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

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

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 impa...

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Bibliographic Details
Published in:BMC family practice Vol. 22; no. 1; pp. 1 - 199
Main Authors: Luengo, Boris Trenado, García-Sierra, Rosa, Trinxant, Maria Asunción Wilke, Mondelo, Esther Díaz, Baseda, Ramon Miralles, Blanch, Maria Magdalena Lladó, del Pilar Montero Alia, Maria, Toran-Monserrat, Pere
Format: Journal Article
Language:English
Published: London BioMed Central Ltd 08-10-2021
BioMed Central
BMC
Subjects:
Advanced practice nursing
Anaemia
Anemia
Blood & organ donations
Blood transfusions
Cardiovascular disease
Chronic illnesses
Chronic obstructive pulmonary disease
Clinical trials
Diagnosis
Haemoglobinometry
Hemoglobin
Hospitalization
Hospitals
Hypotheses
Intensive care
Intervention
Medical diagnosis
Mortality
Non-invasive haemoglobin measurement
Nurse case manager
Patients
Phlebotomy
Primary care
Quality of life
Questionnaires
Red blood cell transfusion
Study Protocol
Spain
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Summary: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: Anaemia, Red blood cell transfusion, Advanced practice nursing, Nurse case manager, Haemoglobinometry, Non-invasive haemoglobin measurement, Primary health care
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ISSN:1471-2296
1471-2296
DOI:10.1186/s12875-021-01548-z