早期目标导向治疗指南依从性评估：平衡临床重要性与可行性

数据集获取（Figshare）

• 源站标题：Assessment of early goal-directed therapy guideline adherence: Balancing clinical importance and feasibility
• DOI：10.1371/journal.pone.0213802
• 发布日期：2019-03-15
• 文件数：5 个
• 文件总体积：138.36 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Assessment_of_early_goal-directed_therapy_guideline_adherence_Balancing_clinical_importance_and_feasibility/7852733

命令行下载

curl -L -o "pone.0213802.s001.docx" "https://ndownloader.figshare.com/files/14622635"
curl -L -o "pone.0213802.s002.docx" "https://ndownloader.figshare.com/files/14622638"
curl -L -o "pone.0213802.s003.docx" "https://ndownloader.figshare.com/files/14622644"
curl -L -o "pone.0213802.s004.docx" "https://ndownloader.figshare.com/files/14622647"
curl -L -o "pone.0213802.s005.xls" "https://ndownloader.figshare.com/files/14622650"

文件清单

• pone.0213802.s001.docx（16.48 KB）
• pone.0213802.s002.docx（38.19 KB）
• pone.0213802.s003.docx（32.05 KB）
• pone.0213802.s004.docx（30.66 KB）
• pone.0213802.s005.xls（20.99 KB）

文件总体积 138.36 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
Assessing adherence to Early goal-directed therapy (EGDT) is challenging and might account for the negative findings and generalisability of the major trials to a real-life setting. This study was aimed (1) to extract key components of pediatric EGDT guidelines potentially becoming adherence criteria; (2) to classify adherence criteria into complete, clinically important, and feasible; and (3) to compare percent adherence to selected guidelines using the three approaches.
Methods
This study started with review of existing evidence to extract key components of pediatric EGDT guidelines. Modified Delphi method was then conducted in two rounds among national experts to identify feasible and/or clinically important criteria. Data from the national prospective multicenter study “Clinical Effectiveness of the Utilization of Bundled Care for Severe Sepsis and Septicemia Children” at King Chulalongkorn Memorial Hospital (KCMH) during 1 June 2012 and 28 February 2014 was used to compare percentage of adherence across the three approaches.
Results
Of 28 components extracted from the review, 10 were identified by the national experts through the Modified Delphi as feasible whereas 8 were identified as clinically important. Thirty-one severe sepsis patients (48.39% male, median age 3.4 years) were reviewed. Sepsis mortality was 9.7%, a significant reduction from 19% and 42% in 2010 and 2007, respectively. Based on the complete adherence criteria, the percent adherence varied from 60.71% to 89.29% (overall mean 76.84%), with lower adherence in the dead than the survived cases (73.81% vs 77.17%; p = 0.55). The percent adherence varied by criteria used: 69.35%, 76.84%, and 84.52% for clinical importance, complete, and feasibility criteria, respectively.
Conclusion
Adherence determination based on selected clinical importance alone might result in an incorrectly estimated clinical benefit of EGDT guidelines, especially in a resource-limited setting. Both clinical importance and feasibility should be integrated into the development of adherence assessment criteria.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0213802（source: https://plos.figshare.com/articles/dataset/Assessment_of_early_goal-directed_therapy_guideline_adherence_Balancing_clinical_importance_and_feasibility/7852733）。