1
|
Wei WH, Smith M, Vera A, Meads K, Hessell J, Reid L, Scott L, Burge A, Kirwan S, Charlewood R, Sadani D, Walkden D, Chand A. Novel risk patterns of vasovagal reactions in NZ blood donations complicated by COVID-19 restrictions. Front Public Health 2023; 11:1180279. [PMID: 37304099 PMCID: PMC10248232 DOI: 10.3389/fpubh.2023.1180279] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2023] [Accepted: 05/12/2023] [Indexed: 06/13/2023] Open
Abstract
Introduction Vasovagal reactions (VVRs) are common but complex donor adverse reactions (DAEs) in blood donations. VVRs have been extensively studied with a multitude of risk factors identified including young age, female gender and first-time donor status. How they may interplay remains obscure. Methods A total of 1,984,116 blood donations and 27,952 immediate VVRs (iVVRs) and 1,365 delayed VVRs (dVVRs) reported between 2011 and 2021 in NZ were used in multivariate logistic regression analyses each concerning donations with iVVRs as cases and those free of DAEs as controls. For each analysis stepwise selection was used to identify the best model and risk factors carrying significant main effects and/or interactions. Identified interactions informed further in-depth regression analyses to dissect iVVR risk patterns. Results Over 95% of VVRs were iVVRs that had lower female preponderance and deferrals than dVVRs. iVVRs had a school seasonal pattern in whole blood donations driven by first-time donors from schools/colleges, and interactions between gender and age group differentiating the first-time from repeat donations. Subsequent regression analyses identified the known and novel risk factors of year and mobile collection sites and their interactions. iVVR rates were roundly elevated in 2020 and 2021 probably because of COVID-19 restrictions like facemask wearing. Exclusion of the 2020 and 2021 data removed the interactions with year, but confirmed interactions of gender with mobile collection sites (p = 6.2e-07) in first-time donations only and with age group in repeat donations only (p < 2.2e-16), together indicating young female donors at the highest risk of iVVRs. Our results also revealed that donation policy changes contributed to the year effects; donors had a lower iVVR risk at mobile sites than well-medicalized donation centers probably because of under-reporting. Conclusion Modeling statistical interactions is valuable in identifying odds and revealing novel iVVR risk patterns and insights into blood donations.
Collapse
Affiliation(s)
- Wen-Hua Wei
- New Zealand Blood Service, Auckland, New Zealand
- Centre for Biostatistics, Division of Population Health, Health Services Research and Primary Care, The University of Manchester, Manchester, United Kingdom
| | | | - Amber Vera
- New Zealand Blood Service, Auckland, New Zealand
| | - Kelly Meads
- New Zealand Blood Service, Auckland, New Zealand
| | | | - Laura Reid
- New Zealand Blood Service, Auckland, New Zealand
| | - Lisa Scott
- New Zealand Blood Service, Auckland, New Zealand
| | - Asuka Burge
- New Zealand Blood Service, Auckland, New Zealand
| | - Susy Kirwan
- New Zealand Blood Service, Auckland, New Zealand
| | | | | | | | - Anup Chand
- New Zealand Blood Service, Auckland, New Zealand
| |
Collapse
|
2
|
Brunson DC, Belanger GA, Sussmann H, Fine AM, Pandey S, Pham TD. Factors associated with first-time and repeat blood donation: Adverse reactions and effects on donor behavior. Transfusion 2022; 62:1269-1279. [PMID: 35510783 DOI: 10.1111/trf.16893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 04/04/2022] [Accepted: 04/04/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND Blood centers have a dual mission to protect donors and patients; donor safety is paramount to maintaining an adequate blood supply. Elucidating donor factors associated with adverse reactions (AR) is critical to this mission. STUDY DESIGN/METHODS A retrospective cohort analysis of whole blood donors from 2003 to 2020 was conducted at a single blood center in northern California. Adjusted odds ratios (AORs) with 95% CIs for ARs were estimated via multivariable logistic regression on demographics, donation history, and physical examination data. Where appropriate, Wilcoxon-Rank Sum and chi-squared tests were used to determine significance. RESULTS First-time blood donors (FTD) exhibited a higher AR rate than repeat donors (4.4% vs. 1.9% p < .0001). When compared with FTDs without AR, FTDs with ARs (FT-AR) were less likely to return (30.0% vs. 47.3%, p < .0001), and, of those who returned, had a higher rate of reaction 20.2% versus 2.8% (p < .001). Factors found to be associated with FT-AR (younger age, increased heart rate, and higher diastolic blood pressure) still correlated positively with AR on return donation, but to a lower degree. FTD who potentially witnessed an AR had a lower return rate (44.6% vs. 47.3%, p = <.001) and donated fewer units (2.38 vs. 3.37, p < .001) when compared to FTD who did not witness an AR. CONCLUSION The AR on FTD increases the AR likelihood of return donation. Longitudinal analysis shows that a time-based deferral policy targeted at FT-AR young donors can reduce the number of ARs while not dramatically impacting the blood supply.
