PDF(Pubmed)
Abstract：
Vital signs are routinely measured in secondary healthcare settings and can be used to detect clinical problems, guide treatment, and monitor response to treatment. Vital signs are less frequently measured in palliative care settings. Reasons for this are unclear. This scoping review aimed to assess the generic use of vital signs in palliative care, and its role in prognostication for adult patients with cancer receiving palliative care. Medline, Embase, and CINAHL were searched for articles involving adult patients with advanced cancer receiving palliative care who had their vital signs measured. Twenty-six articles were identified in which one or a combination of vital signs, with or without other clinical parameters, was used to prognosticate for patients. An additional three articles investigated the generic use of vital signs in patients with advanced cancer. There was significant heterogeneity between identified studies, with some indication that changes in vital signs may indicate that a patient is close to death. However, other studies suggested that patients may maintain normal vital signs until the time of death. Further studies are needed to explore whether abnormal vital signs may be used as a prognostic indicator for patients with cancer receiving palliative care.
摘要：
生命体征通常在二级医疗保健环境中进行测量，可用于检测临床问题，指导治疗,并监测对治疗的反应。在姑息治疗环境中，生命体征的测量频率较低。原因尚不清楚。这项范围审查旨在评估姑息治疗中生命体征的一般使用，及其在接受姑息治疗的成年癌症患者的预后中的作用。Medline,Embase,和CINAHL搜索了涉及接受姑息治疗的晚期癌症成年患者的文章，这些患者的生命体征得到了测量。确定了26篇文章，其中一种或多种生命体征，有或没有其他临床参数，是用来预测病人的.另外三篇文章研究了晚期癌症患者生命体征的一般使用。已确定的研究之间存在显著的异质性，有迹象表明生命体征的变化可能表明患者接近死亡。然而,其他研究表明，患者可能会维持正常的生命体征，直到死亡。需要进一步的研究来探索异常生命体征是否可以用作接受姑息治疗的癌症患者的预后指标。
