1
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Thijsen A, Gemelli CN, Davison TE, Masser B. A randomized controlled trial of post-donation communication materials to increase donor return following a vasovagal reaction. Transfusion 2023; 63:1701-1709. [PMID: 37493388 DOI: 10.1111/trf.17494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 06/29/2023] [Accepted: 06/29/2023] [Indexed: 07/27/2023]
Abstract
BACKGROUND Vasovagal reactions (VVRs) are one of the primary reasons for people to stop donating blood. The aim of this study was to evaluate the impact of newly developed online communications on the rate of return of whole-blood (WB) and plasma donors who experienced a VVR. STUDY DESIGN AND METHODS First-time and experienced WB and plasma donors who had a VVR without a loss of consciousness in the previous 3 days were randomly allocated to receive (a) an SMS sent 1-4 days post-VVR (n = 2303), (b) an email sent 6-10 days post-VVR (n = 2360), (c) both the SMS and the email (n = 2248), or (d) business-as-usual donor retention communications (control; n = 2557). Donation data were extracted to determine subsequent donation attempts. RESULTS For return within 3 months, WB donors in the Email Only condition had significantly increased odds of returning (OR: 1.26, 95%CI: 1.01-1.56). Subgroup analysis within WB donors showed increased odds of return for women sent the SMS and Email (OR: 1.50, 95%CI: 1.14-1.96) or the Email Only (OR: 1.44, 95%CI: 1.10-1.89), and for first-time donors sent the Email Only (OR: 1.48, 95%CI: 1.07-2.05). At 6 months, only first-time WB donors in the Email Only condition had significantly increased odds of returning (OR: 1.30, 95%CI: 1.01-1.69). No significant effects of the intervention were found for immediate or intermediate return for plasma donors. DISCUSSION Sending an email addressing common donor concerns regarding VVRs increases WB donor retention, but additional strategies are needed for the effects to last and to retain plasma donors.
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Affiliation(s)
- Amanda Thijsen
- Clinical Services and Research, Australian Red Cross Lifeblood, Sydney, New South Wales, Australia
| | - Carley N Gemelli
- Clinical Services and Research, Australian Red Cross Lifeblood, Melbourne, Victoria, Australia
| | - Tanya E Davison
- Monash Art, Design and Architecture, Monash University, Melbourne, Victoria, Australia
- Research & Innovation, Silverchain, Melbourne, Victoria, Australia
| | - Barbara Masser
- School of Psychology, The University of Queensland, Brisbane, Queensland, Australia
- Clinical Services and Research, Australian Red Cross Lifeblood, Brisbane, Queensland, Australia
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2
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Ke S, Xu P, Xiong J, Xu L, Ma M, Du X, Yang R. Long-term poor sleep quality is associated with adverse donor reactions in college students in Central China: A population-based cross-sectional study. Vox Sang 2023. [PMID: 37191246 DOI: 10.1111/vox.13438] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2022] [Revised: 04/14/2023] [Accepted: 04/21/2023] [Indexed: 05/17/2023]
Abstract
BACKGROUND AND OBJECTIVES Adverse donor reaction (ADR) could adversely impact the recruitment and retention of blood donors, but the evidence of effect of sleep quality on ADR is limited and controversial. The goal of this study was to explore the association between the sleep quality and ADR among college students in Wuhan. MATERIALS AND METHODS The college student blood donors in Wuhan from March to May 2022 were recruited. Self-compiled general information questionnaire and Pittsburgh sleep quality index (PSQI) were investigated by convenience sampling. Univariable and multivariable logistic regression analyses were used to estimate the association. RESULTS Among 1014 participants included in this study, 63 were in the ADR group and 951 were in the non-ADR group. Compared with the non-ADR group, the PSQI scores of ADR group were higher (3.44 ± 1.81 vs. 2.78 ± 1.82, p < 0.01). The results of multivariable logistic regression analysis showed that after adjusting gender, body mass index, blood donation history and other potential confounding factors, higher PSQI scores were related to the occurrence of ADRs (odds ratio = 1.231, 95% confidence interval 1.075-1.405), that is, the worse the sleep quality, the more likely the ADRs will occur. CONCLUSION The long-term poor sleep quality of college students is a risk factor for the occurrence of ADRs. It should be identified early before blood donation to reduce the incidence of ADRs and improve the safety and satisfaction of donors.
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Affiliation(s)
| | - Pu Xu
- Department of Blood Transfusion, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
| | | | - Lijia Xu
- Wuhan Blood Center, Wuhan, Hubei, China
| | - Mengdi Ma
- Wuhan Blood Center, Wuhan, Hubei, China
| | - Xiaoan Du
- Wuhan Blood Center, Wuhan, Hubei, China
| | - Ru Yang
- Wuhan Blood Center, Wuhan, Hubei, China
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3
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Lasky B, Singh U, Young PP. Young apheresis platelet donors show significant and sustained growth over the last decade in the US, 2010-2019: A favorable sign of the resiliency of the platelet supply. Transfusion 2023. [PMID: 37191295 DOI: 10.1111/trf.17400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 04/26/2023] [Accepted: 04/26/2023] [Indexed: 05/17/2023]
Abstract
BACKGROUND Platelet demand continues to rise and US hospitals frequently face shortages. The peak median age of apheresis platelet donors (APD) is believed to have increased over the last decade, raising concerns that the APD base is not being adequately replenished with young donors. STUDY DESIGN/METHODS American Red Cross (ARC) apheresis platelet collections were evaluated from calendar years 2010 through 2019. APD, products per procedure/split rate (PPP) and donation frequencies were stratified into age groups. RESULTS/FINDINGS The number of unique APD from calendar year 2010 through 2019 in the ARC donor pool increased from 87,573 to 115,372 donors, representing a 31.7% overall growth. Donors in the 16-40 year-old (y) age group increased by 78.8% overall, with the largest absolute increases seen in the 26-30 y (4852 donors, 99.9% growth), followed by the 31-35 y (3991, 94.1%) group. Donors aged 56+ increased by 50.4% overall, with the largest increase seen in the 66-70 y (5988 donors, 108.1% growth) group. Middle-aged donors, aged 41-55 y, demonstrated a decrease of 16.5%. Over the last decade, the youngest age groups (16-40 y) comprised 61.3% of first-time donors (FTD). Annual donation frequency increased with increasing age and PPP. The highest donation frequencies were seen in the oldest age groups. CONCLUSION Although the peak median age of APD increased over the study period, relative contribution of the 16-40 y APD base also increased. Older donors exhibited the highest donation frequencies and thus contributed the largest volume of apheresis platelet units. Platelet donor activity declined in the middle age (41-55 y) group.
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Affiliation(s)
- Baia Lasky
- American Red Cross, Biomedical Services Division, Washington, District of Columbia, USA
| | - Umesh Singh
- American Red Cross, Biomedical Services Division, Washington, District of Columbia, USA
| | - Pampee P Young
- American Red Cross, Biomedical Services Division, Washington, District of Columbia, USA
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4
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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.
