Chaudhary Rajendra, Das Sudipta Sekhar, Khetan Dheeraj, Sinha Pratul
Department of Transfusion Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, India.
Transfus Apher Sci. 2006 Apr;34(2):157-61. doi: 10.1016/j.transci.2005.09.040. Epub 2006 Feb 28.
The quality of single donor platelets (SDPs) in terms of yield influences platelet recovery in the recipient. Various donor factors such as pre-donation platelet count and hemoglobin (Hb) concentration affect the platelet yield. We studied the influence of pre-donation donor clinical and laboratory factors such as gender, age, weight of the donor, platelet count and Hb on the platelet yield. A total of 94 plateletpheresis procedures performed on continuous flow cell separator (CS3000, Baxter Healthcare, Round Lake, IL, USA) were evaluated for platelet yield. A relationship between pre-donation donor variables and yield of platelets was studied using the Pearson correlation. The mean platelet yield was 2.8+/-0.73x10(11). While a direct relationship was observed between pre-donation platelet count and yield (r=0.50, p<0.001), no such correlation was noticed with donor Hb concentration (r=-0.10, p>0.005). Similarly, no correlation was observed between gender (r=0.05), age (r=0.11) and weight (r=0.18) of the donor with yield. Optimization of platelet yield, which is influenced by pre-donation platelet count, is an emerging issue in blood transfusion services. Identification of such factors may help in selecting donors to obtain higher platelet yields and consequently better clinical outcome.
单采血小板(SDPs)的产量质量会影响受者体内血小板的回收率。诸如献血前血小板计数和血红蛋白(Hb)浓度等各种献血者因素会影响血小板产量。我们研究了献血前献血者的临床和实验室因素,如性别、年龄、献血者体重、血小板计数和Hb对血小板产量的影响。对在美国伊利诺伊州圆湖市百特医疗保健公司的连续流动细胞分离器(CS3000)上进行的94次血小板采集程序的血小板产量进行了评估。使用Pearson相关性研究献血前献血者变量与血小板产量之间的关系。平均血小板产量为2.8±0.73×10¹¹。虽然观察到献血前血小板计数与产量之间存在直接关系(r = 0.50,p < 0.001),但未发现与献血者Hb浓度存在此类相关性(r = -0.10,p > 0.005)。同样,未观察到献血者的性别(r = 0.05)、年龄(r = 0.11)和体重(r = 0.18)与产量之间存在相关性。受献血前血小板计数影响的血小板产量优化是输血服务中一个新出现的问题。识别此类因素可能有助于选择献血者以获得更高的血小板产量,从而取得更好的临床效果。