<p>Arm circumference determines appropriate blood pressure cuff size, which is critical for accurate measurements. This cross-sectional analysis aimed to assess cuff size needs according to mid-arm circumferences of Australian adults. Based on typical in-clinic cuff sizes, most Australians would require a medium (51.7%) or large (44.5%) cuff, which means that the cuff would need to be changed for almost every second patient. Most home devices are supplied with a standard (22–32 cm) or wide-range (22–42 cm) cuff, these were found to be unsuitable for 9 million adults (48.3%) and over 701,995 adults (3.8%), respectively. Concerningly, the standard cuff size available with commonly used home devices would be unsuitable for large proportions of people in higher cardiovascular risk groups (e.g. hypertension (59.7%), diabetes (66.3%), high cholesterol (55.6%) and obesity (92.3%)). This work highlights attention must be paid to selecting appropriate cuff sizes for accurate blood pressure measurements in-clinic and at home.</p><p></p>

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Attention to blood pressure cuff sizes is important for home and in-clinic blood pressure measurement

  • Ritu Trivedi,
  • Niamh Chapman,
  • Shiva R. Mishra,
  • Mark R. Nelson,
  • Clara K. Chow,
  • Dean S. Picone

摘要

Arm circumference determines appropriate blood pressure cuff size, which is critical for accurate measurements. This cross-sectional analysis aimed to assess cuff size needs according to mid-arm circumferences of Australian adults. Based on typical in-clinic cuff sizes, most Australians would require a medium (51.7%) or large (44.5%) cuff, which means that the cuff would need to be changed for almost every second patient. Most home devices are supplied with a standard (22–32 cm) or wide-range (22–42 cm) cuff, these were found to be unsuitable for 9 million adults (48.3%) and over 701,995 adults (3.8%), respectively. Concerningly, the standard cuff size available with commonly used home devices would be unsuitable for large proportions of people in higher cardiovascular risk groups (e.g. hypertension (59.7%), diabetes (66.3%), high cholesterol (55.6%) and obesity (92.3%)). This work highlights attention must be paid to selecting appropriate cuff sizes for accurate blood pressure measurements in-clinic and at home.