Adequacy of sphygmomanometer cuff to brachial circumference of people attended in Primary Health Care Centers

Revista brasileira de epidemiologia = Brazilian journal of epidemiology
Rafaela Marin DestefanoErnani Tiaraju de Santa Helena

Abstract

To evaluate the adequacy of sphygmomanometer cuff to brachial circumference (BC) of individuals treated at Primary Health Care Centers. Epidemiological, observational, and quantitative cross-sectional study. A total of 381 blood pressure (BP) readings conducted by nursing professionals were observed at 18 service units selected by drawing, considering two modalities of care centers. The correct use of the cuff was the main outcome variable. The BC was measured using inelastic measuring tape. The tests used for statistical analysis were Student's t-test, χ2, or Fisher's exact test. The measurement of BC ranged from 19.5 to 45.0 cm (mean = 30.4; standard deviation - SD = 4.3). Among the BP measurements, 218 (57.2%) of them were conducted with the appropriately sized cuff, being more frequent in the units with Family Health Teams (59.6 versus 40.4; p < 0.001). Ninety-three (24.2%) BC measurements were < 27 cm and 63 (16.5%) were > 34 cm. The adult cuff was used correctly 209 (59.4%) times and the large adult cuff was used correctly 9 (31.0%) times. The study found an inadequacy in the use of the cuff in 42.8% of blood pressure readings in the Primary Health Care Centers. Similar studies should be performed in other cities and area...Continue Reading

References

Jul 1, 1997·Journal of Human Hypertension·C BakxT Thien
Jul 21, 1998·Revista da Escola de Enfermagem da U S P·T L de AraujoE Martins
Apr 13, 2004·Journal of Hypertension·Arya M SharmaUNKNOWN HYDRA Study Group
Jun 25, 2005·Revista da Escola de Enfermagem da U S P·Cláudia Cristina Pereira RabelloDécio Mion
Aug 29, 2007·Revista da Escola de Enfermagem da U S P·Edna Apparecida Moura ArcuriJair Lício Ferreira Santos
Jun 4, 2013·American Journal of Hypertension·Jean-Jacques MouradJean-Philippe Baguet
Feb 13, 2016·Revista brasileira de enfermagem·Regina Lúcia Dalla Torre SilvaSonia Silva Marcon

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