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December 29, 2022International Journal of Community Medicine and Public HealthOpen Access

Simplifying Blood Pressure Measurements in Clinical Settings

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Why the study?

Variations in arm circumference and cuff sizes cause different pressure readings, prompting the need for an adjustment factor to compare readings across any combination.

Does changing the arm circumference coverage by a sphygmomanometer cuff alter blood pressure readings in healthy adults?

Comparison

Different combinations of arm circumference and cuff size

Design

Experimental simulation and human physiological study

Authors

URUwe ReischlBoise State UniversityCCConrad ColbyBoise State University

Discussion

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Implication

May support cuff coverage adjustment in BP measurement; hypothesis-generating and requires larger validation before practice change.

Structured PICO

Does changing the arm circumference coverage by a sphygmomanometer cuff alter blood pressure readings in healthy adults?

P
Population
19 healthy human subjects (14 females, 5 males), mean age 28 years, and laboratory simulations. Excluded: obese, diabetic, or hypertensive individuals.
I
Intervention
Reduced upper arm circumference coverage by the sphygmomanometer cuff (achieved by using smaller cuffs or artificially increasing arm circumference with felt cloth).
C
Comparator
Baseline blood pressure measurements with standard cuff and baseline arm circumference.
O
Outcome
Change in systolic and diastolic blood pressure readings.surrogate

A 1% decrease in upper arm circumference coverage by a blood pressure cuff leads to a 1 mmHg increase in both systolic and diastolic pressure readings, allowing for a standardized adjustment factor.

Limitations

  • Small number of human subjects
  • Difficulty for healthcare providers to obtain information about the dimensions of a sphygmomanometer cuff bladder embedded inside a cuff

Cite This Study

Reischl et al. (2022) studied this question.

synapsesocial.com/papers/6a1de5c1cd67cee37334fdd8https://doi.org/10.18203/2394-6040.ijcmph20223525
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Also Consider

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

  1. 1Blood pressure measurement in adults: large cuffs for all?1990 · 18 citations
  2. 2Optimizing cuff width for noninvasive measurement of blood pressure2000 · 85 citations
  3. 3Arm cuff in the measurement of blood pressure2002 · 23 citations
  4. 4Optimal size of cuff bladder for indirect measurement of arterial pressure in adults1989 · 70 citations
  5. 5Differences and effects of medium and large adult cuffs on blood pressure readings in individuals with muscular arms2009 · 17 citations