长期抗血栓治疗患者的基层医疗管理：一项集群随机对照试验

数据集获取（Figshare）

• 源站标题：Primary care management for patients receiving long-term antithrombotic treatment: A cluster-randomized controlled trial
• DOI：10.1371/journal.pone.0209366
• 发布日期：2019-01-09
• 文件数：6 个
• 文件总体积：85.43 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Primary_care_management_for_patients_receiving_long-term_antithrombotic_treatment_A_cluster-randomized_controlled_trial/7567061

命令行下载

curl -L -o "pone.0209366.s001.docx" "https://ndownloader.figshare.com/files/14060306"
curl -L -o "pone.0209366.s002.docx" "https://ndownloader.figshare.com/files/14060309"
curl -L -o "pone.0209366.s003.docx" "https://ndownloader.figshare.com/files/14060312"
curl -L -o "pone.0209366.s004.docx" "https://ndownloader.figshare.com/files/14060315"
curl -L -o "pone.0209366.s005.docx" "https://ndownloader.figshare.com/files/14060318"
curl -L -o "pone.0209366.s006.docx" "https://ndownloader.figshare.com/files/14060321"

文件清单

• pone.0209366.s001.docx（13.34 KB）
• pone.0209366.s002.docx（13.99 KB）
• pone.0209366.s003.docx（13.29 KB）
• pone.0209366.s004.docx（12.79 KB）
• pone.0209366.s005.docx（18.47 KB）
• pone.0209366.s006.docx（13.55 KB）

文件总体积 85.43 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

Purpose
To examine whether applying case management in general practices reduces thromboembolic events requiring hospitalization and major bleeding events (combined primary outcome). Secondary endpoints were mortality, frequency and duration of hospitalization, severe treatment interactions, adverse events, quality of anticoagulation, health-related quality of life and intervention costs, patients’ assessment of chronic illness care, self-reported adherence to medication, GP and HCA knowledge, patient knowledge and satisfaction with shared decision-making.
Methods
Cluster-randomized controlled trial undertaken at 52 general practices in Germany with adult patients with a long-term indication for oral anticoagulation. The complex intervention included training for healthcare assistants, information and quality circles for general practitioners and 24 months of case management for patients. Assessment was after 12 and 24 months. The intention-to-treat population included all randomized practices and patients, while the per-protocol analysis included only those that received treatment without major protocol violations.
Results
The mean (SD) age of the 736 patients was 73.5 (9.4) years and 597 (81.1%) had atrial fibrillation. After 24 months, the primary endpoint had occurred in 40 (11.0%) intervention and 48 (12.9%) control patients (hazard ratio 0.83, 95% CI 0.55 to 1.25; P = .37). Patients’ perceived quality of care, their knowledge, and HCAs’ knowledge, had improved significantly at 24 months. The other secondary endpoints did not differ between groups. In the intervention group, hospital admissions were significantly reduced in patients that received treatment without major protocol deviations.
Conclusions
Even though the main outcomes did not differ significantly, the intervention appears to have positively influenced several process parameters under ‘real-world conditions’.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0209366（source: https://plos.figshare.com/articles/dataset/Primary_care_management_for_patients_receiving_long-term_antithrombotic_treatment_A_cluster-randomized_controlled_trial/7567061）。