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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
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5
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de Farias CLG, de Oliveira Alves LB, Mendrone-Junior A, de Araújo Arrais C, Duran A, Rocha V, de Almeida-Neto C. The impact of immediate adverse donation reactions on the return of volunteers undergoing platelet apheresis. Transfus Apher Sci 2022; 61:103424. [DOI: 10.1016/j.transci.2022.103424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 02/22/2022] [Accepted: 03/13/2022] [Indexed: 11/25/2022]
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6
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Reporting of delayed adverse donor reactions in whole blood donors: Just the tip of an iceberg! Transfus Clin Biol 2021; 29:141-146. [PMID: 34856397 DOI: 10.1016/j.tracli.2021.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 11/24/2021] [Accepted: 11/25/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND AND OBJECTIVES The study was planned to determine the incidence and analyze how various epidemiological factors tend to be associated with delayed adverse donor reactions (ADR). MATERIAL AND METHODS The prospective observational study was conducted in Department of Transfusion Medicine of tertiary care hospital from January to December 2019. Eligible blood donors were observed for any adverse reactions after 15 minutes of removal of phlebotomy needle. Further, telephonic calls were made to each enrolled blood donor on day-2 and day-7 of the whole blood donation. For each day, two calls were made at an interval of 4 hours before declaring the participant to be non-responder. RESULTS A total of 1540 (84.1%) blood donors responded on day-2 and 1610 (87.9%) responded on day-7 of follow-up. Total 180 (11.2%) blood donors experienced delayed ADRs. Two donors (1.1%) experienced on-site while 178 (98.89%) reported off-site delayed ADRs when followed-up telephonically. The commonest delayed ADRs reported were bruise (n=72; 30.9%), arm-pain (n=61; 26.2%) and generalised weakness (n=44; 18.9%). Female donors (27.3% vs. 11.2%; P=0.004), first time donors (15.2 vs. 9.9%; P=0.002), donors with low body-weight (range of 45-60kg; 15.9% vs. 11.5% vs. 6.1%; P=0.011) and body mass index<18.5 (24% vs. 12.5% vs. 9.7% vs. 11.3%; P=0.028) experienced more delayed ADRs. CONCLUSION Blood donors do experience delayed ADRs but these are not reported to the blood centers as these are usually mild. However, it is important to capture these delayed adverse donor reactions and report it to National Hemovigilance Program so that strategies can be formulated to prevent their occurrence and recurrence.
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7
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Schreiber GB, Becker M, Fransen M, Hershman J, Lenart J, Song G, Simon T. Plasmavigilance-Adverse events among US Source plasma donors. Transfusion 2021; 61:2941-2957. [PMID: 34390267 PMCID: PMC9291118 DOI: 10.1111/trf.16612] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Revised: 07/19/2021] [Accepted: 07/19/2021] [Indexed: 12/31/2022]
Abstract
Background Source plasma (SP) is the primary starting material for 87% of plasma‐derived medicinal products globally. Plasmavigilance is a program designed to collect, analyze, and monitor donor adverse events (AEs) across the SP collection industry. Donor retention depends on donors having a safe and satisfactory experience. This study analyzes AE rates and SP donor characteristics that may be predictors of an AE. Study Design and Methods Donation data for 1.1 million donors making 12,183,182 SP donations over a 4‐month period were analyzed. This represented approximately 72% of the donations collected by the U.S. plasma industry. The Standard for Recording Donor Adverse Events was used for AE definitions and classifications. Results The overall AE rate was 15.85/104 donations. The two AEs with the highest rates were Hypotensive and Phlebotomy events (8.32 and 5.91/104 donations, respectively). Females had higher overall AE rates than males (25.76 vs. 9.85/104 donations), and first‐time donors had higher overall AE rates than repeat donors (136.66 vs. 12.37/104 donations). Weight, body mass index, age, and pre‐donation estimated blood volume also were predictors of AE. Discussion SP donors have low AE rates with 90% being events classified as Hypotensive or Phlebotomy. Special attention and mitigation strategies should be directed to donors who are young, lightweight (between 100 and 124 pounds), female, or first‐time donors to further reduce the incidence of AE, continue to ensure the donor has a safe experience, and facilitate donor retention. See editorial on page 2803–2805, in this issue
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Affiliation(s)
| | | | - Michelle Fransen
- Plasma Protein Therapeutics Association, Annapolis, Maryland, USA
| | - Janet Hershman
- Takeda/BioLife Plasma Services LP, Bannockburn, Illinois, USA
| | - James Lenart
- Takeda/BioLife Plasma Services LP, Bannockburn, Illinois, USA
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8
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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
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9
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Cho JH, Rajbhandary S, van Buren NL, Fung MK, Al-Ghafry M, Fridey JL, Dy BA, Ziman A, Schreiber GB, Gammon RR, Reik R, Stubbs JR, van Buskirk CM, Kamel H, Townsend MJ, Zeller MP, Gottschall JL. The safety of COVID-19 convalescent plasma donation: A multi-institutional donor hemovigilance study. Transfusion 2021; 61:2668-2676. [PMID: 34227689 PMCID: PMC8447310 DOI: 10.1111/trf.16572] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 06/14/2021] [Accepted: 06/14/2021] [Indexed: 12/11/2022]
Abstract
BACKGROUND Although the safety and therapeutic efficacy of COVID-19 convalescent plasma (CCP) has been extensively evaluated, the safety of CCP donation has not been explored in a multi-institutional context. STUDY DESIGN AND METHODS Nine blood collection organizations (BCOs) participated in a multi-institutional donor hemovigilance effort to assess the safety of CCP donation. Donor adverse events (DAEs) were defined according to the Standard for Surveillance of Complications Related to Blood Donation, and severity was assessed using the severity grading tool. Multivariate analysis was performed to determine attributes associated with DAE severity. RESULTS The overall DAE rate was 37.7 per 1000 donations. Repeat apheresis and apheresis-naïve donors experienced adverse event rates of 19.9 and 49.8 per 1000 donations, respectively. Female donors contributed 51.9% of CCP donations with a DAE rate of 49.4 per 1000 donations. The DAE rate for male donors was 27.4 per 1000 donations. Vasovagal reactions accounted for over half of all reported DAEs (51.1%). After adjustment, volume of CCP donated was associated with vasovagal reaction severity (odds ratio [OR] 6.5, 95% confidence interval [CI] 2.5-17.1). Donor age and donation history were also associated with DAE severity. Considerable differences in DAE types and rates were observed across the participating BCOs despite the use of standardized hemovigilance definitions. CONCLUSION The safety of CCP donation appears comparable to that of conventional apheresis plasma donation with similar associated risk factors for DAE types and severity.
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Affiliation(s)
- Joseph H Cho
- Medical Sciences Institute, Versiti, Milwaukee, Wisconsin, USA
| | | | - Nancy L van Buren
- Innovative Blood Resources, Division of New York Blood Center, St. Paul, Minnesota, USA
| | - Mark K Fung
- Department of Pathology and Laboratory Medicine, The University of Vermont Health Network, Burlington, Vermont, USA
| | | | - Joy L Fridey
- American Red Cross Blood Services, Southern California Region, Pomona, California, USA
| | - Beth A Dy
- American Red Cross Biomedical Services, Washington, District of Columbia, USA
| | - Alyssa Ziman
- Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, USA
| | | | - Richard R Gammon
- Scientific, Medical, Technical Direction, OneBlood, Orlando, Florida, USA
| | - Rita Reik
- Scientific, Medical, Technical Direction, OneBlood, Orlando, Florida, USA
| | - James R Stubbs
- Division of Transfusion Medicine, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA
| | - Camille M van Buskirk
- Division of Transfusion Medicine, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA
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10
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Thijsen A, Thorpe R, Davison TE, Nguyen L, Masser B. The vasovagal reaction experience among blood donors: A qualitative study of factors that affect donor return. Soc Sci Med 2021; 282:114142. [PMID: 34153820 DOI: 10.1016/j.socscimed.2021.114142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 05/05/2021] [Accepted: 06/11/2021] [Indexed: 11/29/2022]
Abstract
RATIONALE Blood collection agencies face ongoing challenges in retaining voluntary donors to meet the demand for blood and blood-related products by healthcare services. A known deterrent to continued blood donation is the experience of a vasovagal reaction (VVR). However, there has been little research into donors' experiences of these reactions and the factors that influence their decision to return, which is essential information to inform strategies to improve donor return. OBJECTIVE The aim of this paper was to explore blood donor views and experiences of a VVR, with a particular interest in how the reaction influenced their return behaviour, using the Transactional Model of Stress and Coping. METHODS We conducted 34 semi-structured in-depth interviews between February and April 2018 with a sample of Australian donors who had experienced a VVR in the last seven days. Transcripts were analysed using the Framework Method. RESULTS The VVR elicited various emotional responses, which appeared to be influenced by social support, being aware of the possibility of experiencing a VVR, or the donation outcome. In turn, the VVR experience affected intentions to return, with those who reported more positive experiences expressing stronger intentions. Further, donors felt more likely to return if they perceived their risk of a recurrent event as low and if they were able to identify appropriate problem and emotion-focused coping strategies. CONCLUSION This article provides novel insights into possible ways to encourage blood donor return following a VVR.
