Effectiveness of Therapeutic Tactics of Analgesia in Patients With Gunshot and Mine-explosive Wounds at the Stages of Treatment

Study Overview
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Brief Summary
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In 82.1% of patients with gunshot and mine-explosive wounds, pain becomes chronic, therefore, the study of the effectiveness of therapeutic tactics for pain relief in this category of patients at the stages of treatment will be important for improving the results of pain treatment.

Detailed Description
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The effectiveness of the therapeutic tactics of analgesia in patients with gunshot and mine-explosive wounds at the stages of treatment needs to be studied, because the subjective feelings and emotional experiences experienced by patients during the wounding in combat conditions through the prism of psychological disorders have their own characteristics. Given that in 82.1% of cases it is not possible to achieve a positive result of treatment, the data of our study will play an important role in their treatment.

Official Title
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Effectiveness of Therapeutic Tactics of Analgesia 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 wounds Exclusion Criteria: no gunshot wounds
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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pain treatment, analgesia, wounds, stages of treatment.