保险状态与蛛网膜下腔出血后治疗分配及结局的关联

数据集获取（Figshare）

• 源站标题：Insurance Status Is Associated with Treatment Allocation and Outcomes after Subarachnoid Hemorrhage
• DOI：10.1371/journal.pone.0105124
• 发布日期：2014-08-20
• 文件数：6 个
• 文件总体积：151.41 KB
• 源站页面：https://plos.figshare.com/articles/dataset/_Insurance_Status_Is_Associated_with_Treatment_Allocation_and_Outcomes_after_Subarachnoid_Hemorrhage_/1147089

命令行下载

curl -L -o "Table_S1.docx" "https://ndownloader.figshare.com/files/1644673"
curl -L -o "Table_S2.docx" "https://ndownloader.figshare.com/files/1644674"
curl -L -o "Table_S3.docx" "https://ndownloader.figshare.com/files/1644675"
curl -L -o "Table_S4.docx" "https://ndownloader.figshare.com/files/1644676"
curl -L -o "Table_S5.docx" "https://ndownloader.figshare.com/files/1644677"
curl -L -o "Methods_S1.docx" "https://ndownloader.figshare.com/files/1644678"

文件清单

• Table_S1.docx（16.83 KB）
• Table_S2.docx（20.61 KB）
• Table_S3.docx（18.81 KB）
• Table_S4.docx（16.92 KB）
• Table_S5.docx（19.23 KB）
• Methods_S1.docx（59.01 KB）

文件总体积 151.41 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

Objective
Subarachnoid hemorrhage (SAH) is a particularly devastating type of stroke which is responsible for one third of all stroke-related years of potential life lost before age 65. Surgical treatment has been shown to decrease both morbidity and mortality after subarachnoid hemorrhage. We hypothesized that payer status other than private insurance is associated with lower allocation to surgical treatment for patients with SAH and worse outcomes.
Design
We examined the association between insurance type and surgical treatment allocation and outcomes for patients with SAH while adjusting for a wide range of patient and hospital factors. We analyzed the Nationwide Inpatient Sample hospital discharge database using survey procedures to produce weighted estimates representative of the United States population.
Patients
We studied 21047 discharges, representing a weighted estimate of 102595 patients age 18 and above with a discharge diagnosis of SAH between 2003 and 2008.
Measurements
Multivariable logistic and generalized linear regression analyses were used to assess for any associations between insurance status and surgery allocation and outcomes.
Main Results
Despite the benefits of surgery 66% of SAH patients did not undergo surgical treatment to prevent rebleeding. Mortality was more than twice as likely for patients with no surgical treatment compared to those who received surgery. Medicare patients were significantly less likely to receive surgical treatment.
Conclusions
Nearly two thirds of patients with SAH don’'t receive operative care, and Medicare patients were significantly less likely to receive surgical treatment than other patients. Bias against the elderly and those with chronic illness and disability may play a part in these findings. A system of regionalized care for patients presenting with SAH may reduce disparities and improve appropriate allocation to surgical care and deserves prospective study.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0105124（source: https://plos.figshare.com/articles/dataset/_Insurance_Status_Is_Associated_with_Treatment_Allocation_and_Outcomes_after_Subarachnoid_Hemorrhage_/1147089）。