Discussion
neuropathic, chronic pain, CQLS, pain
CHRONIC PAIN, EVENTS, HSR
In civilian life, from 11 to 40% of patients suffer from chronic pain after receiving injuries. Studies on chronic pain in patients with gunshot wounds are very few and are presented in isolated cases. The experience gained by military doctors in Ukraine is unique and aimed at improving the results of pain treatment in such patients.As a result of our study, it was found that chronic pain was observed in 538 of 769 patients (70% 95% CI 66.7%-73.1%). Those patients who were wounded in 3 or more anatomical parts of the body had a higher percentage of chronic pain—71.2% (95% CI 63.4%-78.5%) than in patients with gunshot wounds in 1 or 2 anatomical parts of the body, here the frequency of chronic pain was 69.7% (95% CI 66.0%-78.5%). That is, the probability of chronic pain increases in patients who received gunshot wounds in a larger number of anatomical parts of the body.DN4 data on admission to military medical clinical centers indicate the presence of a neuropathic component of pain in such patients, suggesting that the likelihood of receiving a negative result of pain treatment in patients with gunshot wounds is associated with the presence of a neuropathic component of pain.All patients were diagnosed with HSR upon admission: the number of HADS points ranged from 9 to 25 points. The level of satisfaction with the results of treatment according to the CQLS corresponded to the average level.This indicator depends on the psychological status of the patient, sensations in the injured anatomical part of the body and emotional experiences that are associated with the events and circumstances in which the patient was injured—here the results indicate the probability of the influence of chronic pain on the level of satisfaction with the results of treatment. CQLS data indicate that satisfaction with treatment outcomes was high (76 points) before hospital discharge, but subsequently declined to a low level (64 points).The problem of chronic pain in patients with gunshot wounds requires even more in-depth study, therefore, further research aimed at studying predictors of the negative outcome of pain treatment in this category of patients will have significant scientific significance, because the subjective feelings and emotional experiences experienced by patients during wounds in combat have their own unique characteristics.