Systolic blood pressure of the patients with a small adult cuff was 20.78 mmHg higher than that obtained with a cuff properly sized for mid-upper arm circumference, and their diastolic blood pressure was 10.15 mmHg higher on average (p
📌 3 Key Takeaways
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Objective & Hypothesis:Aim: This study aimed to determine the effect of a cuff properly sized for mid-upper arm circumference on blood pressure measurement in obese surgical patients.Method: This prospective crossover clinical trial was conducted with 100 patients who had body mass index ≥30 kg/m2 and mid-upper arm circumference ≥27 cm and were admitted to the general surgery unit of a medical faculty hospital in İstanbul, Turkey between January 1, 2015, and December 31, 2015.
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Key Findings & Data:Blood pressure of the patients was measured using a small-sized adult cuff and a cuff properly sized for mid-upper arm circumference.Results: Among the patients, 39% were morbidly obese and 67% had mid-upper arm circumference between 35 and 44 cm.
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Conclusion & Impact:Systolic blood pressure of the patients with a small adult cuff was 20.78 mmHg higher than that obtained with a cuff properly sized for mid-upper arm circumference, and their diastolic blood pressure was 10.15 mmHg higher on average (p
🔬Design:Research Article
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters
Abstract
Aim: This study aimed to determine the effect of a cuff properly sized for mid-upper arm circumference on blood pressure measurement in obese surgical patients.Method: This prospective crossover clinical trial was conducted with 100 patients who had body mass index ≥30 kg/m2 and mid-upper arm circumference ≥27 cm and were admitted to the general surgery unit of a medical faculty hospital in İstanbul, Turkey between January 1, 2015, and December 31, 2015. Blood pressure of the patients was measured using a small-sized adult cuff and a cuff properly sized for mid-upper arm circumference.Results: Among the patients, 39% were morbidly obese and 67% had mid-upper arm circumference between 35 and 44 cm. Systolic blood pressure of the patients with a small adult cuff was 20.78 mmHg higher than that obtained with a cuff properly sized for mid-upper arm circumference, and their diastolic blood pressure was 10.15 mmHg higher on average (p
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Cite This Article
UĞRAŞ, G. A., YÜKSEL, S., ALTINOK, N., DEMİR, N. (2022). The Effect of Cuff Size on Blood Pressure Measurement in Obese Surgical Patients: A Prospective Crossover Clinical Trial. Florence Nightingale journal of nursing (Online), Cilt: 28 - Sayı: 2, 205–212. https://ajindex.com/articles/517388
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Miki Matbaacılık. Bilo, G., Sala, O., Perego, C., Faini, A., Gao, L., Głuszewska, A., et al. (2017). Impact of cuff positioning on blood pressure measurement accuracy: May a specially designed cuff make a difference? Hypertension Research, 40(6), 573-580. [Crossref] Bonso, E., Saladini, F., Zanier, A., Benetti, E., Dorigatti, F., & Palatini, P. (2010). Accuracy of a single rigid conical cuff with standard-size bladder coupled to an automatic oscillometric device over a wide range of arm circumferences. Hypertension Research, 33(11), 1186-1191. [Crossref] http://dx.doi.org/10.1038/hr.2010.146
Eley, V. A., Christensen, R., Guy, L., & Dodd, B. (2019). Perioperative blood pressure monitoring in patients with obesity. Anesthesia & Analgesia, 128(3), 484-491. [Crossref] Fonseca-Reyes, S., de Alba-Garcia, J. G., Parra-Carrillo, J. Z., & Paczka-Zapata, J.A. (2003). Effect of standard cuff on blood pressure readings in patients with obese arms. How frequent are arms of a ‘large circumference’? Blood Press Monitoring, 8(3), 101-106. Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/12900586.
Irving, G., Holden, J., Stevens, R., & McManus, R.J. (2016). Which cuff should I use? Indirect blood pressure measurement for the diagnosis of hypertension in patients with obesity: A diagnostic accuracy review. BMJ Open, 6(11), e012429. [Crossref] Loenneke, J. P., Loprinzi, P. D., Abe, T., Thiebaud, R. S., Allen, K. M., Grant-Mouser, J., et al. (2016). Arm circumference influences blood pressure even when applying the correct cuff size: Is a further correction needed? International Journal of Cardiology, 202, 743-744. [Crossref] McFarlane, J. (2012). Blood pressure measurement in obese patients. Critical Care Nurse, 32(6), 70-73. [