quality of life
pain management
gunshot wounds
chronic pain

How to Cite

Horoshko , V. R. (2023). QUALITY OF LIFE AND PAIN MANAGEMENT IN PATIENTS AFTER GUNSHOT WOUNDS. Clinical and Preventive Medicine, (4), 37-40. https://doi.org/10.31612/2616-4868.4(26).2023.05


Introduction. In 1948, the World Health Organization defined health as not only the absence of disease but also the presence of physical, psychological and social well-being. Quality of life is a somewhat new concept borrowed from sociology, where it is understood as the ability of an individual to function in society in accordance with his or her position and to enjoy it. A number of researchers have studied the quality of life of patients after injuries, but there are very few results in Ukraine. Given the increasing number of patients with gunshot wounds, our study aims to highlight this issue, as it will be of national importance in the long term.

The aim is to study the level of quality of life in patients after gunshot wounds.

Materials and methods. The treatment of 769 patients was analyzed. The level of quality of life was studied using the Chaban quality of life scale (CQLS). The groups were compared by the Mann-Whitney test and the chi-square test.

Results. The CQLS diagnosis indicates that at the time of discharge from inpatient treatment, the quality of life was at a high level (76 points), but then, 1 month after discharge, it decreased to a low level (64 points) and did not change in the following months – 3, 6 and 12 months.

Conclusions. The results of the study indicate that more attention should be paid to the problem of quality of life in patients after gunshot wounds and that we should strive to study this issue and identify new ways to improve the situation. In our opinion, one of the factors that affect the quality of life is the formation of chronic pain, which requires further study.



Chaban, O., Khaustova, O., Bezsheiko, V. (2016). Reliability and validity of Chaban quality of life scale. Retrieved from : https://www.ecnp.eu/presentationpdfs/70/P.2.h.301.pdf

Kuchyn, Iu., Horoshko, V. (2021). Predictors of treatment failure among patients with gunshot wounds and post-traumatic stress disorder. BMC Anesthesiol, 21, 263. https://doi.org/10.1186/s12871-021-01482-8

Kuchyn, Iu., Horoshko, V. (2021). Pain syndrome in patients with gunshot wounds of the limbs and post-traumatic stress disorders. Emergency medicine, 17(7), 24–31. https://doi.org/10.22141/2224-0586.17.7.2021.244591

Nijs, J., Lahousse, A., Kapreli, E., Bilika, P., Saraçoğlu, İ., Malfliet, A., Coppieters, I., De Baets, L., Leysen, L., Roose, E., Clark, J., Voogt, L., Huysmans, E. (2021). Nociplastic Pain Criteria or Recognition of Central Sensitization? Pain Phenotyping in the Past, Present and Future. J Clin Med., Jul 21, 10(15), 3203. doi: 10.3390/jcm10153203

Bielka, K., Kuchyn, Iu., Horoshko, V. (2023). Intensive care units during the Ukraine war: challenges and opportunities. Intensive Care Med. https://doi.org/10.1007/s00134-023-07117-5

Horoshko, V. (2023). Value of the number of injured anatomical partsof the body and surgeries for pain chronicityin patients with gunshot wounds and blast injuries. Emergency Medicine (Ukraine), 19(3), 141-143. https://doi.org/10.22141/2224-0586.19.3.2023.1572.

Miller, K. & Richardson, J. More (2019). Aggressive Treatment Has Been Required over Time. Operative Management of Thoracic Gunshot Wounds, 85, 1205-1208. https://doi.org/10.1177/000313481908501123.8

Yarns, B.C., Cassidy, J.T., Jimenez, A.M. (2022). At the intersection of anger, chronic pain, and the brain: A mini-review. Neurosci Biobehav Rev. Apr, 135, 104558. doi: 10.1016/j.neubiorev.2022.104558.