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Affiliation(s)
- Amanda Thijsen
- Australian Red Cross Lifeblood, 17 O'Riordan Street, Alexandria, New South Wales, 2015, Australia.
| | - Rachel Thorpe
- Australian Red Cross Lifeblood, 417 St Kilda Road, Melbourne, Victoria, 3004, Australia
| | - Tanya E Davison
- Australian Red Cross Lifeblood, 417 St Kilda Road, Melbourne, Victoria, 3004, Australia
| | - Lilly Nguyen
- Australian Red Cross Lifeblood, 417 St Kilda Road, Melbourne, Victoria, 3004, Australia
| | - Barbara Masser
- The University of Queensland, School of Psychology, Sir Fred Schonell Dr, St Lucia, Queensland, 4072, Australia; Australian Red Cross Lifeblood, 44 Musk Avenue, Kelvin Grove, Queensland, 4059, Australia
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11
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Gupta AM, Bajpai M. The impact of delayed and immediate adverse events on the intention of future donations in whole blood and plateletpheresis donors. J Clin Apher 2021; 36:621-627. [PMID: 33942928 DOI: 10.1002/jca.21902] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Revised: 04/17/2021] [Accepted: 04/19/2021] [Indexed: 11/09/2022]
Abstract
BACKGROUND Adverse donor events (ADEs) are usually mild and short-term with no sequelae, but may cause disinclination toward future donations. AIMS To determine the impact of delayed ADEs (D-ADEs) in addition to immediate ADEs (I-ADEs) on the intention of future donations (IFDs) and to analyze the various associated factors. METHODS ADEs were categorized following the ISBT working group on donor vigilance. Telephonic interviews of the donors were conducted 2 weeks after the whole blood (WB) and plateletpheresis donation to inquire about D-ADEs and IFDs. RESULTS A total of 3514 WB and 531 plateletpheresis donors were included in the study. WB donors had an overall higher IFD as compared to plateletpheresis donors (89.53% vs 57.06%, P < .001). A higher IFD was observed in male WB donors as compared to female WB donors (89.95% vs 75%, P < .001). Repeat WB donors had a higher IFD as compared with first-time donors (93.66% vs 81.37%, P < .001). A total of 13.7% WB donors and 19.2% plateletpheresis donors reported D-ADEs. WB donors who experienced D-ADEs had a significantly lower IFD (78.38% vs 91.63%, P < .001) as compared with donors without any ADEs; a similar trend was observed in donors who experienced I-ADEs (69.90% vs 91.63%, P < .001). In WB donors, systemic D-ADEs such as fatigue had a more negative impact on IFDs as compared with localized D-ADEs such as bruises (63.93% vs 86.83%, P < .001). CONCLUSIONS Both D-ADEs and I-ADEs negatively impact donors' intention to donate again. Systemic D-ADEs had a more negative impact on IFDs as compared with localized D-ADEs.
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Affiliation(s)
- Abhaykumar Malind Gupta
- Department of Transfusion Medicine, Institute of Liver and Biliary Sciences, New Delhi, India
| | - Meenu Bajpai
- Department of Transfusion Medicine, Institute of Liver and Biliary Sciences, New Delhi, India
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12
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He R, Lin H, Xie S, Lv Q, Kong Y, Li L, Xu H, Wang J, Li W, Fang P, Wu Y, Liu Z. Donor tolerability of convalescent plasma donation. J Clin Apher 2021; 36:429-436. [PMID: 33587767 PMCID: PMC8013347 DOI: 10.1002/jca.21882] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Revised: 01/18/2021] [Accepted: 01/22/2021] [Indexed: 11/06/2022]
Abstract
Background Since early 2020, convalescent plasma has been widely used for treating coronavirus disease 2019 (COVID‐19). There is limited information regarding donor tolerability of convalescent plasma donation. In this study, we evaluated the short‐term donor tolerability of convalescent plasma donation. Methods A prospective study of 309 convalescent plasma donation related adverse events were conducted at Wuhan Blood Center of China, from February 12 to April 1, 2020. Additionally, up to 28‐day post‐donation follow‐ups were performed on the donors. Results Sixteen (5.2%) adverse events were reported in 309 donations. All of these were mild vasovagal without loss of consciousness. The frequency of adverse reactions was higher in donors with a per donation volume of >8 mL/kg body weight or ≥ 600 mL, <100 mm Hg in pre‐donation systolic blood pressure, or less than 28 days from the onset of COVID‐19 symptoms. There was no correlation to donation history, weight, sex, ABO blood type, pre‐donation diastolic blood pressure, pulse, or hemoglobin. Conclusion The donation of convalescent plasma is generally safe. Mitigation of risk factors associated with adverse events can further enhance donor tolerability of convalescent plasma donation.
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Affiliation(s)
- Rui He
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
| | - Hui Lin
- Blood Collection Center, Wuhan Blood Center, Wuhan, Hubei Province, P.R. China
| | - Songli Xie
- Blood Collection Center, Wuhan Blood Center, Wuhan, Hubei Province, P.R. China
| | - Qilu Lv
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
| | - Yujie Kong
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
| | - Ling Li
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
| | - Haixia Xu
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
| | - Jue Wang
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
| | - Wenjuan Li
- School of Public Health, Anhui Medical University, Hefei, China
| | - Peng Fang
- School of Public Health, Anhui Medical University, Hefei, China
| | - Yanyun Wu
- Clinical Transfusion Center, University of Miami, Miami, Florida, USA
| | - Zhong Liu
- Clinical Transfusion Research Center, Institute of Blood Transfusion, Chinese Academy of Medical Sciences and Peking Union Medical College, Chengdu, Sichuan Province, P.R. China.,Key laboratory of transfusion adverse reactions, CAMS, Chengdu, Sichuan Province, P.R. China
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13
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Almutairi H, Salam M, Batarfi K, Alharbi D, Wani F, Almutairi A, Al-Shammari B, Al–Surimi K. Incidence and severity of adverse events among platelet donors: A three-year retrospective study. Medicine (Baltimore) 2020; 99:e23648. [PMID: 33350744 PMCID: PMC7769365 DOI: 10.1097/md.0000000000023648] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 11/11/2020] [Indexed: 11/25/2022] Open
Abstract
Adverse events (AEs) are unfortunate consequences of platelet donation. This study reports the incidence and severity of AEs and the associated risk factors in platelet donation at a major blood donation center in Riyadh, Saudi Arabia.A review of donation records was conducted between 2014 and 2017. Eligible study participants were 5007 platelet donors who had donated 7969 times. Each donation was accounted for as a single study subject. Participants' characteristics were described and analyzed as potential contributing factors to adverse events.The average age of platelet donors was 30.0±7.3 years. First-time donors comprised (n = 3,100, 61.9%) of the sample, and 1907 (38.1%) were multiple donors (periodic/routine). Their average BMI was 28.6 ± 4.9 kg/m2. Most donors have blood type "O" and Rheo "positive". The range of blood volume processed was 0 to 5273 ml, while the procedure duration ranged from 0 to 90 minutes. The average platelet yield was 3.8 ± 3.5 ∗1011 platelets per unit, and the average collected volume was 257.6 ± 86.1 ml. Incidence of AEs was 4.2%, of which 91.3% were mild and 8.7% were severe. AEs were vascular injuries (65.3%), vasovagal reactions (11.6%), and citrate toxicity (5.3%). AEs were associated with first-time donation, adj.OR (95%CI) = 1.5 (1.1-1.8) and lower BMI, adj. OR (95% CI) = 1.4 (1.1-1.8). Citrate toxicity was present in severe forms, unlike vascular injuries and vasovagal reactions that tended to be milder. Donors with hemoglobin levels above 16 g/dl, adj. OR (95% CI) = 1.3 (1.1-1.7) and platelet levels below 250,000, adj. OR (95% CI) = 1.3 (1.1-1.6) were more likely to contract AEs than others.Reporting adverse events is essential to establish a benchmark for the annual incidence rates to be compared against local and international figures. Blood donor centers should also take notice of blood donors characteristics that are associated with higher incidence and more severe forms of AEs during or after platelet donation.
