• 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, and Pere Toran-Monserrat.
• Centre d'Atenció Primària Badalona Centre-Dalt la Vila. Gerència Territorial Metropolitana Nord, Institut Català de la Salut, Barcelona, Spain.
• Bmc Fam Pract. 2021 Oct 8; 22 (1): 199.

BackgroundDetecting, 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.MethodsRandomized 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.DiscusionThe 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 RegistrationNCT04757909. Registered 17 February 2021. Retrospectively registered.© 2021. The Author(s).

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