美国急诊医疗服务支气管痉挛管理：横断面分析与全国质量评估

数据集获取（Figshare）

• 源站标题：Emergency Medical Services Management of Bronchospasm in the United States: A Cross-Sectional Analysis and Nationwide Quality Assessment
• DOI：10.6084/m9.figshare.23296443.v2
• 发布日期：2023-06-16
• 文件数：2 个
• 文件总体积：40.89 KB
• 源站页面：https://tandf.figshare.com/articles/dataset/Emergency_Medical_Services_Management_of_Bronchospasm_in_the_United_States_A_Cross-sectional_Analysis_and_Nationwide_Quality_Assessment/23296443

命令行下载

curl -L -o "Appendix 1.docx" "https://ndownloader.figshare.com/files/41064732"
curl -L -o "Appendix 2.docx" "https://ndownloader.figshare.com/files/41064735"

文件清单

• Appendix 1.docx（26.30 KB）
• Appendix 2.docx（14.59 KB）

文件总体积 40.89 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/Objective: Bronchospasm, caused by asthma and other related conditions, is a significant cause of morbidity and mortality commonly managed by emergency medical services (EMS). We aimed to evaluate the quality of prehospital management of bronchospasm by EMS in the US.
Methods: The National EMS Information System Public Release Research dataset, a nationwide convenience sample of prehospital patient care report data from 2018 to 2019, was used to capture 9-1-1 activations where patients aged ≥2 years were treated and transported by EMS for suspected bronchospasm. First, we described the extent to which EMS care met eight quality measures identified from available statewide EMS protocols, existing quality measures, and national guidelines. Second, we quantified the extent of risk-standardized agency-level variation in administration of inhaled beta agonists and systemic corticosteroids using logistic regression models, accounting for patient characteristics, severity, and clustering by agencies. Third, we compared rates of completed prehospital interventions between pediatric (age Results: A total of 1,336,988 EMS encounters for suspected bronchospasm met inclusion criteria. Median age of patients was 66 years, with only 4% pediatric; 55% were female. Advanced life support (ALS) units managed 94% of suspected bronchospasm. Respiratory rate (98%) and pulse oximetry (96%) were documented in nearly all cases. Supplemental oxygen was administered to hypoxic patients by 65% of basic life support (BLS) and 73% of ALS units. BLS administered inhaled beta-agonist therapy less than half the time (48%), compared to 77% by ALS. ALS administered inhaled anticholinergic therapy in 38% of cases, and systemic corticosteroids in 19% of cases. Pediatric patients were significantly less likely to receive supplemental oxygen when hypoxic, inhaled beta-agonists, inhaled anticholinergics, or systemic corticosteroids.
Conclusions: We found important gaps in recent EMS practice for prehospital care of suspected bronchospasm. We highlight three targets for improvement: inhaled beta-agonist administration by BLS, systemic corticosteroid administration by ALS, and increased in

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.6084/m9.figshare.23296443.v2（source: https://tandf.figshare.com/articles/dataset/Emergency_Medical_Services_Management_of_Bronchospasm_in_the_United_States_A_Cross-sectional_Analysis_and_Nationwide_Quality_Assessment/23296443）。