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频繁的全血捐献者:了解这一群体及其献血中断的预测因素。

Frequent whole blood donors: understanding this population and predictors of lapse.

作者信息

Gemelli Carley N, Hayman Jane, Waller Daniel

机构信息

Clinical Services and Research, Australian Red Cross Blood Service.

School of Clinical Sciences, Monash University, Melbourne, Australia.

出版信息

Transfusion. 2017 Jan;57(1):108-114. doi: 10.1111/trf.13874. Epub 2016 Oct 23.

Abstract

BACKGROUND

Frequent blood donors are an important resource as they contribute many donations over their lifetime. The aim of this research was to develop a demographic profile of Australian frequent whole blood donors and to determine predictors of lapse within this group.

STUDY DESIGN AND METHODS

Routinely collected data were used to profile individuals who had donated whole blood frequently (three or more times) between December 2010 and November 2011. Two segments were identified: 1) existing donors who had donated before December 2010 and 2) new donors who had not donated before December 2010. Donation records were followed to the end of December 2013 to examine retention.

RESULTS

A total of 90,867 donated frequently between December 2010 and November 2011. The group was composed of slightly more men (51.4%), was typically of middle socioeconomic status, and many were employed in skilled trades such as a builder or a plumber (21.3%). Existing donors (n = 81,762) were significantly older, more likely to be male, and more likely to have a D- blood type compared to the smaller group of new donors (n = 9105). For both segments, being older and male and having a D- blood type increased the likelihood of return in the follow-up period. Deferrals and adverse events had negative impacts on retention for both groups.

CONCLUSIONS

This study highlights specific factors that blood collection agencies may focus on to support continued donation among frequent donors.

摘要

背景

频繁献血者是重要的资源,因为他们在一生中会多次献血。本研究的目的是建立澳大利亚频繁全血献血者的人口统计学概况,并确定该群体中献血中断的预测因素。

研究设计与方法

使用常规收集的数据对在2010年12月至2011年11月期间频繁捐献全血(三次或更多次)的个体进行概况分析。确定了两个群体:1)2010年12月之前已献血的现有献血者;2)2010年12月之前未献血的新献血者。跟踪献血记录至2013年12月底以检查留存情况。

结果

在2010年12月至2011年11月期间,共有90,867人频繁献血。该群体中男性略多(51.4%),通常具有中等社会经济地位,许多人从事建筑工人或水管工等技术行业(21.3%)。与较小的新献血者群体(n = 9105)相比,现有献血者(n = 81,762)年龄显著更大,更有可能是男性,且更有可能是D型阴性血。对于两个群体而言,年龄较大、男性以及D型阴性血会增加随访期间再次献血的可能性。延期献血和不良事件对两个群体的留存率均有负面影响。

结论

本研究突出了采血机构可能需要关注的特定因素,以支持频繁献血者持续献血。

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