Liverpool University Hospital, Liverpool, UK.
Royal Victoria Hospital, Belfast, UK.
Eye (Lond). 2024 Jan;38(1):202-204. doi: 10.1038/s41433-023-02660-3. Epub 2023 Jul 6.
To establish if the BElfast Retinal Tear and detachment Score (BERT Score) can be used in triaging patients presenting with vitreous haemorrhage to allow safe differentiation between those with retinal tears and detachments, versus haemorrhagic posterior vitreous detachments.
Retrospective audit of 122 patients presenting to eye casualty with vitreous haemorrhage excluding trauma and vascular causes. Twenty-two patients were excluded from the study as they had no follow-up. The BERT Score was applied to the remaining 100 patients.
Vitreous haemorrhages with a BERT score ≥4 points were more likely to have a retinal tear or detachment (P = 0.0056). The sensitivity was 84.6% (confidence interval (CI) 65.0-100.0%), specificity 34.5% (CI 24.5-44.5%), positive predictive value 16.2% (CI 7.4-24.9%) and negative predictive value 94% (CI 85.4-100.0%).
The BERT is a reliable scoring system to risk stratify patients with vitreous haemorrhage. Its high sensitivity and negative predictive value can help clinicians to detect high-risk patients.
确定贝尔法斯特视网膜裂孔和脱离评分（BERT 评分）是否可用于分诊玻璃体出血患者，以便安全地区分有视网膜裂孔和脱离的患者与玻璃体积血性后脱离患者。
回顾性分析了 122 例因玻璃体出血就诊于眼科急诊的患者，排除了外伤和血管原因。由于没有随访，22 例患者被排除在研究之外。对其余 100 例患者应用 BERT 评分。
BERT 评分≥4 分的玻璃体出血更有可能出现视网膜裂孔或脱离（P=0.0056）。其敏感性为 84.6%（置信区间 65.0-100.0%），特异性为 34.5%（置信区间 24.5-44.5%），阳性预测值为 16.2%（置信区间 7.4-24.9%），阴性预测值为 94%（置信区间 85.4-100.0%）。
BERT 是一种可靠的评分系统，可对玻璃体出血患者进行风险分层。其高敏感性和阴性预测值有助于临床医生检测高风险患者。
