitudinal Study on Ageing. Frailty is of particular interest as it indicates older adults who are at risk of adverse health outcomes including falls. Often considered a wasting disorder those older adults who are underweight are targeted for intervention. However with loss of muscle mass with ageing older adults who are obese may be at even greater risk of frailty. In my analyses I confirmed this hypothesis when obesity was identified as an independent predictor of frailty in older adults.

Clinical training:
As a physiotherapist I gained clinical training in Ireland in the fields of acute medicine, orthopedics and neurology. On arrival to Canada I completed examinations for my physiotherapy licence and gained further clinical training in the acute care for elders at Vancouver General Hospital. This background in the hospital setting provided me with front line experience of the complex nature of patients, their needs, expectations and likely transitions through the health care system. It also provided me with insight into difficulties faced by health care administrators in allocating resources to enable high standards of patient care.

Research interests:
Hip fractures
Falls
Frailty
Health services research