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Affiliation(s)
| | - Mahmoud Salam
- King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- Hariri School of Nursing, American University of Beirut, Beirut, Lebanon
| | | | | | - Faisal Wani
- Department of Pathology and Laboratory Medicine
| | - Adel Almutairi
- King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | | | - Khaled Al–Surimi
- Department of Health System Management, College of Public Health and Health Informatics, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
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14
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Taheri Soodejani M, Haghdoost AA, Okhovati M, Zolala F, Baneshi MR, Sedaghat A, Tabatabaei SM. Incidence of adverse reaction in blood donation: a systematic review. AMERICAN JOURNAL OF BLOOD RESEARCH 2020; 10:145-150. [PMID: 33224558 PMCID: PMC7675132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Accepted: 08/17/2020] [Indexed: 06/11/2023]
Abstract
There are a lot of reports related to adverse reactions post blood donation. The present study is designed to investigate the incidence of adverse reactions in blood donation around the world. This research was conducted through searching databases such as PubMed, Web of Science, Scopus, EmBase, Ovid, as well as the specialized journal of TRANSFUSION without any time limit by using the keywords including "Adverse Event", "Adverse Effect", "Adverse Reaction", "Complication", "Side Effect", "Vasovagal Reaction", "Local Reaction", "General Reaction", "Allergic Reaction", "Blood Donor", and "Blood Donation". In the initial search, 7054 documents were found, of which 2517 duplicates were excluded. After screening the remaining 4,537 documents, 97 one were reviewed for quality assessment, of which 30 with the appropriate quality were selected for the review process. The results of the study showed that the reactions caused by blood donation are very different. Most reactions were systemic, and ranged from 0.08 to 13 percent in different countries. The incidence of adverse reactions in blood donation differ across the countries which might be related to the donors' characteristics. The difference did even existed in studies conducted in the same country and the same year. This suggests that many factors can cause adverse reactions in blood donation, and that a wide range of them investigated in one study, most of which were systemic.
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Affiliation(s)
- Moslem Taheri Soodejani
- Research Center of Prevention and Epidemiology of Non-Communicable Disease, Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical SciencesYazd, Iran
| | - Ali Akbar Haghdoost
- HIV/STI Surveillance Research Center, WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical SciencesKerman, Iran
| | - Maryam Okhovati
- Medical Library and Information Sciences Department, Faculty of Management and Information Science, Kerman University of Medical SciencesKerman, Iran
| | - Farzaneh Zolala
- HIV/STI Surveillance Research Center, WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical SciencesKerman, Iran
| | - Mohammad Reza Baneshi
- Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical SciencesKerman, Iran
| | - Abbas Sedaghat
- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion MedicineTehran, Iran
| | - Seyyed Mohammad Tabatabaei
- Department of Medical Informatics, School of Medicine, Mashhad University of Medical SciencesMashhad, Iran
- Clinical Research Development Unit, Imam Reza Hospital, Mashhad University of Medical SciencesMashhad, Iran
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15
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Ramondt S, Zijlstra M, Kerkhof P, Merz EM. Barriers to blood donation on social media: An analysis of Facebook and Twitter posts. Transfusion 2020; 60:2294-2306. [PMID: 32770552 PMCID: PMC7689760 DOI: 10.1111/trf.15998] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 06/07/2020] [Accepted: 06/07/2020] [Indexed: 11/29/2022]
Abstract
Background To better understand donor behavior and ensure a safe and sufficient blood supply, various observational studies have examined barriers to blood donation. This study used Facebook and Twitter data to enhance existing research on donation barriers and associated emotions communicated on social media by both donors and non‐donors. Study design and methods We conducted a semantic network analysis (SNA) with 168 232 public Dutch language social media messages from Facebook and Twitter during 2012‐2018. SNA uses concepts as nodes in a network and the relationship (ie, co‐occurrence) as links between them. We identified the relationship between donation barriers, non‐donation (voluntary and involuntary), and dissatisfaction (anger and disappointment) within social media messages. This computational method was combined with an analysis examining significant relationships in‐depth. Results Twelve donation barriers were identified: lifestyle, donation location, medical reasons, no invitation, opening times, physical reactions, pregnancy, remuneration, sexual risk behavior, time constraints, travels, and waiting times. More messages related to involuntary non‐donation compared to voluntary non‐donation. Involuntary non‐donation was associated most strongly with medical reasons and sexual risk behavior, while voluntary non‐donation was associated most strongly with resentment regarding remuneration of the blood bankʼs top management. Anger associated most strongly with sexual risk behavior and disappointment most strongly with medical reasons. Conclusion Discussions around blood donation are increasingly taking place online. Donation barriers found in this study differ from those in survey research. Insights into how donation barriers are communicated in an ever‐growing online environment can be utilized to enhance recruitment and retention strategies.
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Affiliation(s)
- Steven Ramondt
- Department of Donor Medicine Research, Sanquin Research, Amsterdam, The Netherlands.,Department of Communication Science, Vrije Universiteit, Amsterdam, The Netherlands
| | - Melissa Zijlstra
- Department of Communication Science, Vrije Universiteit, Amsterdam, The Netherlands
| | - Peter Kerkhof
- Department of Communication Science, Vrije Universiteit, Amsterdam, The Netherlands
| | - Eva-Maria Merz
- Department of Donor Medicine Research, Sanquin Research, Amsterdam, The Netherlands.,Department of Sociology, Center for Philanthropic Studies, Vrije Universiteit, Amsterdam, The Netherlands
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16
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Townsend M, Buccino T, Katz L. Evaluation of donor informed consents and associated predonationeducational materials in the United Statesand Canada: variability in elements of consent and measures of readability and reading burden. Transfusion 2020; 60:1747-1755. [DOI: 10.1111/trf.15867] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Revised: 04/04/2020] [Accepted: 04/05/2020] [Indexed: 11/30/2022]
Affiliation(s)
| | | | - Louis Katz
- Mississippi Valley Regional Blood Center Davenport Iowa USA
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17
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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
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18
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Wang HH, Chen PM, Lin CL, Jau RC, Hsiao SM, Ko JL. Joint effects of risk factors on adverse events associated with adult blood donations. Medicine (Baltimore) 2019; 98:e17758. [PMID: 31689834 PMCID: PMC6946510 DOI: 10.1097/md.0000000000017758] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The process for blood donation is considered safe, but some adverse events have been reported. Risk factors for adverse events were assessed in this study.A retrospective case-control study was conducted to investigate the risk factors for adverse events after blood donation between 2010 and 2013. Variables such as gender, age, body mass index (BMI), donation status, donation volume, donation site, pre-donation systolic blood pressure (SBP), and pre-donation diastolic blood pressure were compared between donors with and without adverse events. Multiple logistic regression analysis was performed to assess the joint effects of age, gender, and donation status on adverse events.The incidence of adverse events among adult blood donations was 1287/1,253,678 (0.1%). On multivariate logistic regression analysis, blood donors aged <35 years (odds ratio [OR], 2.99, 95% confidence interval [CI], 2.57-3.48), of female gender (OR, 3.30, 95% CI, 2.62-4.15), and with first-time donor status (OR, 6.40, 95% CI, 5.17-7.93), donation of 500 mL (OR, 2.22, 95% CI, 1.83-2.69), predonation SBP <124 mm Hg (OR, 1.25, 95% CI,1.05-1.48) and BMI <24 kg/m (OR, 1.67, 95% CI, 1.42-1.96) were associated with increased likelihood of adverse event. Further analysis with joint effects method revealed that first-time female donors aged <35 years are associated with the highest odds of adverse events when compared with repeat male donors aged ≧35 years (OR, 100.57, 95% CI, 48.45-208.75).The findings of our study should prove useful in identifying donors at risk and planning appropriate strategies for the prevention of adverse effects.
