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October 1, 1992Journal of Hypertension

Cuff bladder width and blood pressure measurement in children and adolescents

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Why the study?

Does the use of non-recommended blood pressure cuff sizes affect blood pressure readings and the estimated prevalence of hypertension in children and adolescents?

Population

1,582 children and adolescents (811 boys, 771 girls) aged 10-17 years

Comparison

Blood pressure measurement using smaller and… vs Blood pressure measurement using a recommended…

Design

Cross-sectional, Cuffs were used in random order

Authors

ONOrlando G mez-Mar nUniversity of MiamiRPRonald J. PrineasPreventive CardiologyLSLennart R stamLund University

Discussion

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Implication

Improper cuff sizing may bias hypertension prevalence estimates in youth; leaves open whether standardized protocols improve diagnostic accuracy.

Structured PICO

Does the use of non-recommended blood pressure cuff sizes affect blood pressure readings and the estimated prevalence of hypertension in children and adolescents?

P
Population
1,582 children and adolescents (811 boys, 771 girls) aged 10-17 years
I
Intervention
Blood pressure measurement using smaller (mean decrease in CW:AC ratio 7.4%) and larger (mean increase in CW:AC ratio 10.2%) cuffs
C
Comparator
Blood pressure measurement using a recommended cuff conforming to the 40% CW:AC ratio rule
O
Outcome
Variability in systolic blood pressure (SBP) and diastolic blood pressure phases 4 and 5 (DBP4, DBP5)surrogate

Selection of the proper blood pressure cuff size (CW:AC ratio ~40%) is critical in children and adolescents to avoid over- and underdiagnosis of hypertension.

Cite This Study

n et al. (1992) studied this question.

synapsesocial.com/papers/6a86fd71f87adc0a02ca2242https://doi.org/10.1097/00004872-199210000-00018
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Also Consider

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

  1. 1Ratio of cuff width/arm circumference as a determinant of arterial blood pressure measurements in adults1990 · 30 citations
  2. 2Mid-arm circumference and recommended blood pressure cuffs for children and adolescents aged between 3 and 19 years2013 · 23 citations
  3. 3Blood pressure measurement in children: the importance of cuff bladder size1989 · 39 citations
  4. 4Mean mid-arm circumference and blood pressure cuff sizes for US children, adolescents and adults2018 · 14 citations
  5. 5Blood pressure measurement in adults: large cuffs for all?1990 · 18 citations