IJCRR - Vol 07 Issue 10, May, 2015
RETROSPECTIVE ANALYSIS OF REASONS FOR PRE DONATION DEFERRAL - A SUCCESSFUL KEY TO MODIFY BLOOD DONOR RECRUITMENT STRATEGIES
Author: Sonam Kumari
Category: General Sciences
Background: To make blood collection, processing and transfusion safe for the patients as well as the donors and blood bank staff, many safety measures are undertaken, and the most important of which is the selection of suitable blood donors. Moreover, the knowledge of rate and causes of donor deferral can guide the recruitment strategy for whole blood donation.
Objectives: To analyse the incidence and reasons for deferrals and to apply relevant findings to modify recruitment strategy for blood donors.
Materials and Methods: Data for whole blood donorspresenting for donation in our blood centre and outdoor blood donation camps over three years were analyzed retrospectively. National guidelines were used for selection and deferral of whole blood donors.
Results: 895 (5.61%) donors were deferred. Among them 790 (4.95%) were voluntary donors and 105 (0.65%) were replacement donors. Majority 534 (59.7%) of the donors deferred were between 18 – 30 years. Temporary deferrals were 791(88.37%) and permanent deferrals were 104 (11.6%). Among temporary deferrals, themost common causes were medical (400 i.e 44.7%) causes followed by anemia (163 i.e. 18.2%). Among permanentdeferrals, the most common cause was Jaundice (34 i.e. 3.8%).
Conclusion: Donor counselling to improve the return rate of temporary deferrals and strict donor selection criteria should be implemented with more proactive measures to make blood donation a safe and pleasurable experience.
Keywords: Donor deferral, Temporary, Permanent, Anemia, Underweight, High risk donors
Sonam Kumari. RETROSPECTIVE ANALYSIS OF REASONS FOR PRE DONATION DEFERRAL - A SUCCESSFUL KEY TO MODIFY BLOOD DONOR RECRUITMENT STRATEGIES International Journal of Current Research and Review. Vol 07 Issue 10, May, 25-34
1. Kulkarni N. Analysis of donor deferral in blood donors. Journal of Evolution of Medical and Dental Sciences 2012; 1: 1076-1082.
2. Agnihotri N. Whole blood donor deferral analysis at a center in Western India. Asian J Transfus Sci.2010; 4(2):116- 122.
3. Sundar P, Sangeetha SK, Seema DM, Marimuthu P, Shivanna N. Pre-donation deferral of blood donors in South Indian set-up: An analysis. Asian J Transfus Sci.2010; 4(2):112- 115.
4. Department of AIDS Control Ministry of Health and Family Welfare Government of India.Annualreport:2008-2009. Availablefrom: http://nacoonline.org/upload/Publication/ Annual Report NACO 2008-09.PDF.
5. Sawanpanyalert P, Uthaivoravit W, Yanai H, Limpakarnjanarat K, Mastro TD and Nelson KE. Donation deferral criteria for human immunodeficiency virus positivity among blood donors in northern Thailand. Transfusion 1996; 36: 242-249.
6. Tomasulo PA, Anderson AJ, Paluso MB, Gutschenritter MA andAster RH. A study of criteria for blood donor deferral. Transfusion 1980; 20(5):511-8.
7. Zou S, Musavi F,Notari EP, Rios JA, Trend JT and Fang CT.Donor deferral and resulting donor loss at the American Red Cross Blood Services, 2001 through 2006. Transfusion 2008; 48: 2531-2539.
8. Riley W, Schwei M. and McCullough J. The United States’ potential blood donor pool: estimating the prevalence of donor-exclusion factors on the pool of potential donors. Transfusion 2007; 47: 1180-1188.
9. Lim JC, Tien SL, and Ong YW. Main causes of pre-donation deferral of prospective blood donors in the Singapore Blood Transfusion Service. Annals of the Academy of Medicine, Singapore 1993; 22(3):326-331
10. Custer B., Johnson E S, Sullivan SD, Hazlet T K, Ramsey SD, Hirschler NV, Murphy EL and Busch MP. Quantifyinglosses to the donated blood supply due to donor deferral and miscollection. Transfusion 2004; 44: 1417–1426.
11. Chaudhary RK, Gupta D and Gupta RK. Analysis of donordeferral pattern in a voluntary blood donor population. Transfus Med. 1995; 5: 209-12.
