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Adult nursing
Cuff size and shape for oscillometric BP measurement: a challenge for the clinician and the manufacturer
  1. Paolo Palatini
  1. Dimed, Università degli Studi di Padova, Padova, Italy
  1. Correspondence to Dr Paolo Palatini; palatini{at}unipd.it

https://doi.org/10.1136/ebnurs-2023-103858

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    Commentary on: Ishigami J, Charleston J, Miller ER 3rd, Matsushita K, Appel LJ, Brady TM. Effects of Cuff Size on the Accuracy of Blood Pressure Readings: The Cuff(SZ) Randomized Crossover Trial. JAMA Intern Med. 2023 Oct 1;183(10):1061-1068. doi: 10.1001/jamainternmed.2023.3264.

    Implications for practice and research

    • The use of a properly sized cuff when using oscillometric blood pressure (BP) measurement in clinical practice avoids underestimation of BP in individuals with small arms and BP overestimation in people with large arms.

    • To avoid patient misclassification in clinical studies, healthcare personnel should always use properly sized cuffs according to manufacturers’ instructions.

    Context

    With traditional sphygmomanometry, the use of a cuff with a bladder of inappropriate size for the arm is a serious source of error.1 However, different criteria may apply to cuffs of automatic devices using the oscillometric BP measurement. This study by …

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    Footnotes

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.