纽卡斯尔控制评分：一种评估间歇性外斜视严重程度的新方法。
The Newcastle Control Score: a new method of grading the severity of intermittent distance exotropia.
作者信息
Haggerty H, Richardson S, Hrisos S, Strong N P, Clarke M P
机构信息
Orthoptic Department and Children's Eye Clinic, Eye Department, Claremont Wing, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK.
出版信息
Br J Ophthalmol. 2004 Feb;88(2):233-5. doi: 10.1136/bjo.2003.027615.
AIM
To describe the development and application of a novel scoring system for grading the severity of intermittent distance exotropia (IDEX) and its potential application as an intervention criterion for surgical intervention.
METHODS
The Newcastle Control Score (NCS) for IDEX was developed by incorporating both subjective (home control) and objective (clinic control) criteria into a scale to grade severity. The score structure described was evaluated for interobserver and test-retest reliability. To determine an optimal score threshold for surgical intervention, 170 cases of IDEX were scored retrospectively. Cure rates for surgical and non-surgical cases were then compared according to preoperative or presenting scores.
RESULTS
Interobserver and test-test reliability were good (r = 0.82 and r = 0.89 respectively). Total cure rate with surgery was 54% and without surgery 18% (chi(2) = 23.093, df = 1, p<0.001). Significantly fewer patients with NCS >/=3 achieved cure without surgery than those with NCS 2 (chi(2) = 3.362, df = 1, p<0.047).
CONCLUSIONS
The NCS is a reliable method for grading the severity of IDEX and aids decisions regarding intervention. Patients with a score of 3 or more are unlikely to attain a cure without surgery.
目的
描述一种用于评估间歇性外斜视（IDEX）严重程度的新型评分系统的开发与应用，以及其作为手术干预标准的潜在应用。
方法
通过将主观（家庭控制）和客观（临床控制）标准纳入一个量表来开发IDEX的纽卡斯尔控制评分（NCS），以对严重程度进行分级。对所描述的评分结构进行观察者间和重测信度评估。为确定手术干预的最佳评分阈值，对170例IDEX病例进行回顾性评分。然后根据术前或就诊时的评分比较手术和非手术病例的治愈率。
结果
观察者间和重测信度良好（分别为r = 0.82和r = 0.89）。手术的总治愈率为54%，非手术为18%（χ² = 23.093，自由度 = 1，p < 0.001）。NCS≥3的患者非手术治愈的人数明显少于NCS为2的患者（χ² = 3.362，自由度 = 1，p < 0.047）。
结论
NCS是一种评估IDEX严重程度的可靠方法，有助于做出干预决策。评分3分及以上的患者不进行手术不太可能治愈。
Zotero 插件