Badami K G, Sesun M, Basu A, Absalom N
New Zealand Blood Service, Christchurch, New Zealand.
J Clin Apher. 2012 Nov;27(5):247-54. doi: 10.1002/jca.21240. Epub 2012 Jun 22.
We studied the demographic, laboratory, and operational parameters that might influence individual, as well as average, plateletpheresis yields. Multivariate linear regression analyses showed that 25.4% and 11.6% of variability, among males and females, respectively, in individual yields was explained by the platelet count prior to that donation and 55% of the variation in mean platelet yields (PYs) was explained by the pre-first donation platelet count, the first donation PY and the body mass index (BMI). Logistic regression analysis showed that donors with first donation PYs higher, compared to those with lower yields, than the median of all mean PYs were more likely to be relatively high platelet yielders over the long term. A statistically significant, although clinically insignificant, decline in predonation platelet counts is seen in all donors regardless of the total number of donations or interdonation interval. Donors with high pre-first donation platelet counts, first donation yields, and BMI are likely to be consistent good platelet yielders.
我们研究了可能影响个体以及平均血小板采集量的人口统计学、实验室和操作参数。多元线性回归分析表明,男性个体采集量变异的25.4%以及女性个体采集量变异的11.6%可由该次捐献前的血小板计数来解释,而平均血小板采集量(PYs)变异的55%可由首次捐献前的血小板计数、首次捐献的PYs以及体重指数(BMI)来解释。逻辑回归分析表明,与采集量较低者相比,首次捐献PYs高于所有平均PYs中位数的捐献者从长期来看更有可能是血小板采集量相对较高者。无论捐献总数或两次捐献间隔时间如何,所有捐献者在捐献前的血小板计数均出现了虽无临床意义但具有统计学显著性的下降。首次捐献前血小板计数高、首次捐献采集量高以及BMI高的捐献者很可能始终是良好的血小板采集者。