Collapse
Affiliation(s)
- Dalton C Brunson
- Stanford School of Medicine, Stanford University School of Medicine, Stanford, California, USA
| | | | | | - Andrew M Fine
- Division of Emergency Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Suchitra Pandey
- Stanford Blood Center, Palo Alto, California, USA.,Department of Pathology, Stanford University School of Medicine, Stanford, California, USA
| | - Tho D Pham
- Stanford Blood Center, Palo Alto, California, USA.,Department of Pathology, Stanford University School of Medicine, Stanford, California, USA
| |
Collapse
|
3
|
Rossmann SN, Hartwell BA. Would you like another pretzel? Water? We make progress in donor reactions. Transfusion 2021; 61:1665-1668. [PMID: 34142728 DOI: 10.1111/trf.16442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Accepted: 05/03/2021] [Indexed: 11/30/2022]
Affiliation(s)
| | - Beth A Hartwell
- Gulf Coast Regional Blood Center, Houston, Texas, United States.,Department of Pathology & Immunology, Baylor College of Medicine, Houston, Texas, United States
| |
Collapse
|
4
|
Goldman M, Uzicanin S, Marquis-Boyle L, O'Brien SF. Implementation of measures to reduce vasovagal reactions: Donor participation and results. Transfusion 2021; 61:1764-1771. [PMID: 33880796 DOI: 10.1111/trf.16375] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 02/26/2021] [Accepted: 02/26/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND There are several strategies to reduce donor reactions. We report donor participation and reaction rates before and after implementing multiple measures at Canadian Blood Services. STUDY DESIGN AND METHODS We introduced a structured program of 500 mL of water and a salty snack pre-donation and applied muscle tension (AMT) during donation. Donors were not deferred for out of range blood pressure (BP); however, BP was measured in first time donors. Time on the donation chair post-donation was decreased from 5 to 2 min for repeat donors. We assessed participation rates using our quarterly survey of 10,000 recent donors. We extracted vasovagal reactions with loss of consciousness (LOC) from our operational database and compared pre-implementation (Oct 12,018-March 31,2019) and post-implementation (Oct 12,019-March 31,2020) periods. RESULTS Survey response rates varied from 11% to 16%. The percentage of donors who drank the water and ate the salty snack increased from 58% to 82% and 44% to 70% over 4 quarters; those performing AMT increased from 24% to 41%. Reactions decreased from 19.07 per 10,000 (744 reactions in 390,123 donations) to 14.04 per 10,000 (537 in 382,382 donations) (p < .0001). No first-time donors with high BP (n = 684) but 5 with low BP (n = 718) had reactions, CI were very large. CONCLUSIONS Achieving optimal participation was challenging. After implementation of a donor wellness initiative based on best practice, rates of vasovagal reactions with LOC decreased by 25%. A larger dataset is necessary to assess the safety contribution of BP deferrals when other mitigation measures are in place.
