Retained glass foreign bodies in wounds: Predictive value of wound characteristics, patient perception, and wound exploration

Mark T. Steele, Luan V. Tran, William A. Watson, Robert L. Muelleman

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

A convenience sample of 164 adult patients with 185 glass-caused wounds who presented to an emergency department (ED) and consented to a radiograph was prospectively studied. The purpose was to determine the characteristics of wounds at high risk for foreign body (FB) and the predictive value of patient FB sensation and probing wound exploration for FB retention. Retained glass was located in 28 (15%) wounds. Motor vehicle as a mechanism of injury (P = .003), head as a location (P = .035), and puncture as wound type (P = .002) were more likely to be associated with retained FBs (χ2 analysis). Patients with wounds with glass were more likely to have a positive perception of a foreign body (41%) than those with no glass (17%) (P = .005). The positive predictive value of patient perception was 31%; negative predictive value was 89%. In five cases, wound exploration was negative and subsequent radiograph was positive for FB. In one of these cases, a 4-mm glass FB was removed; in the other four, no FB was found. In conclusion, head wounds resulting from motor vehicle accidents or puncture wounds are more likely to harbor retained glass FBs. Patients with glass FB in wounds are more likely to have a positive perception of FB; however, a positive perception has a low predictive value of glass FB. In this series, a negative wound exploration made the presence of retained FB greater than 2 mm less likely but did not rule out the presence of retained glass.

Original languageEnglish (US)
Pages (from-to)627-630
Number of pages4
JournalAmerican Journal of Emergency Medicine
Volume16
Issue number7
DOIs
StatePublished - Jan 1 1998

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Foreign Bodies
Glass
Wounds and Injuries
Motor Vehicles
Punctures
Head
Accidents
Hospital Emergency Service

Keywords

  • Foreign bodies
  • Glass
  • Penetrating wounds

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Retained glass foreign bodies in wounds : Predictive value of wound characteristics, patient perception, and wound exploration. / Steele, Mark T.; Tran, Luan V.; Watson, William A.; Muelleman, Robert L.

In: American Journal of Emergency Medicine, Vol. 16, No. 7, 01.01.1998, p. 627-630.

Research output: Contribution to journalArticle

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abstract = "A convenience sample of 164 adult patients with 185 glass-caused wounds who presented to an emergency department (ED) and consented to a radiograph was prospectively studied. The purpose was to determine the characteristics of wounds at high risk for foreign body (FB) and the predictive value of patient FB sensation and probing wound exploration for FB retention. Retained glass was located in 28 (15{\%}) wounds. Motor vehicle as a mechanism of injury (P = .003), head as a location (P = .035), and puncture as wound type (P = .002) were more likely to be associated with retained FBs (χ2 analysis). Patients with wounds with glass were more likely to have a positive perception of a foreign body (41{\%}) than those with no glass (17{\%}) (P = .005). The positive predictive value of patient perception was 31{\%}; negative predictive value was 89{\%}. In five cases, wound exploration was negative and subsequent radiograph was positive for FB. In one of these cases, a 4-mm glass FB was removed; in the other four, no FB was found. In conclusion, head wounds resulting from motor vehicle accidents or puncture wounds are more likely to harbor retained glass FBs. Patients with glass FB in wounds are more likely to have a positive perception of FB; however, a positive perception has a low predictive value of glass FB. In this series, a negative wound exploration made the presence of retained FB greater than 2 mm less likely but did not rule out the presence of retained glass.",
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