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April 20, 2016American Journal of Hypertension

Effect of Cuff Design on Auscultatory and Oscillometric Blood Pressure Measurements

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Key result

One-piece blood pressure cuffs yielded significantly lower mean readings than 2-piece cuffs using auscultatory (difference -2.4/-1.5 mm Hg) and oscillometric (-4.4/-3.3 mm Hg) methods (P<0.0001).

Why the study?

Does a 1-piece blood pressure cuff provide different blood pressure measurements compared to a standard 2-piece cuff in adults?

Population

Consenting subjects aged ≥18 years with blood pressure levels between 80-220/50-120 mm Hg and arm…

Comparison

1-piece Welch Allyn blood pressure cuff vs Baum 2-piece blood pressure cuff

Design

Cross-sectional

Authors

JRJennifer RingroseDMDonna McLeanPAPeter Ao

Discussion

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Member takes

Overview

Cuff type may affect BP classification; leaves open need for standardization and outcome validation.

Study Design

Type

Cross-Sectional (n=173)

Structured PICO

Does a 1-piece blood pressure cuff provide different blood pressure measurements compared to a standard 2-piece cuff in adults?

P
Population
173 adults aged ≥18 years with BP 80-220/50-120 mm Hg and arm circumference 25-43 cm, evaluated in two phases to compare 1-piece vs 2-piece BP cuffs.
I
Intervention
1-piece Welch Allyn blood pressure cuff
C
Comparator
Baum 2-piece blood pressure cuff (reference standard)
O
Outcome
Difference in systolic and diastolic blood pressure measurementssurrogate

Main Result

Effect estimate: MD -2.4/-1.5 mm Hg (Phase 1) and -4.4/-3.3 mm Hg (Phase 2)

p-value: p=<0.0001

One-piece blood pressure cuffs yield significantly lower blood pressure readings than traditional two-piece cuffs, particularly with oscillometric devices, which may impact clinical decision-making.

Cite This Study

Ringrose et al. (2016) conducted a cross-sectional in Blood pressure measurement (n=173). 1-piece Welch Allyn cuff vs. Baum 2-piece cuff was evaluated on Mean blood pressure (systolic and diastolic) (MD -2.4/-1.5 mm Hg (Phase 1) and -4.4/-3.3 mm Hg (Phase 2), p=<0.0001). One-piece blood pressure cuffs yielded significantly lower mean readings than 2-piece cuffs using auscultatory (difference -2.4/-1.5 mm Hg) and oscillometric (-4.4/-3.3 mm Hg) methods (P<0.0001).

synapsesocial.com/papers/6a857f3d37bcb8373dada5dchttps://doi.org/10.1093/ajh/hpw034
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Also Consider

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

  1. 1Recommendations for Blood Pressure Measurement in Humans and Experimental Animals2005 · 4,004 citations
  2. 2Oscillometric measurement of systolic and diastolic blood pressures validated in a physiologic mathematical model2012 · 178 citations
  3. 3Measurement of blood presssure: an evidence based review2001 · 156 citations
  4. 4Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension.1994 · 1,682 citations
  5. 5A New Algorithm for the Diagnosis of Hypertension in Canada2015 · 99 citations