About this trial
The main goal of COCAP is to compare COHb (carboxyhemoglobin) levels measured from venous or arterial samples with those measured from capillary samples in patients suspected of Carbon Monoxide intoxication.Patient participation in the study will be limited to capillary sampling (approx. 5-15 minutes).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patient admitted to emergency department
Presenting one or more clinical signs (asthenia, headache, nausea, vomiting, loss of consciousness, etc.) and a history compatible with CO intoxication (collective symptoms, notion of smoke, activation of a detector, etc.).
Disqualifiers
Minors
Patients under protective supervision (safeguard of justice, curatorship, guardianship)
Incarcerated patients
Pregnant or breast-feeding women
Trial population
The study population will consist of patients admitted to adult emergency departments with suspected carbon monoxide intoxication.
Trial design
Case-only
Prospective
Treatments tested in this trial
Blood drop sampling
Diagnostic testThe process: blood drop sampling Technique: capillary sampling Frequency: Once Time: 5 minutes Sample collection volume: 1mL Total collection volume: 1 mL
Treatment groups
Trial outcomes
Primary outcomes
Determine the accuracy of capillary HbCO measurement (compared with venous or arterial HbCO) in patients with suspected CO poisoning.
The main goal will be determined by the mean bias and limits of agreement between capillary and venous (or arterial) sampling (Bland-Altman analysis).
Secondary outcomes
Determine the diagnostic performance of capillary measurement
Determine the sensitivity, specificity, ROC curve, area under the ROC curve, positive and negative predictive values and likelihood ratios (positive and negative) of capillary measurement for the diagnosis of CO intoxication. The linear correlation coefficient between venous (or arterial) HbCO and capillary HbCO will also be calculated.
Assess the technical difficulties of different blood sampling processes (Measurement of the number of attempts and failure rate for samples)
Assess the technical difficulties of different blood sampling processes (Measurement of the time required to take each sample)
Analyse the technical difficulties associated with the analysis of the two samples (Time between sampling and HbCO result)
Sponsors and contacts
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Nantes University Hospital
Lead sponsor
University Hospital, Angers
Collaborator