多重耐药菌对成人医疗相关感染经济和临床结果影响的系统综述与meta分析

数据集获取（Figshare）

• 源站标题：Impact of multi-drug resistant bacteria on economic and clinical outcomes of healthcare-associated infections in adults: Systematic review and meta-analysis
• DOI：10.1371/journal.pone.0227139
• 发布日期：2020-01-10
• 文件数：7 个
• 文件总体积：259.01 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Impact_of_multi-drug_resistant_bacteria_on_economic_and_clinical_outcomes_of_healthcare-associated_infections_in_adults_Systematic_review_and_meta-analysis/11572422

命令行下载

curl -L -o "pone.0227139.s001.doc" "https://ndownloader.figshare.com/files/20816844"
curl -L -o "pone.0227139.s002.r" "https://ndownloader.figshare.com/files/20816847"
curl -L -o "pone.0227139.s003.xlsx" "https://ndownloader.figshare.com/files/20816850"
curl -L -o "pone.0227139.s004.docx" "https://ndownloader.figshare.com/files/20816853"
curl -L -o "pone.0227139.s005.docx" "https://ndownloader.figshare.com/files/20816856"
curl -L -o "pone.0227139.s006.docx" "https://ndownloader.figshare.com/files/20816859"
curl -L -o "pone.0227139.s007.docx" "https://ndownloader.figshare.com/files/20816862"

文件清单

• pone.0227139.s001.doc（65.54 KB）
• pone.0227139.s002.r（1.84 KB）
• pone.0227139.s003.xlsx（16.12 KB）
• pone.0227139.s004.docx（127.59 KB）
• pone.0227139.s005.docx（16.47 KB）
• pone.0227139.s006.docx（17.52 KB）
• pone.0227139.s007.docx（13.93 KB）

文件总体积 259.01 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
Infections with multidrug resistant (MDR) bacteria in hospital settings have substantial implications in terms of clinical and economic outcomes. However, due to clinical and methodological heterogeneity, estimates about the attributable economic and clinical effects of healthcare-associated infections (HAI) due to MDR microorganisms (MDR HAI) remain unclear. The objective was to review and synthesize the evidence on the impact of MDR HAI in adults on hospital costs, length of stay, and mortality at discharge.
Methods and findings
Literature searches were conducted in PubMed/MEDLINE, and Google Scholar databases to select studies that evaluated the impact of MDR HAI on economic and clinical outcomes. Eligible studies were conducted in adults, in order to ensure homogeneity of populations, used propensity score matched cohorts or included explicit confounding control, and had confirmed antibiotic susceptibility testing. Risk of bias was evaluated, and effects were measured with ratios of means (ROM) for cost and length of stay, and risk ratios (RR) for mortality. A systematic search was performed on 14th March 2019, re-run on the 10th of June 2019 and extended the 3rd of September 2019. Small effect sizes were assessed by examination of funnel plots. Sixteen articles (6,122 patients with MDR HAI and 8,326 patients with non-MDR HAI) were included in the systematic review of which 12 articles assessed cost, 19 articles length of stay, and 14 mortality. Compared to susceptible infections, MDR HAI were associated with increased cost (ROM 1.33, 95%CI [1.15; 1.54]), prolonged length of stay (ROM 1.27, 95%CI [1.18; 1.37]), and excess in-hospital mortality (RR 1.61, 95%CI [1.36; 1.90]) in the random effects models. Risk of publication bias was only found to be significant for mortality, and overall study quality good.
Conclusions
MDR HAI appears to be strongly associated with increases in direct cost, prolonged length of stay and increased mortality. However, further comprehensive studies in this setting are warranted.
Trial registration
PROSPERO (CRD42019126288).

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0227139（source: https://plos.figshare.com/articles/dataset/Impact_of_multi-drug_resistant_bacteria_on_economic_and_clinical_outcomes_of_healthcare-associated_infections_in_adults_Systematic_review_and_meta-analysis/11572422）。