The effect of neuropathic pain on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries

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 q...

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Main Authors: Merve Örücü Atar, Gizem Kılınç Kamacı, Fatma Özcan, Yasin Demir, Koray Aydemir
Format: Article
Language:English
Published: Korean Society of Traumatology 2022-09-01
Series:Journal of Trauma and Injury
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Online Access:http://jtraumainj.org/upload/pdf/jti-2022-0019.pdf
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author Merve Örücü Atar
Gizem Kılınç Kamacı
Fatma Özcan
Yasin Demir
Koray Aydemir
author_facet Merve Örücü Atar
Gizem Kılınç Kamacı
Fatma Özcan
Yasin Demir
Koray Aydemir
author_sort Merve Örücü Atar
collection DOAJ
description 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 duration 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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spelling doaj-art-81fb2ea0575b4e9aab7ad93e5f059f902025-01-16T04:54:41ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-09-0135320220810.20408/jti.2022.00191211The effect of neuropathic pain on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuriesMerve Örücü Atar0Gizem Kılınç Kamacı1Fatma Özcan2Yasin Demir3Koray Aydemir4 Department of Physical Medicine and Rehabilitation, Gaziler Physical Medicine and Rehabilitation, Training and Research Hospital, Ankara, Turkey Department of Physical Medicine and Rehabilitation, Gaziler Physical Medicine and Rehabilitation, Training and Research Hospital, Ankara, Turkey Department of Physical Medicine and Rehabilitation, Gaziler Physical Medicine and Rehabilitation, Training and Research Hospital, Ankara, Turkey Department of Physical Medicine and Rehabilitation, Gaziler Physical Medicine and Rehabilitation, Training and Research Hospital, Ankara, Turkey Department of Physical Medicine and Rehabilitation, Gaziler Physical Medicine and Rehabilitation, Training and Research Hospital, Ankara, TurkeyPurpose 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 duration 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.http://jtraumainj.org/upload/pdf/jti-2022-0019.pdfcombatextremity injuryneuropathic painquality of lifesleep quality
spellingShingle Merve Örücü Atar
Gizem Kılınç Kamacı
Fatma Özcan
Yasin Demir
Koray Aydemir
The effect of neuropathic pain on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries
Journal of Trauma and Injury
combat
extremity injury
neuropathic pain
quality of life
sleep quality
title The effect of neuropathic pain on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries
title_full The effect of neuropathic pain on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries
title_fullStr The effect of neuropathic pain on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries
title_full_unstemmed The effect of neuropathic pain on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries
title_short The effect of neuropathic pain on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries
title_sort effect of neuropathic pain on quality of life depression levels and sleep quality in patients with combat related extremity injuries
topic combat
extremity injury
neuropathic pain
quality of life
sleep quality
url http://jtraumainj.org/upload/pdf/jti-2022-0019.pdf
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