心力衰竭后的诊断测试、药物处方和随访模式：一项对93,000名英国患者的队列研究

数据集获取（Figshare）

• 源站标题：Diagnostic tests, drug prescriptions, and follow-up patterns after incident heart failure: A cohort study of 93,000 UK patients
• DOI：10.1371/journal.pmed.1002805
• 发布日期：2019-05-21
• 文件数：14 个
• 文件总体积：682.41 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Diagnostic_tests_drug_prescriptions_and_follow-up_patterns_after_incident_heart_failure_A_cohort_study_of_93_000_UK_patients/8160323

命令行下载

curl -L -o "pmed.1002805.s001.docx" "https://ndownloader.figshare.com/files/15204788"
curl -L -o "pmed.1002805.s002.docx" "https://ndownloader.figshare.com/files/15204791"
curl -L -o "pmed.1002805.s003.docx" "https://ndownloader.figshare.com/files/15204797"
curl -L -o "pmed.1002805.s004.docx" "https://ndownloader.figshare.com/files/15204800"
curl -L -o "pmed.1002805.s005.docx" "https://ndownloader.figshare.com/files/15204806"
curl -L -o "pmed.1002805.s006.docx" "https://ndownloader.figshare.com/files/15204809"
curl -L -o "pmed.1002805.s007.docx" "https://ndownloader.figshare.com/files/15204815"
curl -L -o "pmed.1002805.s008.docx" "https://ndownloader.figshare.com/files/15204818"

文件清单

• pmed.1002805.s001.docx（36.03 KB）
• pmed.1002805.s002.docx（44.40 KB）
• pmed.1002805.s003.docx（36.15 KB）
• pmed.1002805.s004.docx（21.23 KB）
• pmed.1002805.s005.docx（38.59 KB）
• pmed.1002805.s006.docx（59.82 KB）
• pmed.1002805.s007.docx（45.79 KB）
• pmed.1002805.s008.docx（50.75 KB）
• pmed.1002805.s009.docx（60.01 KB）
• pmed.1002805.s010.docx（49.33 KB）
• pmed.1002805.s011.docx（49.45 KB）
• pmed.1002805.s012.docx（47.07 KB）
• pmed.1002805.s013.docx（45.44 KB）
• pmed.1002805.s014.docx（98.35 KB）

文件总体积 682.41 KB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Background
Effective management of heart failure is complex, and ensuring evidence-based practice presents a major challenge to health services worldwide. Over the past decade, the United Kingdom introduced a series of national initiatives to improve evidence-based heart failure management, including a landmark pay-for-performance scheme in primary care and a national audit in secondary care started in 2004 and 2007, respectively. Quality improvement efforts have been evaluated within individual clinical settings, but patterns of care across its continuum, although a critical component of chronic disease management, have not been studied. We have designed this study to investigate patients’ trajectories of care around the time of diagnosis and their variation over time by age, sex, and socioeconomic status.
Methods and findings
For this retrospective population-based study, we used linked primary and secondary health records from a representative sample of the UK population provided by the Clinical Practice Research Datalink (CPRD). We identified 93,074 individuals newly diagnosed with heart failure between 2002 and 2014, with a mean age of 76.7 years and of which 49% were women. We examined five indicators of care: (i) diagnosis care setting (inpatient or outpatient), (ii) posthospitalisation follow-up in primary care, (iii) diagnostic investigations, (iv) prescription of essential drugs, and (v) drug treatment dose. We used Poisson and linear regression models to calculate category-specific risk ratios (RRs) or adjusted differences and 95% confidence intervals (CIs), adjusting for year of diagnosis, age, sex, region, and socioeconomic status. From 2002 to 2014, indicators of care presented diverging trends. Outpatient diagnoses and follow-up after hospital discharge in primary care declined substantially (ranging from 56% in 2002 to 36% in 2014, RR 0.64 [0.62, 0.67] and 20% to 14%, RR 0.73 [0.65, 0.82], respectively). Primary care referral for diagnostic investigations and appropriate initiation of beta blockers and angiotensin-converting–enzyme inhibitors (ACE-Is) or angiotensin receptor blockers (ARBs) both increased significantly (37% versus 82%, RR 2.24 [2

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pmed.1002805（source: https://plos.figshare.com/articles/dataset/Diagnostic_tests_drug_prescriptions_and_follow-up_patterns_after_incident_heart_failure_A_cohort_study_of_93_000_UK_patients/8160323）。