Collapse
Affiliation(s)
- Mindy Goldman
- Medical Affairs and Innovation, Canadian Blood Services, Ottawa, Ontario, Canada.,Department of Pathology and Laboratory Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Samra Uzicanin
- Medical Affairs and Innovation, Canadian Blood Services, Ottawa, Ontario, Canada
| | - Lynne Marquis-Boyle
- Supply Chain Process Management, Canadian Blood Services, Saint John, New Brunswick, Canada
| | - Sheila F O'Brien
- Medical Affairs and Innovation, Canadian Blood Services, Ottawa, Ontario, Canada.,School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada
| |
Collapse
|
5
|
Goldman M, Townsend M, Magnussen K, Lozano M, Nissen-Meyer LS, Lee CK, Leung JNS, Takanashi M, McKay J, Kvist M, Robitaille N, Deschênes J, Di Angelantonio E, McMahon A, Roberts D, Maghsudlu M, Castrén J, Tiberghien P, Woimant G, Morel P, Kamel H, Bravo M, Shinhar E, Gendelman V, Raz H, Wendel S, Fachini R, Quee F, van den Hurk K, Wiersum J, Grima K, Speedy J, Bruun M, Dunbar N. Vox Sanguinis International Forum on Mitigation Strategies to Prevent Faint and Pre-faint Adverse Reactions in Whole Blood Donors: Summary. Vox Sang 2020; 116:351-359. [PMID: 33245787 DOI: 10.1111/vox.13037] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Accepted: 11/01/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Mindy Goldman
- Donor and Clinical Services, Canadian Blood Services, Ottawa, ON, Canada
| | | | - Karin Magnussen
- Immunology & Transfusion Medicine, Innlandet Hospital Trust, Lillehammer, Norway
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Nancy Dunbar
- Blood Bank, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA
| |
Collapse
|
6
|
Storch EK. Donor hemovigilance: a call to arms. Transfusion 2020; 60:1115-1117. [DOI: 10.1111/trf.15854] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 04/29/2020] [Indexed: 01/26/2023]
Affiliation(s)
- Emily K. Storch
- Division of Blood Components and DevicesOffice of Blood Research and Review, Center for Biologics Evaluation and Research, Food and Drug Administration Silver Spring Maryland
| |
Collapse
|
7
|
Acute Respiratory Distress Syndrome in Cancer Patients. ONCOLOGIC CRITICAL CARE 2020. [PMCID: PMC7123590 DOI: 10.1007/978-3-319-74588-6_48] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Acute respiratory distress syndrome (ARDS) is a heterogeneous form of acute, diffuse lung injury that is characterized by dysregulated inflammation, increased alveolar-capillary interface permeability, and non-cardiogenic pulmonary edema. In the general population, the incidence and mortality associated with ARDS over the last two decades have steadily declined in parallel with optimized approaches to pneumonia and other underlying causes of ARDS as well as increased utilization of multimodal treatment strategies that include lung-protective ventilation. In the cancer settings, significant declines in the incidence and mortality of ARDS over the past two decades have also been reported, although these rates remain significantly higher than those in the general population. Epidemiologic studies identify infection, including disseminated fungal pneumonias, as a major underlying cause of ARDS in the cancer setting. More than half of cancer patients who develop ARDS will not survive to hospital discharge. Those who do survive often face a protracted and often incomplete recovery, resulting in significant long-term physical, psychological, and cognitive sequelae. The residual organ dysfunction and poor functional status after ARDS may delay or preclude subsequent cancer treatments. As such, close collaboration between the critical care physicians and oncology team is essential in identifying and reversing the underlying causes and optimizing treatments for cancer patients with ARDS. This chapter reviews the diagnosis and common causes of ARDS in cancer and gives an update on the general management principles for cancer patients with ARDS in the ICU.
