减少细支气管炎中支气管扩张剂使用的干预效果的时间序列分析

数据集获取（Figshare）

• 源站标题：Impact of an Intervention to Reduce Bronchodilator Use in Bronchiolitis - A Time Series Analysis.
• DOI：10.25374/MCRI.26240561.v1
• 发布日期：2025-03-21
• 文件数：1 个
• 文件总体积：877.05 KB
• 源站页面：https://mcri.figshare.com/articles/journal_contribution/Impact_of_an_Intervention_to_Reduce_Bronchodilator_Use_in_Bronchiolitis_-_A_Time_Series_Analysis_/26240561

命令行下载

curl -L -o "hpeds.2022-007059.pdf" "https://ndownloader.figshare.com/files/47561132"

文件清单

• hpeds.2022-007059.pdf（877.05 KB）

文件总体积 877.05 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 AND OBJECTIVES: International guidelines recommend against the use of bronchodilators in bronchiolitis. Despite attempts to address low value care practices in pediatrics, the literature is still evolving regarding which interventions are most effective in low value care reduction. We aim to assess the impact of a multifaceted intervention on rates of bronchodilator prescription in bronchiolitis. METHODS: With electronic medical record (EMR) data over a 76- month period, we evaluated changes in bronchodilator prescription among infants aged 1 to 12 months diagnosed with bronchiolitis, using interrupted time series analysis, controlling for preintervention prescribing trends. The setting was the emergency department of a large teaching pediatric hospital. The intervention included education, clinician audit-feedback, and an EMR alert, implemented February 2019. The main outcome measure was rate of bronchodilator prescription per month. RESULTS: There were 9576 infants, aged 1 to 12 months, diagnosed in the emergency department with bronchiolitis over the study period. Bronchodilator ordering reduced from 6.9% to 3.2% after the intervention. Once underlying trends were accounted for, the multifaceted intervention was associated with a reduction in the rate of prescribing (inter-rater reliability 0.98, 95% confidence interval 0.96 to 0.99, P = .037). CONCLUSIONS: We found that the multifaceted intervention, including an EMR alert, may be an effective method of reducing low value care prescribing in bronchiolitis, accelerating the reduction of unnecessary care and supporting sustainable change.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.25374/MCRI.26240561.v1（source: https://mcri.figshare.com/articles/journal_contribution/Impact_of_an_Intervention_to_Reduce_Bronchodilator_Use_in_Bronchiolitis_-_A_Time_Series_Analysis_/26240561）。