神经重症监护室中方案化镇痛和镇静的效果

数据集获取（Figshare）

• 源站标题：Outcomes of protocolised analgesia and sedation in a neurocritical care unit
• DOI：10.6084/m9.figshare.6389207.v1
• 发布日期：2018-05-30
• 文件数：4 个
• 文件总体积：254.07 KB
• 源站页面：https://tandf.figshare.com/articles/dataset/Outcomes_of_protocolised_analgesia_and_sedation_in_a_neurocritical_care_unit/6389207

命令行下载

curl -L -o "ibij_a_1469167_sm4687.docx" "https://ndownloader.figshare.com/files/11762747"
curl -L -o "ibij_a_1469167_sm4681.docx" "https://ndownloader.figshare.com/files/11762750"
curl -L -o "ibij_a_1469167_sm4668.pptx" "https://ndownloader.figshare.com/files/11762753"
curl -L -o "ibij_a_1469167_sm4648.docx" "https://ndownloader.figshare.com/files/11762756"

文件清单

• ibij_a_1469167_sm4687.docx（60.13 KB）
• ibij_a_1469167_sm4681.docx（99.87 KB）
• ibij_a_1469167_sm4668.pptx（80.05 KB）
• ibij_a_1469167_sm4648.docx（14.02 KB）

文件总体积 254.07 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

Objectives: Providing analgesia and sedation while allowing for neurological assessment is important in the neurocritical care unit (NCCU), yet data are limited about the effects of protocolised analgesia and sedation. We developed an analgesia-based sedation protocol and evaluated its effect on medication utilisation and costs in the NCCU.
Methods: We conducted a retrospective cohort study of patients who are mechanically ventilated and admitted to a 12-bed NCCU over four years. To compare outcomes, we used gamma and negative binomial regression models, and interrupted time-series sensitivity analyses.
Results: The study cohort consisted of 1197 patients: 576 pre-protocol and 621 post-protocol. The protocol resulted in an increase in fentanyl use [incidence rate ratio (IRR) = 2.8, (95% confidence limits (CLs) 1.9, 4.2)] and a decrease in propofol use (IRR = 0.8, CLs 0.6, 1.0). There was a decrease in fentanyl (cost ratio = 0.8, CLs 0.5, 1.1) and propofol costs (cost ratio = 0.6, CLs 0.5, 0.8). The sensitivity analyses results were similar. There was no effect on healthcare utilisation, healthcare costs, and in-hospital mortality.
Conclusion: Protocolised analgesia and sedation increased analgesia use, decreased sedative use, and reduced medication-associated costs in the NCCU. Our results suggest that similar NCCUs should consider use of population-specific protocols to manage analgesia and sedation.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.6084/m9.figshare.6389207.v1（source: https://tandf.figshare.com/articles/dataset/Outcomes_of_protocolised_analgesia_and_sedation_in_a_neurocritical_care_unit/6389207）。