抗血栓药物对慢性硬膜下血肿手术患者预后的影响：系统综述与meta分析

数据集获取（Figshare）

• 源站标题：Impact of antithrombotic agents on outcomes in patients requiring surgery for chronic subdural haematoma: a systematic review and meta-analysis
• DOI：10.6084/m9.figshare.25562104.v1
• 发布日期：2024-04-08
• 文件数：5 个
• 文件总体积：288.36 KB
• 源站页面：https://tandf.figshare.com/articles/dataset/Impact_of_antithrombotic_agents_on_outcomes_in_patients_requiring_surgery_for_chronic_subdural_haematoma_a_systematic_review_and_meta-analysis/25562104

命令行下载

curl -L -o "Supplementary_Material_1_PRISMA.docx" "https://ndownloader.figshare.com/files/45526476"
curl -L -o "Supplementary_Material_2.docx" "https://ndownloader.figshare.com/files/45526479"
curl -L -o "Supplementary_Material_3.docx" "https://ndownloader.figshare.com/files/45526482"
curl -L -o "Supplementary_Material_4.xlsx" "https://ndownloader.figshare.com/files/45526485"
curl -L -o "Supplementary_Material_5.docx" "https://ndownloader.figshare.com/files/45526488"

文件清单

• Supplementary_Material_1_PRISMA.docx（31.34 KB）
• Supplementary_Material_2.docx（131.15 KB）
• Supplementary_Material_3.docx（13.27 KB）
• Supplementary_Material_4.xlsx（19.40 KB）
• Supplementary_Material_5.docx（93.19 KB）

文件总体积 288.36 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

A chronic subdural haematoma (CSDH) is a collection of aged blood between the dura and the brain, typically treated with surgical evacuation. Many patients with CSDH have comorbidities requiring the use of antithrombotic medications. The optimal management of these medications in the context of CSDH remains unknown, as the risk of recurrence must be carefully weighed against the risk of vaso-occlusive events. To better understand these risks and inform the development of clinical practice guidelines, we conducted a systematic review and meta-analysis. A systematic review was conducted in accordance with the PRISMA guidelines, searching Medline and Embase databases. The study was registered with PROSPERO (CRD42023397061). A total of 44 studies were included, encompassing 1 prospective cohort study and 43 retrospective cohort studies. Pooled odds ratios (ORs) were calculated for CSDH recurrence and vaso-occlusive events in patients taking anticoagulant or antiplatelet medications compared to patients not receiving antithrombotic therapy. GRADE was used to assess the quality of evidence. In patients on anticoagulant therapy at CSDH diagnosis, the pooled OR for CSDH recurrence was 1.41 (95% CI 1.11 to 1.79; I2 = 28%). For patients on antiplatelet therapy, the pooled OR was 1.31 (95% CI 1.08 to 1.58; I2 = 32%). Patients taking antithrombotic medications had a significantly higher risk of vaso-occlusive events, with a pooled OR of 3.74 (95% CI 2.12 to 6.60; I2 = 0%). There was insufficient evidence to assess the impact of time to recommence antithrombotic medication on CSDH outcomes. We found that baseline antithrombotic use is associated with the risk of CSDH recurrence and vaso-occlusive events following surgical evacuation. The evidence base is of low quality, and decisions regarding antithrombotic therapy should be individualised for each patient. Further high-quality, prospective studies or registry-based designs are needed to better inform clinical decision-making and establish evidence-based guidelines.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.6084/m9.figshare.25562104.v1（source: https://tandf.figshare.com/articles/dataset/Impact_of_antithrombotic_agents_on_outcomes_in_patients_requiring_surgery_for_chronic_subdural_haematoma_a_systematic_review_and_meta-analysis/25562104）。