Collapse
|
8
|
Hashizume T, Ishimaru F, Kondo G, Namba N, Miura Y, Aota S, Nishitani Y, Kunii N, Misawa H, Shibata R, Sawamura Y, Matsuzaki K, Nakajima K, Kato T. Comfortable environment for blood donation lowers the rate of vasovagal reactions. ACTA ACUST UNITED AC 2019. [DOI: 10.1111/voxs.12540] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Tatsuma Hashizume
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| | - Fumihiko Ishimaru
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| | - Gaku Kondo
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| | - Noriko Namba
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| | - Yoshiko Miura
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| | - Seiko Aota
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| | - Yumiko Nishitani
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| | - Noriko Kunii
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| | - Hiromi Misawa
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| | - Reiko Shibata
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| | - Yoshihiro Sawamura
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| | - Koji Matsuzaki
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| | - Kazunori Nakajima
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| | - Tsuneo Kato
- Japanese Red Cross Tokyo Metropolitan Blood Center Shinjuku‐Ku Tokyo Japan
| |
Collapse
|
9
|
Sachdev S, Singh L, Sharma RR, Marwaha N. A Study on the Effect of Pre-donation Salt Loading on Vasovagal Reactions in Young College Going Whole Blood Donors. Indian J Hematol Blood Transfus 2017; 33:592-597. [PMID: 29075075 DOI: 10.1007/s12288-017-0787-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2016] [Accepted: 01/25/2017] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION The pathophysiology of vasovagal reactions (VVRs) involves both psychological and physiological components. Strategies which could allay physiological changes include interventions like pre-donation water intake and applied muscle tension have been published, however salt loading has not been tested. MATERIALS AND METHODS Cross sectional study enrolling 1000 young college going whole blood donors with intervention 250 ml of salted loaded water or plain water as placebo. The immediate VVRs were recorded with respect to age, gender, donation status, blood volume, blood volume drawn and BMI. RESULTS VVRs occurred in 25 out of 1000 (2.5%) young college going whole blood donors. Overall there were 18 VVRs in 526 (3.4%) donors in the placebo arm compared to 7 in 474 (1.5%) in salt loaded arm with odds of 2.36 (p = 0.049), however the difference in means of VVRs between the study arms could not achieve statistical significance on binary logistic regression. The independent risk factors including age, gender, blood volume, blood volume withdrawn and BMI or the donation status were not found to be effect modifiers on the occurrence of VVRs. CONCLUSION Salt loading before blood donation in young college going whole blood donors does decrease the VVRs in the immediate post donation period; however the decrease was limited to a trend and could not attain statistical significance.
Collapse
Affiliation(s)
- Suchet Sachdev
- Department of Transfusion Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Lakhvinder Singh
- Department of Transfusion Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Ratti Ram Sharma
- Department of Transfusion Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Neelam Marwaha
- Department of Transfusion Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| |
Collapse
|
10
|
France CR, France JL. Fear of donation-related stimuli is reported across different levels of donation experience. Transfusion 2017; 58:113-120. [DOI: 10.1111/trf.14382] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2017] [Revised: 09/14/2017] [Accepted: 09/14/2017] [Indexed: 11/26/2022]
|
11
|
Michelet D, Julien-Marsollier F, Hilly J, Diallo T, Vidal C, Dahmani S. Predictive factors of intraoperative cell salvage during pediatric scoliosis surgery. Cell saver during scoliosis surgery in children. Anaesth Crit Care Pain Med 2017; 37:141-146. [PMID: 28546128 DOI: 10.1016/j.accpm.2017.03.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2016] [Accepted: 03/17/2017] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Blood-saving strategy during spinal surgery in children often includes recombinant erythropoietin (rEPO) and antifibrinolytic therapapy (AFT). The aim of this study was to investigate the efficacy of intraoperative blood salvage in decreasing homologous blood transfusion. MATERIAL AND METHODS Using the prospective data from patients operated during a one year period for scoliosis correction, we calculate the predictable hematocrit at day postoperative 1 without the use of blood salvage and compare it to the target hematocrit transfusion according to patient's status. Predictors analyzed were: age, weight, surgical indication, Cobb's angle, ASA status, preoperative hemoglobin, number of level fused, sacral fusion and thoracoplasty. Statistical analyses were performed using a classification tree analysis. RESULTS This study included 147 patients. Blood salvage was estimated avoiding homologous blood transfusion in 17 patients. Predictors of the efficacy of blood salvage were: neuromuscular indications, number of level fused and BMI. Blood salvage was found totally ineffective in: patients with no neuromuscular diseases with either: surgeries interesting<13 levels fused or surgeries interesting>13 levels with a preoperative BMI ≥ 21. In all other cases, blood salvage can decrease homologous transfusion. The model exhibited 97% of accurate for the prediction if the inefficacy of blood salvage. The AUCROC of the model was 0.93 [95% confidence interval 0.9 to 0.99] and the overall validation was 60.1% of explained variability. CONCLUSION The present study indicates that blood salvage is ineffective under certain circumstances. More studies are mandatory to confirm these results.
