Predictors of Pain Chronicity in Patients With Gunshot and Mine-explosive Wounds (PPСPGM-EW)

Bogomolets National Medical University

Status: Completed

Conditions: Chronic Pain, Widespread

Treatments: Other: visual analog scale

Study type: Observational

Funder types: Other

Identifiers

NCT05478668

№158, 2022.23.05

Details and patient eligibility

About

82.1% of patients with gunshot and mine-explosive wounds during hostilities in Ukraine have negative results of pain treatment, which leads to its chronicity. Identifying predictors of pain chronicity in these patients may improve their treatment outcomes.

Full description

The study of predictors of pain chronicity in patients with gunshot and mine-explosive wounds requires in-depth study, because the subjective feelings and emotional experiences experienced by patients during the wounding in combat conditions have their own characteristics. Since pain becomes chronic in 82.1%, the data of our study will play an important role in preventing the chronicity of pain.

Enrollment: 2,215 patients

Sex: Male

Volunteers: No Healthy Volunteers

Inclusion criteria

• the presence of gunshot and mine-explosive injuries

Exclusion criteria

• absence of gunshot and mine-explosive injuries

Trial design

2,215 participants in 2 patient groups

retrospective analysis

Description:

A retrospective analysis of disease histories for the period from 2014 to 2021 was carried out. Data collection was carried out at all stages of treatment: medical and nursing brigade, military mobile hospital, military medical clinical center, during rehabilitation, within 12 months of the injury. In all patients, the assessment of anesthetic risk was carried out according to the ASA scale. The basic tool for pain intensity research was a visual analog scale. Intervals between analgesia were also studied. The study of the neuropathic component of pain was carried out using the Didier Bouhassiraa neuropathic pain diagnostic questionnaire. Study of the presence of an acute stress reaction scale The Hospital Anxiety and Depression Scale. Research on the presence of post-traumatic stress disorders was carried out using the Mississippi scale of post-traumatic stress disorders (military version). Satisfaction with treatment results was studied using the Chaban Quality of Life Scale.

Treatment:

Other: visual analog scale

prospective study

Description:

Recruitment of patients for the prospective study was carried out in the period from 02.24.2022 to 05.24.2022. Data collection was carried out during the Russian invasion of Ukraine and the offensive on Kyiv. All patients with gunshot wounds were evacuated to the stage of treatment - the National Military Medical Clinical Center "Main Military Clinical Hospital". The research was conducted using the same methods as during the retrospective analysis. The exception was the study period during treatment at the military medical clinical center: here it was 14 days.

Treatment:

Other: visual analog scale