眼睛创伤得分如何预测眼球受伤后的视力? 一个系统的审查和元分析
Kimia Rezaei1, Germán Mejía-Salgado2, Ibrahim Abboud3
1University of California, Riverside School of Medicine, Riverside, California, United States of America; Gavin Herbert Eye Institute (GHEI), University of California, Irvine, CA, USA.
Ophthalmology
|February 8, 2026
概括
眼睛创伤评分 (OTS) 和儿科眼睛创伤评分 (POTS) 在预测开放球损伤的视觉结果方面显示出中等一致. 需要精细的儿科模型,以提高儿童的准确性.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
- 儿科医学 儿科医学
背景情况:
- 开放球损伤 (OGIs) 是一种严重的,危及视力的疾病,具有重大的全球影响.
- 儿科OGI的预后因眼风险和年龄相关的评估挑战而复杂化.
- 眼睛创伤评分 (OTS) 和儿科眼睛创伤评分 (POTS) 被广泛使用,但它们的儿科准确性是不确定的.
研究的目的:
- 系统地审查和元分析OTS和POTS对OGI视觉结果的预测准确性.
- 评估这些评分系统的性能,特别是在儿科患者群体中.
主要方法:
- 通过对主要数据库 (PubMed,EMBASE,VHL,LILACS) 的系统搜索,直到2024年9月,确定了具有预测和实际视觉结果的观察性研究 (n≥10).
- 分析的重点是评估OTS和POTS的儿科研究,使用随机效应模型进行聚合相关性和一致性 (科恩 κ).
- 使用GRADE框架评估证据的确定性;在PROSPERO.中注册的协议.
主要成果:
- 包括47项研究 (12,515名患者),显示儿科和成人队列中男性占主导地位.
- 联合的儿科分析显示,较高的OTS/POTS得分和更好的视觉结果之间存在中等到强烈的相关性 (斯皮尔曼r=0.60-0.65;皮尔森r=0.93).
- 预测和观察结果之间的一致性是中等的 (科恩的 κ = 0.48),具有实质性的异质性 (I2 = 96%);GRADE评估表明证据的确定性是中等的.
结论:
- OTS和POTS与OGIs中的视觉结果有意义的相关性,但它们的分类一致性只是温和而异质的.
- 当前的评分系统对准确的预后有局限性,特别是在儿科病例中.
- 需要改进,专门用于儿科的模型,考虑到眼风险和临床因素.
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