Collapse
Affiliation(s)
- Daphné Michelet
- Department of anaesthesia and Intensive care, Robert-Debré University Hospital, 75019 Paris, France; Paris Diderot University (Paris VII), PRES Paris Sorbonne Cité, 75019 Paris, France; DHU PROTECT, Inserm U1141, Robert-Debré University Hospital, 75019 Paris, France
| | - Florence Julien-Marsollier
- Department of anaesthesia and Intensive care, Robert-Debré University Hospital, 75019 Paris, France; Paris Diderot University (Paris VII), PRES Paris Sorbonne Cité, 75019 Paris, France; DHU PROTECT, Inserm U1141, Robert-Debré University Hospital, 75019 Paris, France
| | - Julie Hilly
- Department of anaesthesia and Intensive care, Robert-Debré University Hospital, 75019 Paris, France; Paris Diderot University (Paris VII), PRES Paris Sorbonne Cité, 75019 Paris, France; DHU PROTECT, Inserm U1141, Robert-Debré University Hospital, 75019 Paris, France
| | - Thierno Diallo
- Department of anaesthesia and Intensive care, Robert-Debré University Hospital, 75019 Paris, France; Paris Diderot University (Paris VII), PRES Paris Sorbonne Cité, 75019 Paris, France; DHU PROTECT, Inserm U1141, Robert-Debré University Hospital, 75019 Paris, France
| | - Christophe Vidal
- Department of pediatric orthopedic surgery, Robert-Debré University Hospital, 75000 Paris, France; Paris Diderot University (Paris VII), PRES Paris Sorbonne Cité, 75019 Paris, France; DHU PROTECT, Inserm U1141, Robert-Debré University Hospital, 75019 Paris, France
| | - Souhayl Dahmani
- Department of anaesthesia and Intensive care, Robert-Debré University Hospital, 75019 Paris, France; Paris Diderot University (Paris VII), PRES Paris Sorbonne Cité, 75019 Paris, France; DHU PROTECT, Inserm U1141, Robert-Debré University Hospital, 75019 Paris, France.
| |
Collapse
|
12
|
Gao Z, Zhang Y, Shan H, Shi L, Liu J, Xu M, Zeng P, Liu Y, He M. A 30-year systematic review and meta-analysis of hepatitis B virus among blood donors in mainland China: revealing increase of new threats. Transfusion 2017; 57:1988-1997. [PMID: 28543021 DOI: 10.1111/trf.14162] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2017] [Revised: 04/05/2017] [Accepted: 04/06/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND Although screening strategies have been routinely implemented in blood centers, the residual risk of transfusion-transmitted hepatitis B virus (HBV) still poses a public health concern in China. The aim of this study is to investigate the HBV blood screening reactive rate and to illustrate the demographics of the corresponding blood donors with revealing of heterogeneity between previous studies and discovering potentially negligent threats. STUDY DESIGN AND METHODS Literature reporting the HBV screening reactive rate in Chinese blood donors was identified by systematic searching of four electronic databases. We followed the Preferred Reporting of Items for Systematic Reviews and Meta-Analyses guidelines, and data manipulation and statistical analyses were performed by Stata 12.0. RESULTS Our results showed that the pooled postdonation screening reactive rate was 1.32% (95% confidence interval [CI], 1.28%-1.36%) with a significant variation from 3.93% (95% CI, 3.45%-4.40%) before 1998 to 1.22% (95% CI, 1.18%-1.27%) after 1998 when the Blood Donation Law was implemented. Importantly, the HBV screening reactive rates were significantly higher among replacement and planned donors than among individual voluntary donors. CONCLUSION Our results indicated blood centers in China should recruit more individual and group voluntary donors and convert more eligible first-time donors into repeat donors to reduce the risk of transfusion-transmitted HBV.
