Predictors of Pain Chronicity in Patients With Gunshot and Mine-explosive Wounds

Completed

• Conditions: Chronic Pain, Widespread
• Interventions: Other: visual analog scale

• Registration Number: NCT05478668
• Lead Sponsor: Bogomolets National Medical University

Brief Summary

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.

Detailed 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.

Study Timeline

• Study Start: 2022-02-24
• Primary Completion: 2022-05-24
• Study Completion: 2022-05-24
• Status Verified: 2022-07
• Study First Submitted: 2022-07-26
• Study First Submitted QC: 2022-07-26
• Study First Posted: 2022-07-28
• Last Update Submitted: 2022-07-29
• Last Update Posted: 2022-08-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Male
• Target Recruitment: 2215

Inclusion Criteria

• the presence of gunshot and mine-explosive injuries

Exclusion Criteria

• absence of gunshot and mine-explosive injuries

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
retrospective analysis	visual analog scale	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.
prospective study	visual analog scale	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.

Primary Outcome Measures

Name	Time	Method
Chaban Quality of Life Scale	1 year	evaluation of the number of points
Didier Bouhassiraa DN4	1 year	evaluation of the number of points
The Hospital Anxiety and Depression Scale	1 year	evaluation of the number of points
Mississippi PTSD scale (military version)	1 year	evaluation of the number of points
visual analog scale	1 year	evaluation of the number of points

Trial Locations

Locations (1)

Bogomolets National Medical University, Ministry of Health of Ukraine; 🇺🇦 Kyiv, Ukraine