出院结局
心力衰竭住院患者出院结局数据，包含早期利尿剂使用、GDMT和转诊信息。
基本信息
资源简介
出院结局
【数据集背景】
本数据集源站标题为《Discharge outcomes.》。源站首次发布：2025-09-04。
【数据内容】
源站原始描述：Background Heart failure (HF) mortality is rising despite robust evidence-based guidelines. Hospitalization presents an opportune time to optimize care. Inpatient care pathways (CP) embedded in the electronic health record (EHR) can enhance adherence to guidelines by providing real-time decision support. Objective To measure the impact of the heart failure reduced ejection fraction (HFrEF) CP on early diuretic use, goal-directed medical therapy (GDMT), and referral to comprehensive HF management…
【数据结构与技术规格】
文件数 1 个，合计 5.63 KB。Table 3.xls：application/vnd.ms-excel，5.63 KB。数据集 DOI：10.1371/journal.pone.0330188.t003。
【主题与分类】
源站学科分类：Medicine、Neuroscience、Biotechnology、Evolutionary Biology、Immunology、Cancer。主题标签：multivariable analysis showed、multidisciplinary providers across、electronic health record、document notes directly、directed medical therapy、bivariate analyses revealed、6 %) hospitalizations、retrospective cohort study、inpatient care pathways、early diuretic use。
【适用方向】
结构化表格数据可直接用于统计建模、特征工程与队列分析。
【获取与许可】
源站页面：https://plos.figshare.com/articles/dataset/Discharge_outcomes_/30055163
使用许可：CC BY 4.0（https://creativecommons.org/licenses/by/4.0/）。
规范引用：Kanaparthy, Naga Sasidhar; Possick, Stephen; Teng, Wei; Maulion, Christopher; Kim, Nancy (2025). Discharge outcomes.. PLOS ONE. Dataset
下载信息
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使用方式
数据集获取（Figshare）
- 源站标题：Discharge outcomes.
- DOI：10.1371/journal.pone.0330188.t003
- 发布日期：2025-09-04
- 文件数：1 个
- 文件总体积：5.63 KB
- 源站页面：https://plos.figshare.com/articles/dataset/Discharge_outcomes_/30055163
命令行下载
curl -L -o "Table 3.xls" "https://ndownloader.figshare.com/files/57675425"
文件清单
Table 3.xls（5.63 KB）
文件总体积 5.63 KB（源站 API 实测）。
数据说明
Background
Heart failure (HF) mortality is rising despite robust evidence-based guidelines. Hospitalization presents an opportune time to optimize care. Inpatient care pathways (CP) embedded in the electronic health record (EHR) can enhance adherence to guidelines by providing real-time decision support.
Objective
To measure the impact of the heart failure reduced ejection fraction (HFrEF) CP on early diuretic use, goal-directed medical therapy (GDMT), and referral to comprehensive HF management (CHFM) on discharge.
Methods
A HFrEF CP embedded into the EHR was built by multidisciplinary providers across a large academic medical center. Providers could place orders and document notes directly from the pathway. We conducted a retrospective cohort study of all the HF hospitalizations two years after pathway implementation and further limited the cohort to those with ejection fraction (EF) ≤ 40%. We compared rates of early diuretic use, GDMT, and referral to CHFM between cohorts defined by pathway use.
Results
1,639 patients contributed 2,062 hospitalizations. The pathway was opened in 362 (17.6%) hospitalizations. There were no significant clinical or sociodemographic differences between groups. Bivariate analyses revealed more GDMT (χ2 (1) = 3.651, p = 0.056); while multivariable analysis showed more early diuretics (OR = 1.58, 95% CI 1.19, 2.09, p = 0.002) and referrals to CHFM (OR = 3.24, 95% CI 2.54, 4.12, p Conclusion
Despite low utilization, pathway use was associated with more early diuretics and referrals to CHFM with a trend toward more GDMT on discharge. CPs are a feasible strategy to optimize care for hospitalized HF patients.
许可
CC BY 4.0
引用
学术使用请引用 DOI 10.1371/journal.pone.0330188.t003（source: https://plos.figshare.com/articles/dataset/Discharge_outcomes_/30055163）。
需要用于商业化训练或医疗器械注册（NMPA/FDA）？
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