Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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The effect of neuropathic pain on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries

  • Atar, Merve Orucu (Department of Physical Medicine and Rehabilitation, Gaziler Physical Medicine and Rehabilitation, Training and Research Hospital) ;
  • Kamaci, Gizem Kilinc (Department of Physical Medicine and Rehabilitation, Gaziler Physical Medicine and Rehabilitation, Training and Research Hospital) ;
  • Ozcan, Fatma (Department of Physical Medicine and Rehabilitation, Gaziler Physical Medicine and Rehabilitation, Training and Research Hospital) ;
  • Demir, Yasin (Department of Physical Medicine and Rehabilitation, Gaziler Physical Medicine and Rehabilitation, Training and Research Hospital) ;
  • Aydemir, Koray (Department of Physical Medicine and Rehabilitation, Gaziler Physical Medicine and Rehabilitation, Training and Research Hospital)
  • Received : 2022.04.17
  • Accepted : 2022.05.23
  • Published : 2022.09.30
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Abstract

Purpose: There is limited research on the effects of neuropathic pain (NP) on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries. This study evaluated whether patients with combat-related extremity injuries with and without NP had differences in quality of life, sleep quality, and depression levels. Methods: A total of 98 patients with combat-related extremity injuries, 52 with NP and 46 without, were included in this cross-sectional study. The presence of NP was determined using the Leeds Assessment of Neuropathic Symptoms and Signs questionnaire. The outcome measures were a visual analogue scale (VAS), the 36-Item Short Form Survey, the Beck Depression Inventory, and the Pittsburgh Sleep Quality Index (PSQI). Results: The VAS subparameter scores for pain (all P<0.05), PSQI sleep dur ation subscale scores (P=0.025), PSQI sleep disturbance subscale scores (P=0.016), and PSQI total scores (P=0.020) were significantly higher in patients with NP than those without. Logistic regression analysis showed that VAS scores of 5 and above for average pain during the previous 4 weeks contributed independently to the prediction of NP. Conclusions: Patients with combat-related extremity injuries with NP had more pain and poorer sleep quality than those without NP. Sleep quality should be evaluated as part of the diagnostic work-up in patients with combat-related extremity injury with NP, and interventions to improve sleep quality may help manage NP in this patient group.

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References

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