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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| retrospective analysis | 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. |
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| prospective study | Recruitment of patients for the prospective study was carried out in the period from 02.24.2022 to 05.24.2022 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| visual analog scale | Other | 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. |
| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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all patients were injured during hostilities
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bogomolets National Medical University, Ministry of Health of Ukraine | Kyiv | Ukraine |
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| D000377 | Agnosia |
| D014947 | Wounds and Injuries |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009422 | Nervous System Diseases |