Collapse
Affiliation(s)
- Zhan Gao
- Institute of Blood Transfusion, Peking Union Medical College, Chinese Academy of Medical Sciences, Chengdu, China
| | - Yu Zhang
- Institute of Blood Transfusion, Peking Union Medical College, Chinese Academy of Medical Sciences, Chengdu, China
| | - Hua Shan
- Stanford University Medical Center, Stanford, California
| | - Ling Shi
- University of Massachusetts, Boston, Massachusetts
| | - Jing Liu
- Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Min Xu
- Institute of Blood Transfusion, Peking Union Medical College, Chinese Academy of Medical Sciences, Chengdu, China
| | - Peibin Zeng
- Institute of Blood Transfusion, Peking Union Medical College, Chinese Academy of Medical Sciences, Chengdu, China
| | - Yu Liu
- Institute of Blood Transfusion, Peking Union Medical College, Chinese Academy of Medical Sciences, Chengdu, China
| | - Miao He
- Institute of Blood Transfusion, Peking Union Medical College, Chinese Academy of Medical Sciences, Chengdu, China
| |
Collapse
|
13
|
Morand C, Coudurier N, Rolland C, Thoret S, Legrand D, Tiberghien P, Bosson JL. Prevention of syncopal-type reactions after whole blood donation: a cluster-randomized trial assessing hydration and muscle tension exercise. Transfusion 2016; 56:2412-2421. [DOI: 10.1111/trf.13716] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2016] [Revised: 05/26/2016] [Accepted: 05/26/2016] [Indexed: 11/28/2022]
Affiliation(s)
| | | | | | - Sophie Thoret
- TIMC-IMAG Université Grenoble Alpes
- INSERM CIC-1406; Grenoble France
| | | | - Pierre Tiberghien
- UMR1098, INSERM, Etablissement Français du Sang, University of Franche-Comté; Besançon France
| | - Jean-Luc Bosson
- TIMC-IMAG Université Grenoble Alpes
- INSERM CIC-1406; Grenoble France
| |
Collapse
|
14
|
How Can We Improve Retention of the First-Time Donor? A Systematic Review of the Current Evidence. Transfus Med Rev 2016; 30:81-91. [PMID: 26971186 DOI: 10.1016/j.tmrv.2016.02.002] [Citation(s) in RCA: 52] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2015] [Accepted: 02/15/2016] [Indexed: 11/22/2022]
Abstract
Blood products are critical to health systems and donations by voluntary nonremunerated donors are recommended. Worldwide, however, only around 5% of those eligible to donate do so and around half of those never return to donate again. This review focuses on what deters first-time donors, what predicts their retention, and what interventions may promote retention of this group. A comprehensive search of relevant databases identified 9 studies investigating motives and deterrents of first-time donors, 14 studies investigating predictors for first-time donors (13 whole blood [WB] and 2 plasmapheresis), and 15 studies (in 14 published articles) detailing interventions conducted on first-time donors. Drawing on an established blood donation taxonomy, studies were classified by 2 independent raters. Interventions were also classified into traditional, behavioral, or social science interventions. With only 2 eligible studies among first-time plasmapheresis donors, analyses focused on WB donors. First-time WB donors reported benevolent and collectivistic motivations, as well as personal benefits to commence WB donation. Self-reported deterrents have typically not been examined. Intention predicted first-time donor retention with intention determined by attitudes and a sense of (perceived behavioral) control. However, anxiety, adverse events, and deferrals all deterred retention. Traditional interventions, such as reminders and incentives, are widespread yet had only a small effect on return of first-time donors. Although behavioral science interventions such as fluid loading are effective, the strongest effect for the return of first-time donors was found when individual psychological support was provided. The purpose of this analysis was to identify the factors associated with the commencement and continuation of first WB donations. The current review revealed that self-reported motivators are typically not effective, and most successful predictive factors identified have not been translated into interventions. Future work would do well to identify, manage, and meet donors' expectations along with developing more individualized donation experiences. Blood donor research should delineate donor career stages; addressing first-time donor retention will support stable panels for blood collection agencies.
