Substance Use & Limb Amputation

Exploring the intersection of substance use and rehabilitation outcomes in limb amputation cases

Limb amputations are often accompanied by multifaceted physical and psychological challenges, with diabetes and vascular complications as the main causes. An under researched, and increasingly significant, factor, however, is amputations that are directly or indirectly linked to substance use. Challenges related to substance use can compound amputation related complications, resulting in poorer health outcomes.

Given the lack of current research, this study will combine a 10-year retrospective chart review with one-to-one interviews to explore the following aims:

  1. Estimate the prevalence of amputations related to substance use across major centers in Vancouver, BC.
  2. Evaluate the healthcare services utilised by individuals with a substance use related amputation.
  3. Estimate the duration from amputation until a major adverse event (i.e., death) in individuals with a substance use related amputation compared to individuals with an amputation from other causes (e.g., diabetes).
  4. Identify gaps, barriers, facilitators, and opportunities to improve care by conducting interviews with individuals who have a substance use related amputation and clinicians who have worked with this population.

Findings from this study will hopefully inform future healthcare to improve health outcomes and quality of life for this population.

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