感染性心内膜炎病例讨论：一项质量改进计划

数据集获取（Figshare）

• 源站标题：Case conferences for infective endocarditis: A quality improvement initiative
• DOI：10.1371/journal.pone.0205528
• 发布日期：2018-10-11
• 文件数：9 个
• 文件总体积：501.52 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Case_conferences_for_infective_endocarditis_A_quality_improvement_initiative/7198724

命令行下载

curl -L -o "pone.0205528.s001.pdf" "https://ndownloader.figshare.com/files/13252640"
curl -L -o "pone.0205528.s002.pdf" "https://ndownloader.figshare.com/files/13252643"
curl -L -o "pone.0205528.s003.pdf" "https://ndownloader.figshare.com/files/13252646"
curl -L -o "pone.0205528.s004.pdf" "https://ndownloader.figshare.com/files/13252649"
curl -L -o "pone.0205528.s005.pdf" "https://ndownloader.figshare.com/files/13252652"
curl -L -o "pone.0205528.s006.pdf" "https://ndownloader.figshare.com/files/13252655"
curl -L -o "pone.0205528.s007.pdf" "https://ndownloader.figshare.com/files/13252658"
curl -L -o "pone.0205528.s008.pdf" "https://ndownloader.figshare.com/files/13252661"

文件清单

• pone.0205528.s001.pdf（163.10 KB）
• pone.0205528.s002.pdf（59.97 KB）
• pone.0205528.s003.pdf（29.70 KB）
• pone.0205528.s004.pdf（35.75 KB）
• pone.0205528.s005.pdf（33.92 KB）
• pone.0205528.s006.pdf（35.08 KB）
• pone.0205528.s007.pdf（64.50 KB）
• pone.0205528.s008.pdf（38.84 KB）
• pone.0205528.s009.pdf（40.66 KB）

文件总体积 501.52 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
A multidisciplinary approach has been recommended for the management of patients with infective endocarditis. We evaluated the impact of multidisciplinary case conferences on morbidity, mortality, and quality of care for these patients.
Methods
We conducted a quasi-experimental study of consecutive patients admitted for infective endocarditis before (2013/10/1–2015/10/12, n = 97) and after (2015/10/13–2017/11/30, n = 80) implementation of case conferences to discuss medical and surgical management. These occurred as face-to-face discussions or electronically (for non-complex patients), and included physicians from cardiac surgery, cardiology, critical care, infectious diseases and neurology. We assessed process-of-care and clinical outcomes, with the primary outcome being complications up to 90 days after hospital discharge.
Results
A case conference was held for 80/80 (100%) of patients in the post-intervention group. After the intervention, more patients received inpatient cardiology assessment (81.3% [post-intervention] vs. 63.9% [pre-intervention], p = 0.01), and more patients with definite infective endocarditis underwent cardiac surgery treatment (44.6% vs. 21.7%, p = 0.007). All pre-intervention and post-intervention patients received guideline-concordant antimicrobial therapy. There was no difference in rates of complications (40.0% vs. 51.5%, p = 0.13) or mortality up to 90 days after hospital discharge (26.3% vs. 17.5%, p = 0.20). In multivariable analyses, the intervention was not associated with differences in mortality (odds ratio 1.87, 95% confidence interval 0.88–3.99) or a composite measure of complications and mortality (odds ratio 0.86, 95% confidence interval 0.46–1.58).
Conclusion
We successfully implemented a standardized multidisciplinary case conference protocol for patients with infective endocarditis. This intervention had no detectable effect on complications or mortality.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0205528（source: https://plos.figshare.com/articles/dataset/Case_conferences_for_infective_endocarditis_A_quality_improvement_initiative/7198724）。