2021 · Annals of clinical biochemistry · open access
The use of whole blood capillary samples to measure 15 analytes for a home-collect biochemistry service during the SARS-CoV-2 pandemic: A proposed model from North West London Pathology
Ansari et al.
The finding, in our words
Capillary whole blood samples yielded comparable results to venous plasma for HbA1c, lipid profile and liver function tests after three days at ambient temperature, and a pilot home-collection kit was found to have good patient usability. This model could enable decentralised monitoring of chronic disease patients during virtual clinics, mitigating infection risk.
A paraphrase to the Library’s standard, never the abstract. The source is one link away and is always the authority.
In a cohort of 62 participants evaluating home self-collection with the TassoPlus device, 38 returned samples, with 29% excluded due to insufficient plasma volume below 200 ΔL. Although viral load measurements in adequate samples correlated well with conventional testing (r = 0.800), the high failure rate and missed detection in low-volume viremic samples indicate that further technical refinements are necessary before clinical adoption.
This meta-analysis found strong agreement between self-collected capillary blood and venous samples for laboratory results. Capillary sampling was associated with significantly lower pain scores than venipuncture, particularly when using upper arm devices rather than fingerprick methods.
Capillary finger prick sampling at home showed close agreement with venous sampling for measuring infliximab, vedolizumab and CRP, with no systematic bias and high patient tolerability and practicality, supporting decentralised monitoring of biologic therapy in IBD.
This review of remote HbA1c testing via capillary blood microsampling finds that both dried and liquid formats can produce results comparable to venous sampling when collection, stability and extraction are properly validated. It matters because self-collected microsamples could enable decentralised diabetes monitoring and telemedicine, but heterogeneity in study designs and methods must be resolved before reliable implementation.
In 30 adult solid organ transplant recipients, capillary blood self-collected using the Tasso+ device showed 91% concordance with venous samples for detecting CMV DNAemia above the limit of detection, with excellent quantitative correlation (Spearman R² = 0.99). Most participants preferred self-collection over venipuncture, suggesting the device could enable decentralised viral monitoring, though sensitivity was lower (95% at 308 IU/mL).