轻度认知障碍和痴呆的病例发现及后续护理：初级保健集群随机对照试验结果

数据集获取（Figshare）

• 源站标题：Case Finding of Mild Cognitive Impairment and Dementia and Subsequent Care; Results of a Cluster RCT in Primary Care
• DOI：10.1371/journal.pone.0156958
• 发布日期：2016-06-16
• 文件数：6 个
• 文件总体积：637.59 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Case_Finding_of_Mild_Cognitive_Impairment_and_Dementia_and_Subsequent_Care_Results_of_a_Cluster_RCT_in_Primary_Care/3449519

命令行下载

curl -L -o "S1 CONSORT Checklist.DOCX" "https://ndownloader.figshare.com/files/5415641"
curl -L -o "S1 Fig.DOCX" "https://ndownloader.figshare.com/files/5415644"
curl -L -o "S2 Fig.DOC" "https://ndownloader.figshare.com/files/5415653"
curl -L -o "S1 File.DOC" "https://ndownloader.figshare.com/files/5415659"
curl -L -o "S1 Protocol.DOC" "https://ndownloader.figshare.com/files/5415671"
curl -L -o "S1 Table.XLS" "https://ndownloader.figshare.com/files/5415674"

文件清单

• S1 CONSORT Checklist.DOCX（34.14 KB）
• S1 Fig.DOCX（97.60 KB）
• S2 Fig.DOC（38.40 KB）
• S1 File.DOC（25.09 KB）
• S1 Protocol.DOC（410.11 KB）
• S1 Table.XLS（32.26 KB）

文件总体积 637.59 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
Despite a call for earlier diagnosis of dementia, the diagnostic yield of case finding and its impact on the mental health of patients and relatives are unclear. This study assessed the effect of a two-component intervention of case finding and subsequent care on these outcomes.
Methods
In a cluster RCT we assessed whether education of family physicians (FPs; trial stage 1) resulted in more mild cognitive impairment (MCI) and dementia diagnoses among older persons in whom FPs suspected cognitive decline and whether case finding by a practice nurse and the FP (trial stage 2) added to this number of diagnoses. In addition, we assessed mental health effects of case finding and subsequent care (trial stage 2). FPs of 15 primary care practices (PCPs = clusters) judged the cognitive status of all persons ≥ 65 years. The primary outcome, new MCI and dementia diagnoses by FPs after 12 months as indicated on a list, was assessed among all persons in whom FPs suspected cognitive impairment but without a formal diagnosis of dementia. The secondary outcome, mental health of patients and their relatives, was assessed among persons consenting to participate in trial stage 2. Trial stage 1 consisted of either intervention component 1: training FPs to diagnose MCI and dementia, or control: no training. Trial stage 2 consisted of either intervention component 2: case finding of MCI and dementia and care by a trained nurse and the FP, or control: care as usual.
Results
Seven PCPs were randomized to the intervention; eight to the control condition. MCI or dementia was diagnosed in 42.3% (138/326) of persons in the intervention, and in 30.5% (98/321) in the control group (estimated difference GEE: 10.8%, OR: 1.51, 95%-CI 0.60–3.76). Among patients and relatives who consented to stage 2 of the trial (n = 145; 25%), there were no differences in mental health between the intervention and control group.
Conclusions
We found a non-significant increase in the number of new MCI diagnoses. As we cannot exclude a clinically relevant effect, a larger study is warranted to replicate ours.
Trial Registration
Nederlands Trial Register NTR3389

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0156958（source: https://plos.figshare.com/articles/dataset/Case_Finding_of_Mild_Cognitive_Impairment_and_Dementia_and_Subsequent_Care_Results_of_a_Cluster_RCT_in_Primary_Care/3449519）。