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Affiliation(s)
- Hsuan-Hui Wang
- Institute of Medicine, Chung Shan Medical University, Taichung
- Taichung Blood Center, Taiwan Blood Services Foundation
| | - Po-Ming Chen
- Institute of Medicine, Chung Shan Medical University, Taichung
| | - Chi-Ling Lin
- Taichung Blood Center, Taiwan Blood Services Foundation
| | | | - Sheng-Mou Hsiao
- Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, New Taipei
- Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and National Taiwan University Hospital, Taipei
- Graduate School of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan
| | - Jiunn-Liang Ko
- Institute of Medicine, Chung Shan Medical University, Taichung
- Department of Medical Oncology and Chest Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan
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19
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Thijsen A, Masser B, Gemelli CN, Davison TE. Trends in return behavior after an adverse event in Australian whole blood and plasma donors. Transfusion 2019; 59:3157-3163. [DOI: 10.1111/trf.15475] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2019] [Revised: 06/27/2019] [Accepted: 06/27/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Amanda Thijsen
- Clinical Services and ResearchAustralian Red Cross Blood Service Sydney New South Wales Australia
| | - Barbara Masser
- Clinical Services and ResearchAustralian Red Cross Blood Service Brisbane Queensland Australia
- School of PsychologyThe University of Queensland Brisbane Queensland Australia
| | - Carley N. Gemelli
- Clinical Services and ResearchAustralian Red Cross Blood Service Melbourne Victoria Australia
| | - Tanya E. Davison
- Clinical Services and ResearchAustralian Red Cross Blood Service Melbourne Victoria Australia
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20
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Donald SJ, McIntyre WF, Dingwall O, Hiebert B, Ponnampalam A, Seifer CM. Is donating blood for the faint of heart? a systematic review of predictors of syncope in whole blood donors. Transfusion 2019; 59:2865-2869. [DOI: 10.1111/trf.15442] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Revised: 06/09/2019] [Accepted: 06/09/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Scott J. Donald
- Section of Cardiology, Department of Internal Medicine, Max Rady College of MedicineRady Faculty of Health Sciences, University of Manitoba Winnipeg Canada
| | | | - Orvie Dingwall
- Neil John Maclean Health Sciences Library, University of Manitoba Winnipeg Canada
| | - Brett Hiebert
- Cardiac Sciences Program, St Boniface Hospital Winnipeg Canada
| | - Arjuna Ponnampalam
- Section of Hematology, Department of Internal MedicineMax Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba Winnipeg Manitoba Canada
| | - Colette M. Seifer
- Section of Cardiology, Department of Internal Medicine, Max Rady College of MedicineRady Faculty of Health Sciences, University of Manitoba Winnipeg Canada
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21
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Thijsen A, Gemelli CN, Davison TE, O'Donovan J, Bell B, Masser B. Does using applied muscle tension at strategic time points during donation reduce phlebotomist- and donor-reported vasovagal reaction rates? A three-armed randomized controlled trial. Transfusion 2018; 58:2352-2359. [DOI: 10.1111/trf.14940] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 08/02/2018] [Accepted: 08/02/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Amanda Thijsen
- Clinical Services and Research; Australian Red Cross Blood Service; Sydney Australia
| | - Carley N. Gemelli
- Clinical Services and Research; Australian Red Cross Blood Service; Melbourne Australia
| | - Tanya E. Davison
- Clinical Services and Research; Australian Red Cross Blood Service; Melbourne Australia
| | - Justine O'Donovan
- Clinical Services and Research; Australian Red Cross Blood Service; Sydney Australia
| | - Barbara Bell
- Clinical Services and Research; Australian Red Cross Blood Service; Sydney Australia
| | - Barbara Masser
- Clinical Services and Research; Australian Red Cross Blood Service; Brisbane Australia
- School of Psychology; The University of Queensland; Brisbane Australia
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22
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Thijsen A, Fisher J, Gemelli CN, Bell B, Davison TE, Masser BM. Facilitating donor compliance with strategies to prevent vasovagal reactions: comparison of web‐based and in‐center approaches. Transfusion 2017; 57:2449-2457. [DOI: 10.1111/trf.14243] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2017] [Revised: 05/24/2017] [Accepted: 05/24/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Amanda Thijsen
- Clinical Services and ResearchAustralian Red Cross Blood ServiceSydney Australia
| | - Jenny Fisher
- Clinical Services and ResearchAustralian Red Cross Blood ServiceSydney Australia
| | - Carley N. Gemelli
- Clinical Services and ResearchAustralian Red Cross Blood ServiceMelbourne Australia
| | - Barbara Bell
- Clinical Services and ResearchAustralian Red Cross Blood ServiceSydney Australia
| | - Tanya E. Davison
- Clinical Services and ResearchAustralian Red Cross Blood ServiceMelbourne Australia
| | - Barbara M. Masser
- Clinical Services and ResearchAustralian Red Cross Blood ServiceBrisbane Australia
- School of PsychologyThe University of QueenslandBrisbane Australia
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23
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Individual, contextual and network characteristics of blood donors and non-donors: a systematic review of recent literature. BLOOD TRANSFUSION = TRASFUSIONE DEL SANGUE 2017; 15:382-397. [PMID: 28686151 DOI: 10.2450/2017.0064-17] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Received: 02/28/2017] [Accepted: 04/20/2017] [Indexed: 11/21/2022]
Abstract
BACKGROUND The ageing population and recent migration flows may negatively affect the blood supply in the long term, increasing the importance of targeted recruitment and retention strategies to address donors. This review sought to identify individual, network and contextual characteristics related to blood donor status and behaviour, to systematically discuss differences between study results, and to identify possible factors to target in recruitment and retention efforts. METHODS The systematic review was conducted in accordance with a predefined PROSPERO protocol (CRD42016039591). After quality assessments by multiple independent raters, a final set of 66 peer-reviewed papers, published between October 2009 and January 2017, were included for review. RESULTS Individual and contextual characteristics of blood donor status and behaviour were categorised into five main lines of research: donor demographics, motivations and barriers, adverse reactions and deferral, contextual factors, and blood centre factors. Results on donor demographics, motivations and barriers, and contextual factors were inconclusive, differing between studies, countries, and sample characteristics. Adverse reactions and deferral were negatively related to blood donor behaviour. Blood centre factors play an important role in donor management, e.g., providing information, reminders, and (non-)monetary rewards. No studies were found on network characteristics of (non-)donors. DISCUSSION Although individual and contextual characteristics strongly relate to blood donor status and behaviour, mechanisms underlying these relations have not been studied sufficiently. We want to stress the importance of longitudinal studies in donor behaviour, exploring the role of life events and network characteristics within blood donor careers. Increased understanding of donor behaviour will assist policy makers of blood collection agencies, with the ultimate goal of safeguarding a sufficient and matching blood supply.