Turner, C. & Gurney, J. (2017). Combatsurgical workload in Operation Iraqi Freedom and Operation Enduring Freedom. https://doi.org/ 10.1097/ta.0000000000001496

Kuchyn, Iu., Horoshko, V. (2023). Chronic pain in patients with gunshot wounds. BMC Anesthesiol., 47. https://doi.org/10.1186/s12871-023-02005-3

Damo, E., Simonetti, M. (2022). Axon Guidance Molecules and Pain. Cells, 6, 11(19), 3143. doi: 10.3390/cells11193143

Puntillo, F., Giglio, M., Paladini, A., Perchiazzi, G., Viswanath, O., Urits, I., Sabbà, C., Varrassi, G., Brienza, N. (2021). Pathophysiology of musculoskeletal pain: a narrative review. Ther Adv Musculoskelet Dis., 26, 13, 1759720X21995067. doi: 10.1177/1759720X21995067

Zeineddin, A., Williams, M., Nonez, H., Nizam, W., Olufajo, O.A., Ortega, G., et al. (2021). Gunshot Injuries in American Trauma Centers: Analysis of the Lethality of Multiple Gunshot Wounds. Am Surg., 87(1), 39-44

Lee, H., Kong, V., Cheung, C., Thirayan, V., Rajaretnam, N., Elsabagh, A, et al. (2022). Trends in the Management of Abdominal Gunshot Wounds Over the Last Decade: A South African Experience. World J Surg., 46(5), 998-1005

Tеng, E.J. (2016). Efficacy of posttraumatic stress disorder treatment for comorbid panic disorder: a critical review and future directions for treatment research. Clin Psycho Sci Pract., 68-84

Bothaigi, S.S., Fakih, S.A., Noman, T.A., Alharazi, T., Atef, T.A. (2022). Safety of Primary Repair in Penetrating Colorectal Injuries during Current Yemeni War. Asian Journal of Research in Surgery, 7(1), 8-22.

Tegegne, B.A., Lema, G.F., Fentie, D.Y., Bizuneh, Y.B. (2020). Severity of Wound- Related Pain and Associated Factors Among Patients Who Underwent Wound Management at Teaching and Referral Hospital, Northwest Ethiopia. J Pain Res., 13, 2543-2551. https://doi.org/10.2147/JPR.S27644

Conti, C., Di Francesco, G., Fontanella, L., Carrozzino, D., Patierno, C., Vitacolonna, E., Fulcheri, M. (2017). Negative affectivity predicts lower quality of life and metabolic control in type 2 diabetes patients: a structural equation modeling approach. Front Psychol., 24, 8, 831. doi:10.3389/fpsyg.2017.00831.

Kuchyn, Iu., Horoshko, V. (2023). Effectiveness of pain treatment for patients with mine-blast wounds depending on the number of localizations in military mobile hospitals. Clinical and Preventive Medicine, 3(25), 39-44. https://doi.org/10.31612/2616-4868.3(25).2023.05

Zeineddin, A., Williams, M., Nonez, H., Nizam, W., Olufajo, O.A., Ortega, G. et al. (2021). Gunshot Injuries in American Trauma Centers: Analysis of the Lethality of Multiple Gunshot Wounds. Am Surg., 87(1), 39-44.

Kuchyn, Iu., Sazhyn, D., Patlazhan, G. (2021). Analysis The Safety And Efficacy At Different Types Of Anesthesiological Support During Aesthetic Interventions On The Breast Glands In Ukraine. Biomed Pharmacol, 14(4). https://dx.doi.org/10.13005/bpj/2308

Kuchyn, Iu., Skrypnyk, R., Greben, N., Lymar, L. (2022). Communicative Professional And Academic Competence Of Medical Students Developed During Their Ophthalmological Studies Confl Ict Of Interest: Nothing To Declare. Oftalmologija. Vostochnaja Evropathis Link Is Disabled., 12(1), 8-10. https://doi.org/10.34883/PI.2022.12.1.018

Kuchyn, Iu., Vlasenko, O., Melnyk, V., Kucherenko, I., Mykytenko, P. (2022). Simulation training and virtual patients as a component of classroom training of future doctors under covid-19 conditions. Wiadomosci Lekarskie (Warsaw, Poland: 1960) This Link Is Disabled, 75(5), 1118-1123. doi: 10.36740/wlek202205112

Bielka, K., Kuchyn, Iu., Semenko, N., Kashchii, U., Pliuta, I. (2022). Patient Safety During Anesthesia In Ukraine: National Audit Results. BMC Anesthesiology, 22(1), 164. https://doi.org/10.1186/s12871-022-01704-7

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.