老年重复献血者献血。
Blood donation by elderly repeat blood donors.
机构信息
DRK-Blutspendedienst West gGmbH, Zentrum für Transfusionsmedizin Breitscheid, Ratingen, Germany.
DRK-Blutspendedienst West gGmbH, Zentrum für Transfusionsmedizin Bad Kreuznach, Bad Kreuznach, Germany.
出版信息
Transfus Med Hemother. 2014 Jul;41(4):242-50. doi: 10.1159/000365401. Epub 2014 Jul 4.
BACKGROUND
Upper age limits for blood donors are intended to protect elderly blood donors from donor reactions. However, due to a lack of data about adverse reactions in elderly blood donors, upper age limits are arbitrary and vary considerably between different countries.
METHODS
Here we present data from 171,231 voluntary repeat whole blood donors beyond the age of 68 years.
RESULTS
Blood donations from repeat blood donors beyond the age of 68 years increased from 2,114 in 2005 to 38,432 in 2012 (from 0,2% to 4.2% of all whole blood donations). Adverse donor reactions in repeat donors decreased with age and were lower than in the whole group (0.26%), even in donors older than 71 years (0.16%). However, from the age of 68 years, the time to complete recovery after donor reactions increased. Donor deferrals were highest in young blood donors (21.4%), but increased again in elderly blood donors beyond 71 years (12.6%).
CONCLUSION
Blood donation by regular repeat blood donors older than 71 years may be safely continued. However, due to a lack of data for donors older than 75 years, blood donation in these donors should be handled with great caution.
背景
设定献血者的最高年龄限制旨在保护老年献血者免受献血反应的影响。然而，由于缺乏关于老年献血者不良反应的数据，最高年龄限制是任意的，在不同国家之间差异很大。
方法
在这里，我们提供了 171231 名超过 68 岁的自愿重复全血献血者的数据。
结果
超过 68 岁的重复献血者的献血量从 2005 年的 2114 人增加到 2012 年的 38432 人（从所有全血献血量的 0.2%增加到 4.2%）。重复献血者的献血不良反应随着年龄的增长而减少，且低于总体水平（0.26%），即使是在年龄超过 71 岁的献血者中（0.16%）也是如此。然而，自 68 岁起，献血反应后完全恢复所需的时间增加。年轻献血者的献血延期率最高（21.4%），但 71 岁以上的老年献血者再次增加（12.6%）。
结论
定期重复献血超过 71 岁的献血者可以安全地继续献血。然而，由于缺乏 75 岁以上献血者的数据，这些献血者的献血应谨慎处理。
Zotero 插件