Shah Ripal, Tulsiani Sunita, Harimoorthy V, Mathur Ankit, Choudhury Nabajyoti
Medical Director, Indian Red Cross Society Blood Bank, Ahmedabad, Gujarat, India.
Asian J Transfus Sci. 2013 Jan;7(1):63-7. doi: 10.4103/0973-6247.106742.
Voluntary blood donation is not satisfactory all over India. In India, about 55% of donation is through voluntary non-remunerated blood donors (VNRBD). However, about one third already motivated blood donors are deferred due to stringent screening criteria, either temporarily or permanently. The temporarily deferred donors could be a good source of blood donation after deferral period.
The present study is carried out to know retrieval of blood donors those who are deferred temporarily.
The present study is carried out in the Regional Blood Transfusion Centre of Western India. All donors screened as per the guideline and deferred donors are categorized as temporary and permanently deferred donors.
From temporarily deferred donors, reason for deferral is considered. As per reason of deferral, time duration for recalling the donor is defined. Based on this, donor is called back to donate again.
Chi-square test is applied.
A total of 33% donors were deferred either temporarily or permanently. In the repeat donors (5.32%) deferral rate was significantly higher than first time (1.32%) donors. Significant female preponderance was observed (15.05% vs 2.51%). Majority of temporarily deferred donors were less than 40 years of age (80.80%), graduate (82.90%), from low income group (62.90%) and profession was service (48.10%).
Low hemoglobin (78.30%) was the most common reason of temporary deferral, both in first time and repeat donors (71.00%). Efforts to increase the hemoglobin in the repeat donors will improve the donor retention and overall blood safety can be increased.
在印度全国范围内,自愿无偿献血的情况并不理想。在印度,约55%的献血来自自愿无偿献血者(VNRBD)。然而,由于严格的筛查标准,约三分之一已经有献血意愿的献血者被延期献血,延期时间有临时的,也有永久的。那些临时延期的献血者在延期期过后可能是很好的献血来源。
开展本研究以了解临时延期献血者的召回情况。
本研究在印度西部的地区输血中心开展。所有按照指南进行筛查的献血者以及被延期的献血者被分为临时延期和永久延期献血者。
对于临时延期的献血者,考虑其延期原因。根据延期原因,确定召回献血者的时间间隔。据此,将献血者召回再次献血。
采用卡方检验。
共有33%的献血者被临时或永久延期。在再次献血者中(5.32%),延期率显著高于首次献血者(1.32%)。观察到女性占比显著更高(15.05%对2.51%)。大多数临时延期的献血者年龄小于40岁(80.80%),是毕业生(82.90%),来自低收入群体(62.90%),职业为服务业(48.10%)。
血红蛋白水平低(78.30%)是首次献血者和再次献血者临时延期的最常见原因(71.00%)。努力提高再次献血者的血红蛋白水平将提高献血者留存率,并可提高整体血液安全性。