Cuff(SZ): The Cuff Size Blood Pressure Measurement Trial

NCT ID: NCT04610775

Last Updated: 2021-12-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

194 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-16

Study Completion Date

2021-10-25

Brief Summary

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To determine the impact of overcuffing (using a too-large cuff) and undercuffing (using a too-small cuff) on initial BP and average BP measurements when using an automated BP device, overall and stratified by appropriate cuff size

To determine if the impact over- or under-cuffing differs based on the following patient characteristics:

1. Hypertensive (≥140/90 based on triplicate measures using appropriately sized cuff) vs. non-hypertensive.
2. Arm circumference (continuous)
3. Obesity status

Detailed Description

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The investigators propose a cross-sectional study of adult participants recruited from the community. Enrolled participants will have 2-3 sets of three automated BPs measured, each set with a different cuff size. To accomplish this, the investigators will utilize a 2-3 period cross-over design:

• Two or three different periods with 3 automated BP measurements, using a BP cuff that is:

* Appropriately sized based on mid-upper arm circumference ( standard)
* Too small (one size lower than appropriate)
* Too large (one size higher than appropriate)

Individuals in whom the smallest available cuff (small adult) and largest available cuff (extra-large cuff) is appropriate for their arm circumference will only be able to undergo two periods of BP measurements.

Conditions

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Hypertension Blood Pressure Cardiovascular Diseases Cardiovascular Risk Factor

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Small Cuff (0, +1, +2, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Small, Regular, Large, Small

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Small Cuff (0, +2, +1, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Small, Large, Regular, Small

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Small Cuff ( +1, 0, +2, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Small, Large, Small

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Small Cuff ( +1, +2, 0, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Large, Small, Small

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Small Cuff ( +2, 0, +1, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Large, Small, Regular, Small

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Small Cuff ( +2, +1, 0, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Large, Regular, Small, Small

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Regular Cuff (0, -1, +1, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Small, Large, Regular

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Regular Cuff (0, +1, -1, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Large, Small, Regular

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Regular Cuff (-1, 0, +1, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Small, Regular, Large, Regular

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Regular Cuff (-1, +1, 0, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Small, Large, Regular, Regular

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Regular Cuff (+1, -1, 0, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Large, Small, Regular, Regular

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Regular Cuff (+1, 0, -1, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Large, Regular, Small, Regular

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Large Cuff (-1, 0, +1, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Large, Extra Large, Large

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Large Cuff (-1, +1, 0, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Extra Large, Large, Large

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Large Cuff (0, +1, -1, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Large, Extra Large, Regular, Large

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Large Cuff (0, -1, +1, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Large, Regular, Extra Large, Large

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Large Cuff (+1, 0, -1, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Extra Large, Large, Regular, Large

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Large Cuff (+1, -1, 0, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Extra Large, Regular, Large, Large

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Extra Large Cuff (0, -2, -1, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Extra Large, Regular, Large, Extra Large

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Extra Large Cuff (0, -1, -2, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Extra Large, Large, Regular, Extra Large

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Extra Large Cuff (-1, 0, -2, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Large, Extra Large, Regular, Extra Large

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Extra Large Cuff (-1, -2, 0, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Large, Regular, Extra Large, Extra Large

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Extra Large Cuff (-2, -1, 0, 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Large, Extra Large, Extra Large

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Extra Large Cuff (-2, 0, -1 0)

The order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Extra Large, Large, Extra Large

Group Type OTHER

Order of cuff sizes during blood pressure measurements

Intervention Type OTHER

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Interventions

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Order of cuff sizes during blood pressure measurements

Each participant will have 4 sets of 3 blood pressure measurements taken. The participants will be randomized to the order in which the cuff sizes are used.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 18-80

Exclusion Criteria

* Presence of the following on both arms: rashes, gauze dressings, casts, edema, paralysis, tubes, open sores or wounds, withered arms, A-V shunts, or if blood has been drawn from arm within last week.
* Being mentally impaired, pregnant.
* Arm circumference exceeding 50 cm.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Vital Strategies

OTHER

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Tammy Brady, MD,Phd

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

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Johns Hopkins ProHealth Research Center

Baltimore, Maryland, United States

Site Status

Countries

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United States

References

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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.

Reference Type DERIVED
PMID: 37548984 (View on PubMed)

Other Identifiers

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IRB00252142

Identifier Type: -

Identifier Source: org_study_id