There is an overestimation of blood pressure when a standard cuff is used in obese subjects. The high prevalence of these individuals in our environment, both in the hypertensive and normotensive population, makes it necessary to have on hand different sizes of cuffs for taking blood pressure in order to avoid incorrect decisions.
IntroductIon: Pre-pregnancy overweight and obesity have been proposed as risk factor to diabetes and hypertension during pregnancy. These medical complications enhance the economic burden related to attend the pregnancy when it is classified as high risk pregnancy. objectIves: Identify diseases related to pre-gestational overweight and obesity in women with high risk pregnancy and estimate the economic burden to attend high risk pregnancy compared with normal pregnancy Methods: Were studied 600 patients with high risk pregnancy to identify pre-pregnancy overweight and obesity and were estimated the cost related to the medical health care during pregnancy. Were calculated: mean, standard deviation, median, percentilar values, logistic regression and Odds Ratio with 95% confidence interval. Were estimated costs for a hypothetical group of 600 women with normal pregnancy, using Monte Carlo simulation method to compare economic burden between high risk pregnancy and normal pregnancy. Statistical differences were calculated with Student T test to paired samples. Groups were paired by maternal age and gestational age. results: Pre-pregnancy body mass index mean was 29.59 (±6.42)kg/m2. The obesity was a risk factor to develop gestational diabetes (OR: 1.95; IC95%: 1.39 to 2.76; p= 0.000).
The blood pressure measurements by Omron 725 CIC are different from those of blood pressure readings taken with a mercury sphygmomanometer and this could affect clinical decisions in the diagnosis and follow-up of a hypertensive patient in an office environment.
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