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24
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Klinkenberg EF, Romeijn B, de Kort WL, Merz EM. Reasons to end the donor career: a quantitative study among stopped blood donors in the Netherlands. Transfus Med 2017; 28:200-207. [DOI: 10.1111/tme.12442] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2017] [Revised: 06/07/2017] [Accepted: 06/07/2017] [Indexed: 11/26/2022]
Affiliation(s)
- E. F. Klinkenberg
- Department of Donor Studies; Sanquin Research; Amsterdam the Netherlands
- Department of Public Health, Academic Medical Center; University of Amsterdam; Amsterdam the Netherlands
| | - B. Romeijn
- Department of Donor Studies; Sanquin Research; Amsterdam the Netherlands
| | - W. L. de Kort
- Department of Donor Studies; Sanquin Research; Amsterdam the Netherlands
- Department of Public Health, Academic Medical Center; University of Amsterdam; Amsterdam the Netherlands
| | - E.-M. Merz
- Department of Donor Studies; Sanquin Research; Amsterdam the Netherlands
- Department of Sociology; VU University Amsterdam; Amsterdam the Netherlands
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25
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Cure P, Bembea M, Chou S, Doctor A, Eder A, Hendrickson J, Josephson CD, Mast AE, Savage W, Sola-Visner M, Spinella P, Stanworth S, Steiner M, Mondoro T, Zou S, Levy C, Waclawiw M, El Kassar N, Glynn S, Luban NLC. 2016 proceedings of the National Heart, Lung, and Blood Institute's scientific priorities in pediatric transfusion medicine. Transfusion 2017; 57:1568-1581. [PMID: 28369923 DOI: 10.1111/trf.14100] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2016] [Accepted: 01/30/2017] [Indexed: 01/19/2023]
Affiliation(s)
- Pablo Cure
- Division of Blood Diseases and Resources, National Heart, Lung, and Blood Institute, Bethesda, Maryland
| | - Melania Bembea
- Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Baltimore, Maryland
| | - Stella Chou
- Department of Hematology and the Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Allan Doctor
- Department of Pediatrics, St Louis Children's Hospital, St Louis, Missouri
| | - Anne Eder
- National Institutes of Health, Bethesda, Maryland
| | - Jeanne Hendrickson
- Department of Laboratory Medicine, Yale University, New Haven, Connecticut
| | | | - Alan E Mast
- Blood Research Institute, Blood Center of Wisconsin, and the Department of Cell Biology, Neurobiology and Anatomy, Medical College of Wisconsin, Milwaukee, Wisconsin
| | | | - Martha Sola-Visner
- Department of Newborn Medicine, Children's Hospital, Boston, Massachusetts
| | | | - Simon Stanworth
- NHS Blood and Transplant, John Radcliffe Hospital, and Oxford Clinical Research in Transfusion Medicine, Nuffield Division of Clinical Laboratory Sciences, University of Oxford, Oxford, UK
| | - Marie Steiner
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | | | - Shimian Zou
- Division of Blood Diseases and Resources, NHLBI/NIH
| | | | - Myron Waclawiw
- National Heart, Lung, and Blood Institute, Bethesda, Maryland
| | | | - Simone Glynn
- Division of Blood Diseases and Resources, NHLBI/NIH
| | - Naomi L C Luban
- Division of Laboratory Medicine, Children's National Health System, Washington, DC
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26
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Les effets indésirables retardés chez les donneurs de sang : des données de l’hémovigilance aux études spécifiques. Transfus Clin Biol 2016; 23:233-239. [DOI: 10.1016/j.tracli.2016.07.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Accepted: 07/28/2016] [Indexed: 11/23/2022]
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27
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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
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28
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Thijsen A, King A, Waller D. Lost in translation: Knowledge, attitudes and practices in donors experiencing a vasovagal reaction. Transfus Apher Sci 2016; 54:384-9. [DOI: 10.1016/j.transci.2015.11.016] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2015] [Accepted: 11/25/2015] [Indexed: 11/15/2022]
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29
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Sultan S, Baig MA, Irfan SM, Ahmed SI, Hasan SF. Adverse Reactions in Allogeneic Blood Donors: A Tertiary Care Experience from a Developing Country. Oman Med J 2016; 31:124-8. [PMID: 27168923 DOI: 10.5001/omj.2016.24] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVES Fragmented blood transfusion services along with an unmotivated blood donation culture often leads to blood shortage. Donor retention is crucial to meet the increasing blood demand, and adverse donor reactions have a negative impact on donor return. The aim of this study was to estimate adverse donor reactions and identify any demographic association. . METHODS We conducted a prospective study between January 2011 and December 2013. A total of 41,759 healthy donors were enrolled. Professionally trained donor attendants drew blood and all donors were observed during and following donation for possible adverse events for 20 minutes. Blood donors were asked to report if they suffered from any delayed adverse consequences. . RESULTS Out of 41,759 blood donors, 537 (1.3%) experienced adverse reactions. The incidence was one in every 78 donations. The mean age of donors who experienced adverse events was 26.0±6.8 years, and all were male. Out of 537 donors, 429 (80%) developed vasovagal reaction (VVR), 133 (25%) had nausea, 63 (12%) fainted, 35 (6%) developed hyperventilation, 9 (2%) had delayed syncope, and 9 (2%) developed hematoma. Arterial prick, nerve injury, cardiac arrest, and seizures were not observed. Donors aged less than < 30 years and weighing < 70 kg were significantly associated with VVR, hyperventilation, and nausea (p < 0.005). Undergraduates and Urdu speaking donors also had a significant association with fainting and nausea, respectively (p < 0.05). . CONCLUSION The prevalence of adverse events was low at our tertiary center. A VVR was the predominant adverse reaction and was associated with age and weight. Our study highlights the importance of these parameters in the donation process. A well-trained and experienced phlebotomist and pre-evaluation counseling of blood donors could further minimize the adverse reactions.
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Affiliation(s)
- Sadia Sultan
- Department of Hematology and Blood Bank, Liaquat National Hospital and Medical College, Karachi, Pakistan
| | - Mohammad Amjad Baig
- Department of Hematology and Blood Bank, Liaquat National Hospital and Medical College, Karachi, Pakistan
| | - Syed Mohammed Irfan
- Department of Hematology and Blood Bank, Liaquat National Hospital and Medical College, Karachi, Pakistan
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30
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Agarwal RK, Periyavan S, Dhanya R, Parmar LG, Sedai A, Ankita K, Vaish A, Sharma R, Gowda P. Complications related to blood donation: A multicenter study of the prevalence and influencing factors in voluntary blood donation camps in Karnataka, India. Asian J Transfus Sci 2016; 10:53-8. [PMID: 27011671 PMCID: PMC4782495 DOI: 10.4103/0973-6247.165840] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Introduction: Complications associated with blood donation significantly lower odds of subsequent donations. The aim of the study is to assess the prevalence of complications related to blood donation, identify the influencing factors, and come up with suggestions for minimizing discomfort to donors and making outdoor voluntary blood donation camps safer. Materials and Methods: This study covered 181 blood donation camps organized by Sankalp India Foundation where 16 blood banks participated from 01-04-2011 to 01-08-2014 in Karnataka. Uniform protocols for donor selection, predonation preparation, counseling, postdonation care, and refreshments were used. The postdonation complications were recorded on a form immediately, after they were observed. Results: We observed 995 (3.2%) complications in 30,928 whole blood donations. Of these 884 (2.86%) mild, 77 (0.25%) moderate, and 5 (0.02%) severe complications were observed. Local symptoms (blood outside vessels, pain, and allergy) contributed 1.0%, and generalized symptoms (vasovagal reaction) contributed 2.2% to all the complications. Conclusion: We observed 322 complications for every 10,000 donations. Since 27 out of every 10000 experience moderate and severe complication, the readiness to manage complications is crucial. Women donors, young donors, and donors with a lower weight are at a significantly greater risk of experiencing complications, highlighting the need for specific guidelines for the management of higher risk donor groups. Complications varied significantly between various blood banks. Predonation hydration was effective in limiting complications with generalized symptoms. We recommend a robust donor hemovigilance program for voluntary blood donation for monitoring complications and enable assessment of effectiveness and implementation of appropriate interventions.
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Affiliation(s)
| | - Sundar Periyavan
- Department of Neuropathology, Transfusion Medicine Center, National Institute of Mental Health and Neurosciences, Bengaluru, India
| | - Rakesh Dhanya
- Project Rakta Kranti, Sankalp India Foundation, Bengaluru, India
| | - Lalith G Parmar
- Project Rakta Kranti, Sankalp India Foundation, Bengaluru, India
| | - Amit Sedai
- Technology Team, Sankalp India Foundation, Bengaluru, India
| | - Kumari Ankita
- Emergency Team, Sankalp India Foundation, Bengaluru, India
| | - Arpit Vaish
- Project Rakta Kranti, Sankalp India Foundation, Bengaluru, India
| | - Ritesh Sharma
- Project Rakta Kranti, Sankalp India Foundation, Bengaluru, India
| | - Prabha Gowda
- Emergency Team, Sankalp India Foundation, Bengaluru, India
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Bialkowski W, Bruhn R, Edgren G, Papanek P. Citrate anticoagulation: Are blood donors donating bone? J Clin Apher 2015; 31:459-63. [PMID: 26607494 DOI: 10.1002/jca.21438] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2015] [Accepted: 10/18/2015] [Indexed: 11/10/2022]
Abstract
An estimated 2.4 million volunteer apheresis blood donation procedures were performed in the United States in 2010, and increases in the proportion of transfused blood products derived from apheresis blood collections have been consistently reported. Anticoagulation is required during apheresis and is achieved with citrate. Donor exposure to citrate causes an acute physiological response to maintain serum mineral homeostasis. Some data are available on the sequelae of this acute response in the days and weeks following exposure, raising questions about bone mineral density in regular apheresis donors. New research is emerging that addresses the potential long-term health outcomes of repeated citrate exposure. This article reviews the acute physiological response to citrate anticoagulation in volunteer blood donors, presents contrasting perspectives on the potential effects of citrate exposure on bone density, and identifies key knowledge gaps in our understanding of long-term health outcomes in apheresis donors. J. Clin. Apheresis 31:459-463, 2016. © 2015 Wiley Periodicals, Inc.
