- The effect of neuropathic pain on quality of life, depression levels, and sleep quality in patients with combat-related extremity injuries
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Merve Örücü Atar, Gizem Kılınç Kamacı, Fatma Özcan, Yasin Demir, Koray Aydemir
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J Trauma Inj. 2022;35(3):202-208. Published online August 9, 2022
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DOI: https://doi.org/10.20408/jti.2022.0019
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- 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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Summary
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Citations
Citations to this article as recorded by  - Targeted muscle reinnervation for treatment of neuropathic pain in non-amputees – Indications and outcomes
Floris V. Raasveld, Otis C. van Varsseveld, Caroline A. Hundepool, J. Michiel Zuidam, Jonathan M. Winograd, William G. Austen, Ian L. Valerio, Kyle R. Eberlin
Journal of Plastic, Reconstructive & Aesthetic Sur.2025; 105: 359. CrossRef - Social Deprivation is Associated with Increased Pain in Patients Presenting with Neuropathic Pain
Floris V. Raasveld, Jonathan Lans, Ian L. Valerio, Kyle R. Eberlin
Plastic and Reconstructive Surgery - Global Open.2024; 12(6): e5931. CrossRef
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