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志愿者血液和成分供者常规空腹全血胆固醇筛查的经验。

Experience with routine total nonfasting blood cholesterol screening of volunteer blood and component donors.

机构信息

Carter BloodCare, Bedford, Texas 76021, USA.

出版信息

Transfusion. 2011 Apr;51(4):731-6. doi: 10.1111/j.1537-2995.2010.02920.x. Epub 2010 Oct 26.

DOI:10.1111/j.1537-2995.2010.02920.x
PMID:20977488
Abstract

BACKGROUND

There is an increasing number of blood programs giving donors information about health risks for cardiovascular disease based on a total nonfasting cholesterol level measured at donation.

STUDY DESIGN AND METHODS

Experience with screening 187,714 individual donors for total nonfasting cholesterol was reviewed and results were compared with those for a representative sample of United States adults as published in National Health and Nutrition Examination Surveys. Donors were invited to retrieve their results and were tracked as to whether they used this service or not.

RESULTS

By comparison with the national surveys, more blood donors have normal total nonfasting cholesterols and fewer have borderline high or high values as defined by the National Cholesterol Education Program Expert Panel. These observations hold for both males and females across all age ranges from 20 to older than 75 years. Only a minority of donors retrieve their results.

CONCLUSIONS

The blood donor setting can be expanded, by inclusion of total nonfasting cholesterol level, to include screening for cardiovascular disease risk. When compared with the general adult population, donors represent a group at less risk for heart disease.

摘要

背景

越来越多的血站在为献血者提供信息时,会根据献血时测量的总非空腹胆固醇水平,告知他们心血管疾病的健康风险。

研究设计与方法

我们对 187714 名个体献血者进行总非空腹胆固醇筛查的经验进行了回顾,并将结果与美国成年人的代表性样本进行了比较,这些结果发表在国家健康和营养调查中。我们邀请献血者检索他们的结果,并跟踪他们是否使用了这项服务。

结果

与全国性调查相比,更多的献血者有正常的总非空腹胆固醇,而边缘高或高值的比例则根据国家胆固醇教育计划专家组的定义降低了。这些观察结果适用于从 20 岁到 75 岁以上的所有年龄段的男性和女性。只有少数献血者检索了他们的结果。

结论

通过纳入总非空腹胆固醇水平,献血者的检测范围可以扩大到心血管疾病风险的筛查。与一般成年人群相比,献血者的心脏病风险较低。

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