The Concept of Pain Treatment in Patients With Gunshot and Mine-explosive Wounds and to Develop an Algorithm for Analgesia at the Stages of Treatment

Study Overview
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Brief Summary
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in 82.1% of cases it is not possible to achieve a positive result of pain treatment

Detailed Description
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The concept of pain treatment in patients with gunshot and mine-explosive injuries and the developed pain relief algorithm at the stages of treatment will have an impact on the results of pain treatment in this category of patients.

Official Title
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TREATMENT OF PAIN IN PATIENTS WITH Gunshot and Mine-explosive Wounds AT THE STAGES OF TREATMENT

Conditions
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Chronic Pain

Intervention / Treatment
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* Other: visual analog scale


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: the presence of gunshot and mine-explosive injuries Exclusion Criteria: absence of gunshot and mine-explosive injuries
Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| retrospective analysis<br>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. | Other: visual analog scale<br>* 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.<br>* Other names: Mississippi PTSD scale (military version);|
| prospective study<br>Recruitment of patients for the prospective study was carried out in the period from 02.24.2022 to 05.24.2022 | Other: visual analog scale<br>* 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.<br>* Other names: Mississippi PTSD scale (military version);|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| visual analog scale | from 0 to 10 points | 12 months | 
| Didier Bouhassiraa DN4 | 4 or more points (a neuropathic pain component is present) | 12 months | 
| The Hospital Anxiety and Depression Scale | 0-7 is the norm 8-13 - mild depressive disorders 14-18 - depressive disorders of medium severity 19-22 - severe depressive disorders 23 and more - depressive disorders of a very severe degree of severity | 12 months | 
| Chaban Quality of Life Scale | up to 56 inclusive - a very low level 57-66 - low 67-75 - average 76-82 - tall 83-100 is very high | 12 months | 
| Mississippi PTSD scale (military version) | the mean values of the total score are 76±18 for well-adjusted servicemen, 86±26 for servicemen with mental disorders, and 130±18 for those with PTSD | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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concept of pain treatment, pain, wounds, stages of treatment