The Influence of the Volume of Injuries and Surgical Operations on the Results of Pain Treatment in Patients With Gunshot and Mine-explosive Wounds at the Stages of Treatment

NCT05485298 — Completed, 2215 participants, Bogomolets National Medical University

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Registry	NCT05485298, acronym IVaSORPTP
Status	Completed
Study type	Observational
Enrollment	2215 (Actual)
Sponsor	Bogomolets National Medical University (Other)
Conditions	Chronic Pain
Interventions	visual analog scale (Other)
Dates	start 2022-02-24, primary completion 2022-05-24, completion 2022-06-24, first posted 2022-08-03, last updated 2022-08-03
Locations	1 site in Ukraine

-Summary

Treatment of pain in patients with gunshot and mine-explosive injuries in the stages of treatment is important, because in 82.1% the pain becomes chronic. This indicates that treatment results need to be improved. One of the factors that can influence the outcome of pain treatment is the extent of damage and surgery.

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+Detailed description

The influence of the amount of damage and operative interventions on the results of pain treatment 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 its features. Since 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.

+Arms and interventions

Arm	Type	Interventions	Description
retrospective analysis		Other: 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.
prospective study		Other: visual analog scale	Recruitment of patients for the prospective study was carried out in the period from 02.24.2022 to 05.24.2022

visual analog scale (Other), also known as neuropathic pain Didier Bouhassiraa, Nadine Attala et al. Pain, 2005, 114: 29-36 (DN4)., Chaban Quality of Life Scale, The Hospital Anxiety and Depression Scale (HADS), Mississippi PTSD scale (military version): 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.

+Outcome measures

Primary outcomes

visual analog scale [12 months]: from 0 to 10 points
Didier Bouhassiraa DN4 [12 months]: 4 or more points (a neuropathic pain component is present)
The Hospital Anxiety and Depression Scale [12 months]: 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
Chaban Quality of Life Scale [12 months]: up to 56 inclusive - a very low level 57-66 - low 67-75 - average 76-82 - tall 83-100 is very high
Mississippi PTSD scale (military version) [12 months]: 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

+Eligibility

Sex: Male

Inclusion Criteria:

* the presence of gunshot wounds

Exclusion Criteria:

* no gunshot wounds

+Locations (1)

Facility	City	Country	Status
Bogomolets National Medical University, Ministry of Health of Ukraine	Kyiv	Ukraine