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Affiliation(s)
- Walter Bialkowski
- Department of Physical Therapy, Marquette University, Milwaukee, Wisconsin.
| | - Roberta Bruhn
- Epidemiology Core, Blood Systems Research Institute, San Francisco, California
| | - Gustaf Edgren
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.,Department of Medicine, Division of Hematology, Karolinska University Hospital, Stockholm, Sweden
| | - Paula Papanek
- Department of Physical Therapy, Marquette University, Milwaukee, Wisconsin
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Hoogerwerf MD, Veldhuizen IJT, van den Hurk K, de Kort WLAM, Sluiter JK, Frings-Dresen MHW. Negative experiences and predonation blood pressure at the subsequent donation in blood donors. Vox Sang 2015; 110:107-15. [DOI: 10.1111/vox.12319] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2015] [Revised: 06/01/2015] [Accepted: 07/01/2015] [Indexed: 11/27/2022]
Affiliation(s)
- M. D. Hoogerwerf
- Department of Donor Studies; Sanquin Research; Amsterdam The Netherlands
- Coronel Institute of Occupational Health; Academic Medical Center; Amsterdam The Netherlands
| | - I. J. T. Veldhuizen
- Department of Primary and Community Care; Radboud University Medical Center; Nijmegen The Netherlands
| | - K. van den Hurk
- Department of Donor Studies; Sanquin Research; Amsterdam The Netherlands
| | - W. L. A. M. de Kort
- Department of Donor Studies; Sanquin Research; Amsterdam The Netherlands
- Department of Social Medicine; Academic Medical Center; Amsterdam The Netherlands
| | - J. K. Sluiter
- Coronel Institute of Occupational Health; Academic Medical Center; Amsterdam The Netherlands
| | - M. H. W. Frings-Dresen
- Coronel Institute of Occupational Health; Academic Medical Center; Amsterdam The Netherlands
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Burkhardt T, Dimanski B, Karl R, Sievert U, Karl A, Hübler C, Tonn T, Sopvinik I, Ertl H, Moog R. Donor vigilance data of a blood transfusion service: A multicenter analysis. Transfus Apher Sci 2015; 53:180-4. [PMID: 26074050 DOI: 10.1016/j.transci.2015.03.014] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2015] [Revised: 03/10/2015] [Accepted: 03/13/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND Donor vigilance is an important part of the quality management system of blood transfusion services. The evaluation of donor side effects helps to improve the donation process and donor compliance. The aim of the present study was to evaluate donor vigilance data in whole blood and plasmapheresis donors of a blood donor service. MATERIALS AND METHODS Donors fulfilling current national and European eligibility criteria underwent whole blood and plasmapheresis donation (PCS and MCS+ (Haemonetics, Braintree, USA), A 200 (Fenwal, Round Lake, USA). Whole blood was collected at fixed and mobile sites while plasmaphereses were performed at 8 plasma centers. From 2011 to 2013 donor information was provided for gender, age, body weight, height, first and repeat donation. Donors were monitored for venipuncture and circulatory associated side effects. RESULTS The total incidences of adverse events were 5004 (0.56%) in repeat donors and 2111 (2.78%) in first time donors for whole blood donation and 3323 (1.01%) and 514 (7.96%) for plasmaphereses, respectively. Circulatory associated events were 2679 (0.30%) for whole blood donation and 1624 (0.49%) for plasmaphereses. CONCLUSION Our donor vigilance data of a blood transfusion service show that whole blood and plasmapheresis are safe with low incidences of adverse events. Repeat donation and age are predictors for low rates of adverse events. On the other hand, first time donation and female gender were associated with higher incidences of adverse events.
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Affiliation(s)
- T Burkhardt
- German Red Cross Blood Donor Service North-East, Institute Plauen, Germany
| | | | - R Karl
- Institute Berlin, Germany; Institute Potsdam, Germany
| | | | - A Karl
- German Red Cross Blood Donor Service North-East, Institute Plauen, Germany; Institute Chemnitz, Germany
| | | | - T Tonn
- Institute Dresden, Germany; Medical Faculty Carl Gustav Carus Technische Universitaet Dresden, Germany
| | | | - H Ertl
- German Red Cross Blood Donor Service North-East, Institute Plauen, Germany
| | - R Moog
- Institute Cottbus, Germany.
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Masser B, Smith G, Williams LA. Donor research in australia: challenges and promise. ACTA ACUST UNITED AC 2014; 41:296-301. [PMID: 25254025 DOI: 10.1159/000365016] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2013] [Accepted: 04/24/2014] [Indexed: 11/19/2022]
Abstract
Donors are the key to the core business of Blood Collection Agencies (BCAs). However, historically, they have not been a focus of research undertaken by these organizations. This model is now changing, with significant donor research groups established in a number of countries, including Australia. Donor research in the Australian Red Cross Blood Service (Blood Service) is concentrated in the Donor and Community Research (DCR) team. Cognizant of the complex and ever-changing landscape with regard to optimal donor management, the DCR team collaborates with academics located at universities around Australia to coordinate a broad program of research that addresses both short- and-long term challenges to the blood supply. This type of collaboration is not, however, without challenges. Two major collaborative programs of the Blood Service's research, focusing on i) the recruitment and retention of plasmapheresis donors and ii) the role of the emotion pride in donor motivation and return, are showcased to elucidate how the challenges of conducting collaborative BCA research can be met. In so doing, these and the other research programs described herein demonstrate how the Blood Service supports and contributes to research that not only revises operational procedures but also contributes to advances in basic science.
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Affiliation(s)
- Barbara Masser
- School of Psychology, University of Queensland, St Lucia, QLD, Australia
| | - Geoff Smith
- The School of Advertising, Marketing and Public Relations, Queensland University of Technology, Brisbane, QLD (paper completed while affiliated with Australian Red Cross Blood Service, Melbourne, VIC), Australia
| | - Lisa A Williams
- School of Psychology, The University of New South Wales, Sydney, NSW, Australia
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Newman BH. Management of young blood donors. ACTA ACUST UNITED AC 2014; 41:284-95. [PMID: 25254024 DOI: 10.1159/000364849] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2013] [Accepted: 04/24/2014] [Indexed: 11/19/2022]
Abstract
The emphasis on high-school blood drives and acceptance of 16-year-old blood donors led to more research on physiologic and psychological ways to decrease vasovagal reaction rates in young blood donors and to increase donor retention. Research on how to accomplish this has been advantageous for the blood collection industry and blood donors. This review discussed the current situation and what can be done psychologically, physiologically, and via process improvements to decrease vasovagal reaction rates and increase donor retention. The donation process can be significantly improved. Future interventions may include more dietary salt, a shorter muscle tension program to make it more feasible, recommendations for post-donation muscle tension / squatting / laying down for lightheadedness, more donor education by the staff at the collection site, more staff attention to donors with fear or higher risk for a vasovagal reaction (e.g. estimated blood volume near 3.5 l, first-time donor), and a more focused donation process to ensure a pleasant and safer procedure.
