The Effect of Cuff Size on Blood Pressure Measurement in Obese Surgical Patients: A Prospective Crossover Clinical Trial

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dc.contributor.authorYuksel, Serpil
dc.contributor.authorUgras, Gulay Altun
dc.contributor.authorAltinok, Nurhan
dc.contributor.authorDemir, Necla
dc.date.accessioned2024-02-23T14:41:06Z
dc.date.available2024-02-23T14:41:06Z
dc.date.issued2020
dc.departmentNEÜen_US
dc.description.abstractAim:This study aimed to determine the effect of a cuff properly sized for mid-upperarm 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/m(2) and mid-upper arm circumference >= 27 cm and were admitted to the general surgery unit of a medical faculty hospital in Istanbul, 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<0.001). Only 6% of those with systolic hypertension according to the small adult cuff readings were found to have hypertension according to the cuff properly sized for mid-upper arm circumference (p<0.001). Conclusion: The results showed that, in obese surgical patients, blood pressure is measured inaccurately and found to be falsely high when measurements are not performed using a cuff properly sized for mid-upper arm circumference.en_US
dc.identifier.doi10.5152/FNJN.2020.19119
dc.identifier.endpage212en_US
dc.identifier.issn2687-6442
dc.identifier.issue2en_US
dc.identifier.pmid34263199en_US
dc.identifier.scopus2-s2.0-85151456237en_US
dc.identifier.startpage205en_US
dc.identifier.urihttps://doi.org/10.5152/FNJN.2020.19119
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16714
dc.identifier.volume28en_US
dc.identifier.wosWOS:000557294000010en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherIstanbul Univ-Cerrahpasaen_US
dc.relation.ispartofFlorence Nightingale Journal Of Nursingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBlood Pressure Measurementen_US
dc.subjectCuff Sizeen_US
dc.subjectMid-Upper Arm Circumferenceen_US
dc.subjectObese Patientsen_US
dc.subjectObesityen_US
dc.titleThe Effect of Cuff Size on Blood Pressure Measurement in Obese Surgical Patients: A Prospective Crossover Clinical Trialen_US
dc.typeArticleen_US

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