Collapse
|
15
|
Dupuis C, Michelet D, Hilly J, Diallo T, Vidal C, Delivet H, Nivoche Y, Mazda K, Dahmani S. Predictive factors for homologous transfusion during paediatric scoliosis surgery. Anaesth Crit Care Pain Med 2015; 34:327-32. [DOI: 10.1016/j.accpm.2015.04.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2014] [Accepted: 04/10/2015] [Indexed: 02/02/2023]
|
16
|
Goldman M, Land K, Robillard P, Wiersum-Osselton J. Development of standard definitions for surveillance of complications related to blood donation. Vox Sang 2015; 110:185-8. [PMID: 26361365 DOI: 10.1111/vox.12323] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Revised: 07/20/2015] [Accepted: 07/21/2015] [Indexed: 11/28/2022]
Abstract
Standard definitions of donor reactions allow each blood establishment to monitor donor adverse events and compare with other organizations to develop best practices. The ISBT Haemovigilance Working Party leads a multi-organizational effort to update the 2008 ISBT standard for surveillance of complications related to blood donation. Revised definitions have been developed and endorsed by the ISBT, AABB, International Haemovigilance Network (IHN) and other international organizations.
Collapse
Affiliation(s)
- M Goldman
- Canadian Blood Services, Ottawa, ON, Canada
| | - K Land
- Blood Systems Inc., Scottsdale, AZ, USA
| | | | | |
Collapse
|
17
|
Folléa G, Aranko K. The revision of the European blood directives: A major challenge for transfusion medicine. Transfus Clin Biol 2015; 22:141-7. [DOI: 10.1016/j.tracli.2015.05.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2015] [Indexed: 12/01/2022]
|
18
|
Ngoma AM, Goto A, Nollet KE, Sawamura Y, Ohto H, Yasumura S. Blood Donor Deferral among Students in Northern Japan: Challenges Ahead. Transfus Med Hemother 2014; 41:251-6. [PMID: 25254020 PMCID: PMC4164101 DOI: 10.1159/000365406] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2013] [Accepted: 04/29/2014] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND As Japan's aging society needs more blood, young students comprise a progressively smaller portion of the donor pool. To ensure a safe and sustainable blood supply, it is crucial to select suitable donors. This study aims to evaluate donor deferral rates, causes of deferral, and characteristics of deferred Japanese students. METHODS Computerized records of blood centers in northern Japan (Miyagi and Fukushima Prefectures) from March 2010 through March 2011 were retrospectively analyzed. RESULTS Among 231,361 individuals visiting during the 12-month period, 24,778 were students. Of these, 19,193 (77%) attempted donation, and 5,585 (23%) were deferred. Low hemoglobin, questionnaire-based interview decisions, and medication were the main reasons for temporary deferral. Age, sex, and blood center location were associated with low hemoglobin; donation history and blood center location were associated with medication-based deferral. The odds ratio among female students deferred for low hemoglobin was 35.48 with a 95% CI of 27.74-45.38. CONCLUSIONS These results suggest that continued efforts are needed to motivate deferred potential donors to return, to prevent low hemoglobin especially among females, and to review medical interview decisions, while paying close attention to regional differences.