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Affiliation(s)
- Bruce H Newman
- American Red Cross Blood Services, Southeastern Michigan Region, Detroit, MI, USA
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Risk factors for complications in donors at first and repeat whole blood donation: a cohort study with assessment of the impact on donor return. BLOOD TRANSFUSION = TRASFUSIONE DEL SANGUE 2013; 12 Suppl 1:s28-36. [PMID: 23867173 DOI: 10.2450/2013.0262-12] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Received: 11/17/2012] [Accepted: 02/28/2013] [Indexed: 11/21/2022]
Abstract
BACKGROUND First-time donation is among recognised risk factors for vasovagal reactions to blood donation and reactions are known to reduce donor return. We assessed associations between potential risk factors and vasovagal reactions and needle-related complications in first-time whole blood donation in comparison to repeat donation and analysed the impact of complications on donor return. MATERIALS AND METHODS We performed a cohort study on whole blood donations in The Netherlands from 1/1/2010 to 31/12/2010 using data extracted from the blood service information system. Donation data up to 31/12/2011 were used to ascertain donor return. RESULTS In 2010 28,786 donors made first whole blood donations and there were 522,958 repeat donations. Vasovagal reactions occurred in 3.9% of first donations by males and 3.5% of first donations by females compared to in 0.2% and 0.6%, respectively, of repeat donations. Associations of vasovagal reactions with other factors including age, body weight, systolic and diastolic blood pressure were similar in first-time and repeat donors. Needle-related complications occurred in 0.2% of male and 0.5% of female first-time donations and in 0.1% and 0.3%, respectively, of repeat donations. Among first-time donors, the return rate within 1 year was 82% following an uncomplicated first donation, but 55% and 61% following vasovagal reactions and needle-related complications, respectively; the corresponding percentages among repeat donors were 86%, 58% and 82%. DISCUSSION Among first-time donors, females suffered less than males from vasovagal reactions. Other risk factors had similar associations among first-time and repeat donors. Vasovagal reactions and needle-related complications in both first-time and repeat donors are followed by reduced donor return.
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Goldman M, Osmond L, Yi QL, Cameron-Choi K, O'Brien SF. Frequency and risk factors for donor reactions in an anonymous blood donor survey. Transfusion 2012; 53:1979-84. [DOI: 10.1111/trf.12011] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2012] [Revised: 10/23/2012] [Accepted: 10/24/2012] [Indexed: 10/27/2022]
Affiliation(s)
- Mindy Goldman
- Medical, Scientific and Research Affairs; Canadian Blood Services; Ottawa; Ontario; Canada
| | - Lori Osmond
- Medical, Scientific and Research Affairs; Canadian Blood Services; Ottawa; Ontario; Canada
| | - Qi-Long Yi
- Medical, Scientific and Research Affairs; Canadian Blood Services; Ottawa; Ontario; Canada
| | - Keltie Cameron-Choi
- Medical, Scientific and Research Affairs; Canadian Blood Services; Ottawa; Ontario; Canada
| | - Sheila F. O'Brien
- Medical, Scientific and Research Affairs; Canadian Blood Services; Ottawa; Ontario; Canada
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Kleinman S, King MR, Busch MP, Murphy EL, Glynn SA. The National Heart, Lung, and Blood Institute retrovirus epidemiology donor studies (Retrovirus Epidemiology Donor Study and Retrovirus Epidemiology Donor Study-II): twenty years of research to advance blood product safety and availability. Transfus Med Rev 2012; 26:281-304, 304.e1-2. [PMID: 22633182 PMCID: PMC3448800 DOI: 10.1016/j.tmrv.2012.04.004] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
The Retrovirus Epidemiology Donor Study (REDS), conducted from 1989 to 2001, and the REDS-II, conducted from 2004 to 2012, were National Heart, Lung, and Blood Institute-funded, multicenter programs focused on improving blood safety and availability in the United States. The REDS-II also included international study sites in Brazil and China. The 3 major research domains of REDS/REDS-II have been infectious disease risk evaluation, blood donation availability, and blood donor characterization. Both programs have made significant contributions to transfusion medicine research methodology by the use of mathematical modeling, large-scale donor surveys, innovative methods of repository sample storage, and establishing an infrastructure that responded to potential emerging blood safety threats such as xenotropic murine leukemia virus-related virus. Blood safety studies have included protocols evaluating epidemiologic and/or laboratory aspects of human immunodeficiency virus, human T-lymphotropic virus 1/2, hepatitis C virus, hepatitis B virus, West Nile virus, cytomegalovirus, human herpesvirus 8, parvovirus B19, malaria, Creutzfeldt-Jakob disease, influenza, and Trypanosoma cruzi infections. Other analyses have characterized blood donor demographics, motivations to donate, factors influencing donor return, behavioral risk factors, donors' perception of the blood donation screening process, and aspects of donor deferral. In REDS-II, 2 large-scale blood donor protocols examined iron deficiency in donors and the prevalence of leukocyte antibodies. This review describes the major study results from over 150 peer-reviewed articles published by these 2 REDS programs. In 2011, a new 7-year program, the Recipient Epidemiology and Donor Evaluation Study-III, was launched. The Recipient Epidemiology and Donor Evaluation Study-III expands beyond donor-based research to include studies of blood transfusion recipients in the hospital setting and adds a third country, South Africa, to the international program.
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Affiliation(s)
- Steven Kleinman
- Department of Pathology, University of British Columbia, Victoria, British Columbia, Canada.
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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]
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Questionnaire-related deferrals in regular blood donors in norway. JOURNAL OF BLOOD TRANSFUSION 2012; 2012:813231. [PMID: 24089651 PMCID: PMC3779598 DOI: 10.1155/2012/813231] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/14/2011] [Revised: 10/06/2011] [Accepted: 10/23/2011] [Indexed: 11/17/2022]
Abstract
Voluntary donation is a key issue in transfusion medicine. To ensure the safety of blood transfusions, careful donor selection is important. Although new approaches to blood safety have dramatically reduced the risks for infectious contamination of blood components, the quality and the availability of blood components depend on the willingness to donate and the reliability of the information given by the donors about their own health, including risk behavior. As donors who are deferred by the blood bank will be less motivated to return for donation, it is important to reduce the number of deferrals. The aims of the present study were to investigate the reasons for deferral of registered donors coming to the blood bank for donation, in order to identify areas of importance for donor education-as these deferrals potentially could be avoided by better donor comprehension. Deferral related to testing of donors is not included in this study as these deferrals are dependent on laboratory results and cannot be indentified by questionnaire or interview. Data were collected from all blood donors in a period for 18 months who came for blood donation at a large university hospital in Norway. 1 163 of the 29 787 regular donors, who showed up for donation, were deferred (3.9%). The main reasons were intercurrent illness (n = 182) (15.6%), skin ulcers (n = 170) (14.6%), and risk behaviour (n = 127) (10.9%). In a community, intercurrent illnesses, skin ulcers, and potential risk behavior are the most frequent reasons for deferral of regular donors. Strategized effort on donor education is needed, as "failure to donate" reduces donor motivation.
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Gonçalez TT, Sabino EC, Schlumpf KS, Wright DJ, Leao S, Sampaio D, Takecian PL, Proietti AB, Proitetti AB, Murphy E, Busch M, Custer B. Vasovagal reactions in whole blood donors at three REDS-II blood centers in Brazil. Transfusion 2011; 52:1070-8. [PMID: 22073941 DOI: 10.1111/j.1537-2995.2011.03432.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND In Brazil little is known about adverse reactions during donation and the donor characteristics that may be associated with such events. Donors are offered snacks and fluids before donating and are required to consume a light meal after donation. For these reasons the frequency of reactions may be different than those observed in other countries. STUDY DESIGN AND METHODS A cross-sectional study was conducted of eligible whole blood donors at three large blood centers located in Brazil between July 2007 and December 2009. Vasovagal reactions (VVRs) along with donor demographic and biometric data were collected. Reactions were defined as any presyncopal or syncopal event during the donation process. Multivariable logistic regression was performed to identify predictors of VVRs. RESULTS Of 724,861 donor presentations, 16,129 (2.2%) VVRs were recorded. Rates varied substantially between the three centers: 53, 290, and 381 per 10,000 donations in Recife, São Paulo, and Belo Horizonte, respectively. Although the reaction rates varied, the donor characteristics associated with VVRs were similar (younger age [18-29 years], replacement donors, first-time donors, low estimated blood volume [EBV]). In multivariable analysis controlling for differences between the donor populations in each city younger age, first-time donor status, and lower EBV were the factors most associated with reactions. CONCLUSION Factors associated with VVRs in other locations are also evident in Brazil. The difference in VVR rates between the three centers might be due to different procedures for identifying and reporting the reactions. Potential interventions to reduce the risk of reactions in Brazil should be considered.
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Affiliation(s)
- Thelma T Gonçalez
- Blood Systems Research Institute, 270 Masonic Avenue, San Francisco, CA 94118, USA.
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