12. Bahadur S, JainS, Goel RK, Pahuja S and Jain M. Analysis of blood donor deferral characteristics in Delhi, India. Southeast Asian J Trop Med Public Health2009; 40(5).
13. Sharma T, Singh B, and BhattGC. Profile of deferral of blood donors in regional blood transfusion enter in North India. Asian J Transfus Sci. 2013; 7(2): 163-164.
14. Arslan O. Whole blood donor deferral rate and characteristics of the Turkish population. Transfus Med 2007; 17:379- 83.
15. Halperin D, Baetens J, Newman B. The effect of short term temporary deferral on future blood donation. Transfusion. 1998; 38:181-183.
16. Charles KS, Hughes P, Gadd R, Bodkyn C J and Rodriguez M. Evaluation of blood donor deferral causes in the Trinidad and Tobago National Blood Transfusion Service. Transfusion Medicine 2010; 20: 11-14.
17. Farrales FB, Stevenson AR and Bayer WL. Causes of disqualification in a volunteer blood donor population. Transfusion. 1997; 17:598-601.
18. Kaur R,Basu S, Marwaha N. A Reappraisal of underlying causes in donor deferral. Ann Natl Acad Med Sci. 2002;38:93-9.
19. Blumberg N, Shah I, Hoagland J, Shirer L and Katz AJ. Evaluation of Individuals Deferred from Blood Donation for Medical Reasons. VoxSanguinis 1982; 42(1): 1-7.
20. Sebok MA, Notari EP, Chambers LA, Benjamin RJ and Eder AF. Seasonal temperature variation and the rate of donor deferral for low hematocrit in the American Red Cross. Transfusion 2007; 47: 890-894.
21. Custer B, Chinn A, Hirschler NV, Busch MP and Murphy EL. The consequences of temporary deferral on future whole blood donation. Transfusion 2007; 47: 1514-1523.
22. Silvergleid AJ, Leparc GF and Schmidt PJ. Impact of explicit questions about high-risk activities on donor attitudes and donor deferral patterns. Results in two community blood centers. Transfusion 1989; 29: 362-364.
23. Johnson ES, Doll LS, Satten GA, Lenes B, Shafer AW, Kamel H, Casanova RJ and Petersen LR. Direct oral questions to blood donors: the impact on screening for human immunodeficiency virus. Transfusion 1994; 34: 769-774.
24. Rios JA, Fang J, Tu Y, Wright D J, Spencer B, Hillyer C D, Hillyer KL, Eder A. F. and Benjamin, R. J. The potential impact of selective donor deferrals based on estimated blood volume on vasovagal reactions and donor deferral rates. Transfusion 2010; 50: 1265-1275.
25. Pindyck J, Avorn J, Kuriyan M, May Reed, Iqbal MJ, Levine SJ. Blood Donation by the Elderly Clinical and Policy Considerations. JAMA. 1987;257(9):1186-1188.
26. Sareen R, Gupta GN, Dutt A.Donor awareness: key to successful voluntary blood donation. F1000Research 2012, 1:29.
27. Custer B, Schlumpf KS, Wright D, Simon TL, Wilkinson S and Ness. Donor return after temporary deferral. Transfusion 2011; 51: 1188-1196.
28. Urwijitaroon Y, Barusrux S, Romphruk A, Puapairoj C and Pakote L. Reducing the risk of HIV transmission through blood transfusion by donor self-deferral. Southeast Asian J Trop Med Public Health 1996;27:452-6.
29. Anderson SA, Yang H, Gallagher LM, O’Callaghan S, Forshee RA, Busch MP, McKenna MT, Williams I, Williams A, Kuehnert MJ, Stramer S, Kleinman S, Epstein J. and Dayton AI. Quantitative estimate of the risks and benefits of possible alternative blood donor deferral strategies for men who have had sex with men. Transfusion 2009; 49: 1102- 1114.
30. Galea G, GillonJ and Urbaniak SJ.Study on medical donor deferrals at sessions Transfusion Medicine 1996; 6: 37–43.
31. Alok K, Satyendra P, Sharma SM, Ingole NS and Gangane N. Impact of counselling on temporarily deferred donor in a tertiary care hospital, central India: A prospective study. Int J Med Public Health 2014;4:400-403.