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HypertensionNCT04610775

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

A study testing Order of cuff sizes during blood pressure measurements in people with Hypertension and Blood Pressure, run by Johns Hopkins University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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… Read more about this study

Who is it for?
Ages 18 to 80 yearsHealthy volunteers can take part
What is being tested?
Order of cuff sizes during blood pressure measurements
Could I receive a placebo?
No, everyone receives an active treatment
How many people
194 participants
Where
1 siteUnited States
Study dates
16 Mar 2021to 25 Oct 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • 18-80

Who cannot join

  • 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.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Johns Hopkins ProHealth Research Center

    Baltimore, Maryland, 21207

Other trials in United States

About this study

Official title: The Cuff Size Blood Pressure Measurement Trial

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
Read the detailed description

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.

Being tested
Order of cuff sizes during blood pressure measurements
Medical subject headings
Hypertension, Cardiovascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Order of cuff sizes during blood pressure measurementsOther

    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.

Study groups in NCT04610775
Study groupRoleWhat they receive
Small Cuff (0, +1, +2, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Small, Regular, Large, Small
Receives: Other: Order of cuff sizes during blood pressure measurements
Small Cuff (0, +2, +1, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Small, Large, Regular, Small
Receives: Other: Order of cuff sizes during blood pressure measurements
Small Cuff ( +1, 0, +2, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Small, Large, Small
Receives: Other: Order of cuff sizes during blood pressure measurements
Small Cuff ( +1, +2, 0, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Large, Small, Small
Receives: Other: Order of cuff sizes during blood pressure measurements
Small Cuff ( +2, 0, +1, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Large, Small, Regular, Small
Receives: Other: Order of cuff sizes during blood pressure measurements
Small Cuff ( +2, +1, 0, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Large, Regular, Small, Small
Receives: Other: Order of cuff sizes during blood pressure measurements
Regular Cuff (0, -1, +1, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Small, Large, Regular
Receives: Other: Order of cuff sizes during blood pressure measurements
Regular Cuff (0, +1, -1, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Large, Small, Regular
Receives: Other: Order of cuff sizes during blood pressure measurements
Regular Cuff (-1, 0, +1, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Small, Regular, Large, Regular
Receives: Other: Order of cuff sizes during blood pressure measurements
Regular Cuff (-1, +1, 0, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Small, Large, Regular, Regular
Receives: Other: Order of cuff sizes during blood pressure measurements
Regular Cuff (+1, -1, 0, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Large, Small, Regular, Regular
Receives: Other: Order of cuff sizes during blood pressure measurements
Regular Cuff (+1, 0, -1, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Large, Regular, Small, Regular
Receives: Other: Order of cuff sizes during blood pressure measurements
Large Cuff (-1, 0, +1, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Large, Extra Large, Large
Receives: Other: Order of cuff sizes during blood pressure measurements
Large Cuff (-1, +1, 0, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Extra Large, Large, Large
Receives: Other: Order of cuff sizes during blood pressure measurements
Large Cuff (0, +1, -1, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Large, Extra Large, Regular, Large
Receives: Other: Order of cuff sizes during blood pressure measurements
Large Cuff (0, -1, +1, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Large, Regular, Extra Large, Large
Receives: Other: Order of cuff sizes during blood pressure measurements
Large Cuff (+1, 0, -1, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Extra Large, Large, Regular, Large
Receives: Other: Order of cuff sizes during blood pressure measurements
Large Cuff (+1, -1, 0, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Extra Large, Regular, Large, Large
Receives: Other: Order of cuff sizes during blood pressure measurements
Extra Large Cuff (0, -2, -1, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Extra Large, Regular, Large, Extra Large
Receives: Other: Order of cuff sizes during blood pressure measurements
Extra Large Cuff (0, -1, -2, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Extra Large, Large, Regular, Extra Large
Receives: Other: Order of cuff sizes during blood pressure measurements
Extra Large Cuff (-1, 0, -2, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Large, Extra Large, Regular, Extra Large
Receives: Other: Order of cuff sizes during blood pressure measurements
Extra Large Cuff (-1, -2, 0, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Large, Regular, Extra Large, Extra Large
Receives: Other: Order of cuff sizes during blood pressure measurements
Extra Large Cuff (-2, -1, 0, 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Large, Extra Large, Extra Large
Receives: Other: Order of cuff sizes during blood pressure measurements
Extra Large Cuff (-2, 0, -1 0)OtherThe order of blood pressure cuffs used for participants randomized to this arm will be: Regular, Extra Large, Large, Extra Large
Receives: Other: Order of cuff sizes during blood pressure measurements

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Difference in systolic BP in appropriately-sized cuff vs. too small cuff

    Difference between (1) 1st systolic BP and (2) average of 3 systolic BP from measurements (mmHg).

    Measured: Up to 90 minutes

  2. Difference in systolic BP in appropriately-sized cuff vs. too large cuff

    Difference between (1) 1st systolic BP and (2) average of 3 systolic BP from measurements (mmHg).

    Measured: Up to 90 minutes

  3. Difference in diastolic BP in appropriately-sized cuff vs. too small cuff

    Difference between (1) 1st diastolic BP and (2) average of 3 diastolic BP from measurements (mmHg).

    Measured: Up to 90 minutes

  4. Difference in diastolic BP in appropriately-sized cuff vs. too large cuff

    Difference between (1) 1st diastolic BP and (2) average of 3 diastolic BP from measurements (mmHg).

    Measured: Up to 90 minutes

Secondary outcomes (3)
  1. Difference in blood pressure based on hypertension status

    To determine the blood pressure difference based on hypertensive (≥140/90 based on triplicate measures using appropriately sized cuff) vs. non-hypertensive participants.

    Measured: Up to 90 minutes

  2. Difference in blood pressure based on arm circumference

    To determine the blood pressure difference based on arm circumference (continuous).

    Measured: Up to 90 minutes

  3. Difference in blood pressure based on BMI

    To determine the blood pressure difference based on normal BMI (<25 kg/m2) vs. overweight BMI (25 kg/m2-29.99 kg/m2) vs. Class I Obesity (30 kg/m2-34.99 kg/m2) vs. ≥Class II Obesity (>35 kg/m2).

    Measured: Up to 90 minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Nov 2020
  2. Study start16 Mar 2021
  3. Primary completion25 Oct 2021
  4. Study completion25 Oct 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Screening
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
194 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04610775
Sponsor's protocol ID
IRB00252142
Status last verified
Mar 2021
First submitted
26 Oct 2020
Last updated
13 Dec 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • 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.

    PubMed 37548984

Questions about this trial

What is this clinical trial studying?

A study testing Order of cuff sizes during blood pressure measurements in people with Hypertension and Blood Pressure, run by Johns Hopkins University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Difference in systolic BP in appropriately-sized cuff vs. too small cuff (time frame: Up to 90 minutes). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04610775, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Dec 2021.

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