Collapse
Affiliation(s)
| | - Aya Goto
- Department of Public Health, Fukushima, Japan
| | - Kenneth E. Nollet
- Department of Blood Transfusion and Transplantation Immunology, Fukushima, Japan
- Department of International Cooperation, Radiation Medical Science Center, Fukushima Medical University School of Medicine, Fukushima, Japan
| | - Yoshihiro Sawamura
- Department of Blood Transfusion and Transplantation Immunology, Fukushima, Japan
- Japanese Red Cross, Miyagi Blood Center, Sendai, Japan
| | - Hitoshi Ohto
- Department of Blood Transfusion and Transplantation Immunology, Fukushima, Japan
| | | |
Collapse
|
19
|
Pauwels NS, Cusack L, De Buck E, Compernolle V, Vandekerckhove P. The effect of pre-donation hypotension on whole blood donor adverse reactions: a systematic review. ACTA ACUST UNITED AC 2014; 8:429-36. [DOI: 10.1016/j.jash.2014.03.332] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2014] [Revised: 03/31/2014] [Accepted: 03/31/2014] [Indexed: 10/25/2022]
|
20
|
Rose JP, Geers AL, France JL, France CR. Norm perception and communication for vasovagal symptoms in blood donation. Transfusion 2014; 54:2258-66. [PMID: 24654738 DOI: 10.1111/trf.12625] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2013] [Revised: 01/23/2014] [Accepted: 01/23/2014] [Indexed: 11/29/2022]
Abstract
BACKGROUND Blood is a valuable resource, but most people do not donate. One deterrent to blood donation is the anticipation of vasovagal symptoms (e.g., dizziness, nausea, and fainting), despite the fact that such symptoms typically affect a small proportion of donors. The current research examined norm perceptions regarding vasovagal symptom experiences and used a message-framing paradigm to communicate accurate norm information and increase future donation intentions. STUDY DESIGN AND METHODS Three studies were conducted using young adult samples. In Study 1, donors and nondonors estimated the percentage of people who experience vasovagal symptoms. In Studies 2 and 3, nondonors and donors (respectively) were provided with accurate, positively framed, or negatively framed norm messages and indicated their intentions to donate. RESULTS In Study 1 we found that participants vastly overestimated how normative it was to experience vasovagal symptoms and this overestimation was stronger among nondonors. In Studies 2 and 3, we showed that positively framed normative messages ("90% of donors do not experience vasovagal symptoms") were generally more influential than negatively framed messages ("10% of donors do experience vasovagal symptoms"), except among past donors who had unfavorable donation experiences. CONCLUSION These findings suggest that targeting and correcting norm perception may be a critical step toward improving blood donation rates.
Collapse
|
21
|
Wong H, Lee C, Leung J, Lee I, Lin C. Reduction in vasovagal reaction rate in young first-time blood donors by collecting 350 mL rather than 450 mL. Transfusion 2013; 53:2763-5. [DOI: 10.1111/trf.12134] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2012] [Revised: 12/20/2012] [Accepted: 12/20/2012] [Indexed: 11/29/2022]
Affiliation(s)
- H.K. Wong
- Hong Kong Red Cross Blood Transfusion Service; Hong Kong SAR China
| | - C.K. Lee
- Hong Kong Red Cross Blood Transfusion Service; Hong Kong SAR China
| | - J.N. Leung
- Hong Kong Red Cross Blood Transfusion Service; Hong Kong SAR China
| | - I.Y. Lee
- Hong Kong Red Cross Blood Transfusion Service; Hong Kong SAR China
| | - C.K. Lin
- Hong Kong Red Cross Blood Transfusion Service; Hong Kong SAR China
| |
Collapse
|
22
|
|
23
|
Eder AF, Notari EP, Dodd RY. Do reactions after whole blood donation predict syncope on return donation? Transfusion 2012; 52:2570-6. [DOI: 10.1111/j.1537-2995.2012.03666.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|