What does this research mean for the field?

Using a standard blood pressure cuff in obese patients overestimates the prevalence of high blood pressure twofold compared to large adult or thigh cuffs, while using larger cuffs does not underestimate blood pressure in nonobese patients. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

July 1, 1984Archives of Internal Medicine

Spurious Hypertension in the Obese Patient

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Why the study?

Does the use of large adult or thigh-size cuffs compared to standard cuffs prevent overestimation of blood pressure in obese patients?

Population

470 patients, including obese (arm circumference ≥35 cm, BMI ≥34, or weight ≥95 kg) and nonobese individuals

Comparison

Blood pressure measurement using large adult and… vs Blood pressure measurement using standard cuff

Design

Cross-sectional, Cuffs were used in random order

Authors

ELEugene W. LinforsAssociates in Neurology

Discussion

Member takes

Implication

Appropriate cuff sizing may reduce BP misclassification in obese patients; leaves open effects on diagnosis rates and outcomes.

Structured PICO

Does the use of large adult or thigh-size cuffs compared to standard cuffs prevent overestimation of blood pressure in obese patients?

Population

470 patients, including obese (arm circumference ≥35 cm, BMI ≥34, or weight ≥95 kg) and nonobese individuals

Intervention

Blood pressure measurement using large adult and thigh-size cuffs

Comparator

Blood pressure measurement using standard cuff

Outcome

Prevalence of definite high blood pressure (≥160/95 mm Hg) and borderline high blood pressure (≥140/90 to <160/95 mm Hg)surrogate

Routine use of appropriately sized large adult cuffs in obese patients prevents spurious hypertension diagnoses and avoids unnecessary evaluation and treatment.

Cite This Study

Eugene W. Linfors (1984) studied this question.

synapsesocial.com/papers/6a1dde5cef3fa0b4c0ef7dc0 https://doi.org/10.1001/archinte.1984.00350190188032

Topics

Hypertension management

View Full Paper

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July 1, 1984Archives of Internal Medicine

Spurious Hypertension in the Obese Patient

View Full Paper

Ask AI

Bookmark

Why the study?

Does the use of large adult or thigh-size cuffs compared to standard cuffs prevent overestimation of blood pressure in obese patients?

Population

470 patients, including obese (arm circumference ≥35 cm, BMI ≥34, or weight ≥95 kg) and nonobese individuals

Comparison

Blood pressure measurement using large adult and… vs Blood pressure measurement using standard cuff

Design

Cross-sectional, Cuffs were used in random order

Authors

ELEugene W. LinforsAssociates in Neurology

Discussion

Member takes

Implication

Appropriate cuff sizing may reduce BP misclassification in obese patients; leaves open effects on diagnosis rates and outcomes.

Structured PICO

Does the use of large adult or thigh-size cuffs compared to standard cuffs prevent overestimation of blood pressure in obese patients?

Population

470 patients, including obese (arm circumference ≥35 cm, BMI ≥34, or weight ≥95 kg) and nonobese individuals

Intervention

Blood pressure measurement using large adult and thigh-size cuffs

Comparator

Blood pressure measurement using standard cuff

Outcome

Prevalence of definite high blood pressure (≥160/95 mm Hg) and borderline high blood pressure (≥140/90 to <160/95 mm Hg)surrogate

Routine use of appropriately sized large adult cuffs in obese patients prevents spurious hypertension diagnoses and avoids unnecessary evaluation and treatment.

Cite This Study

Eugene W. Linfors (1984) studied this question.

synapsesocial.com/papers/6a1dde5cef3fa0b4c0ef7dc0 https://doi.org/10.1001/archinte.1984.00350190188032

Also Consider

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

Topics

Hypertension management

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