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September 1, 1990American Journal of Hypertension

The Reliability of Auscultatory Measurement of Arterial Blood Pressure: A Comparison of the Standard and a New Methodology

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Why the study?

Does the Tricuff blood pressure cuff improve the accuracy of identifying normotensive individuals compared to a standard cuff in individuals with varying arm circumferences?

Population

48 individuals with a wide range of arm circumferences

Comparison

Blood pressure measurement using a newly… vs Blood pressure measurement using a standard size…

Design

Cross-sectional

Authors

MSMikael StoltSahlgrenska University HospitalGSGöran SjönellWorld Health Organization - PakistanHÅHans ÅströmUniversity of Copenhagen

Discussion

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Implication

May reduce misclassification risk with varied arm sizes; leaves open need for randomized outcome trials before practice change.

Structured PICO

Does the Tricuff blood pressure cuff improve the accuracy of identifying normotensive individuals compared to a standard cuff in individuals with varying arm circumferences?

P
Population
48 individuals with a wide range of arm circumferences
I
Intervention
Blood pressure measurement using a newly developed cuff (Tricuff) containing three rubber bags of different sizes that automatically selects the appropriately sized bag
C
Comparator
Blood pressure measurement using a standard size cuff (12 X 35 cm)
O
Outcome
Correct placement of patients in the normotensive range (diastolic blood pressure < 90 mm Hg) compared to direct intraarterial measurementssurrogate

The Tricuff improves the specificity of blood pressure measurement compared to a standard cuff, reducing the risk of erroneously labeling normotensive individuals as hypertensive.

Cite This Study

Stolt et al. (1990) studied this question.

synapsesocial.com/papers/6a09e0a316dfdfe7ed346e7bhttps://doi.org/10.1093/ajh/3.9.697
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Improved Accuracy of Indirect Blood Pressure Measurement in Patients With Obese Arms1993 · 19 citations
  2. 2Accuracy of auscultatory blood pressure measurement with a long cuff.1987 · 53 citations
  3. 3Optimal size of cuff bladder for indirect measurement of arterial pressure in adults1989 · 70 citations
  4. 4Factors affecting the validity of the standard blood pressure cuff,1993 · 26 citations
  5. 5Accuracy of auscultatory blood pressure measurements in hypertensive and obese subjects.1983 · 50 citations