The Influence of the Results of Surgical Treatment in Patients With Gunshot and Mine-explosive Wounds on the Formation of Chronic Pain

Study Overview
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Brief Summary
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In 82.1% of patients with gunshot and mine-explosive injuries, the pain becomes chronic. The impact of the results of surgical treatment on the processes of chronic pain in this category of patients remains insufficiently studied. Therefore, the study of such a factor will be important to improve the results of pain treatment.

Detailed Description
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The influence of the results of surgical treatment in patients with gunshot and mine-explosive wounds on the formation of chronic pain 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. Considering 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 the treatment of such patients.

Official Title
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The Influence of the Results of Surgical Treatment in Patients With Gunshot and Mine-explosive Wounds on the Formation of Chronic Pain

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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chronic pain, surgical treatment, wounds