Early detection of anaemia in primary care with haemoglobinometry: ANHEMOG clinical trial protocol

Boris Trenado Luengo, Rosa García-Sierra, Maria Asunción Wilke Trinxant, Esther Díaz Mondelo, Ramon Miralles Baseda, Maria Magdalena Lladó Blanch, Maria Del Pilar Montero Alia, Pere Toran-Monserrat, Boris Trenado Luengo, Rosa García-Sierra, Maria Asunción Wilke Trinxant, Esther Díaz Mondelo, Ramon Miralles Baseda, Maria Magdalena Lladó Blanch, Maria Del Pilar Montero Alia, Pere Toran-Monserrat

Abstract

Background: Detecting, treating and monitoring anaemia has a functional, social and economic impact on patients' quality of life and the health system, since inadequate monitoring can lead to more accident & emergency visits and hospitalizations. The aim of this study is to evaluate the impact in the patient clinical outcomes of using haemoglobinometry to early detect anaemia in patients with chronic anaemia in primary care.

Methods: Randomized controlled trial Capillary haemoglobin will be measured using a haemoglobinometer on a monthly basis in the intervention group. In the control group, the protocol currently in force at the primary care centre will be followed and venous haemoglobin will be measured. Any cases of anaemia detected in either group will be referred to the transfusion circuit of the reference hospital.

Discusion: The results will shed light on the impact of the intervention on the volume of hospitalizations and accident & emergency (A&E) visits due to anaemia, as well as patients' quality of life. Chronic and repeated bouts of anaemia are detected late, thus leading to decompensation in chronic diseases and, in turn, more A&E visits and hospitalizations. The intervention should improve these outcomes since treatment could be performed without delay. Improving response times would decrease decompensation in chronic diseases, as well as A&E visits and hospitalizations, and improve quality of life. The primary care nurse case manager will perform the intervention, which should improve existing fragmentation between different care levels.

Trial registration: NCT04757909. Registered 17 February 2021. Retrospectively registered.

Keywords: Advanced practice nursing; Anaemia; Haemoglobinometry; Non-invasive haemoglobin measurement; Nurse case manager; Primary health care; Red blood cell transfusion.

Conflict of interest statement

The authors declare no conflict of interest.

© 2021. The Author(s).

Figures

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Fig. 1
CONSORT Study Flow Chart

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