Chronic pain in patients with mine-explosive wounds
Research Square
2023
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Article Description
Background: Chronic pain is diagnosed in 70% of patients with gunshot wounds, and in 11-40% of patients after injuries in civilian life. There are insufficient data on chronic pain in patients with mine-explosive injuries. Methods: The treatment of 280 patients with mine-explosive injuries was analyzed. Pain intensity was diagnosed using a visual analog scale, neuropathic pain – pain diagnostic questionnaire, acute stress reaction – Hospital anxiety and depression scale and medical history, satisfaction with treatment results – Chaban quality of life scale. Results: Chronic pain was observed in 240 (83.3% 95% CI 78.8%-87.4%) patients: 140 patients were injured in 1, 2 anatomical areas of the body – 82.2% (95% CI 76.8%-88.1%) and 100 patients were injured in 3 or more – 91.7% (95% CI 85.8%-96.2%). For DN4, a neuropathic component of pain was detected. Upon admission, the diagnosis of ASR was established: the number of HADS points ranged from 17 to 25 points on average. CQLS data indicated a low level (62-74 points) of satisfaction with treatment results. Conclusions: Patients with mine and explosive injuries have a very high risk of chronic pain – 15% higher than patients with gunshot wounds and 57.5% higher than civilian injured patients. A greater frequency of the neuropathic component of pain and acute stress reactions is the reason for such chronicity. Low satisfaction with treatment outcomes is likely a consequence of chronic pain.
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