评估资源有限环境下用于腹泻病管理的智能手机决策支持工具

数据集获取（Figshare）

• 源站标题：Evaluation of a Smartphone Decision-Support Tool for Diarrheal Disease Management in a Resource-Limited Setting
• DOI：10.1371/journal.pntd.0005290
• 发布日期：2017-01-19
• 文件数：3 个
• 文件总体积：58.35 MB
• 源站页面：https://plos.figshare.com/articles/dataset/Evaluation_of_a_Smartphone_Decision-Support_Tool_for_Diarrheal_Disease_Management_in_a_Resource-Limited_Setting/4568461

命令行下载

curl -L -o "pntd.0005290.s001.mov" "https://ndownloader.figshare.com/files/7470823"
curl -L -o "pntd.0005290.s002.docx" "https://ndownloader.figshare.com/files/7470826"
curl -L -o "pntd.0005290.s003.xlsx" "https://ndownloader.figshare.com/files/7470829"

文件清单

• pntd.0005290.s001.mov（58.16 MB）
• pntd.0005290.s002.docx（11.88 KB）
• pntd.0005290.s003.xlsx（180.75 KB）

文件总体积 58.35 MB（源站 API 实测）。

数据说明

The emergence of mobile technology offers new opportunities to improve clinical guideline adherence in resource-limited settings. We conducted a clinical pilot study in rural Bangladesh to evaluate the impact of a smartphone adaptation of the World Health Organization (WHO) diarrheal disease management guidelines, including a modality for age-based weight estimation. Software development was guided by end-user input and evaluated in a resource-limited district and sub-district hospital during the fall 2015 cholera season; both hospitals lacked scales which necessitated weight estimation. The study consisted of a 6 week pre-intervention and 6 week intervention period with a 10-day post-discharge follow-up. Standard of care was maintained throughout the study with the exception that admitting clinicians used the tool during the intervention. Inclusion criteria were patients two months of age and older with uncomplicated diarrheal disease. The primary outcome was adherence to guidelines for prescriptions of intravenous (IV) fluids, antibiotics and zinc. A total of 841 patients were enrolled (325 pre-intervention; 516 intervention). During the intervention, the proportion of prescriptions for IV fluids decreased at the district and sub-district hospitals (both p p p = 0.035 sub-district) with RRs of 6.9 (district) and 1.6 (sub-district) while prescriptions for other antibiotics decreased; zinc adherence increased. Limitations included an absence of a concurrent control group and no independent dehydration assessment during the pre-intervention. Despite limitations, opportunities were identified to improve clinical care, including better assessment, weight estimation, and fluid/ antibiotic selection. These findings demonstrate that a smartphone-based tool can improve guideline adherence. This study should serve as a catalyst for a randomized controlled trial to expand on the findings and address limitations.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pntd.0005290（source: https://plos.figshare.com/articles/dataset/Evaluation_of_a_Smartphone_Decision-Support_Tool_for_Diarrheal_Disease_Management_in_a_Resource-Limited_Setting/4568461）。