Niittymäki Pia, Arvas Mikko, Larjo Antti, Mattila Pirkko, Ihalainen Jarkko, Syrjälä Martti, Castrén Johanna, Partanen Jukka
Finnish Red Cross Blood Service, Helsinki, Finland.
Blood Adv. 2017 Jun 8;1(14):961-967. doi: 10.1182/bloodadvances.2016004218. eCollection 2017 Jun 13.
Measuring the concentration of capillary hemoglobin (cHb) is a standard procedure before blood donation. To further assess the time period needed for cHb recovery after blood donation and to have a more in-depth understanding of features of recovery, we used data-mining tools in a large, retrospective data pool containing all 1 163 524 donor returns that took place in Finland in 2010 to 2015. The results show that the average recovery times for cHb to return back to the level preceding donation were substantially longer, over 200 days in all age groups, than were the minimum allowed donation intervals. cHb recovery was especially poor in women under the age of 30 who returned to donate soon after the minimum allowed donation interval. It was of interest that frequent donors recovered substantially faster, with the average recovery times of ∼100 days in men and ∼200 days in women, than did infrequent donors, suggesting that there is a subpopulation of donors who can donate frequently without fear of iron deficiency. Return interval in fact explained only 1% of the variation in cHb recovery, which points to unknown, individual features, such as genetic or lifestyle factors, warranting further studies and suggesting that simply extending the allowed donation intervals may not suffice to improve cHb recovery. The study demonstrates that data mining of blood bank records is a powerful tool for depicting features of blood donor population.
测量毛细血管血红蛋白(cHb)浓度是献血前的一项标准程序。为了进一步评估献血后cHb恢复所需的时间,并更深入地了解恢复特征,我们在一个大型回顾性数据库中使用了数据挖掘工具,该数据库包含2010年至2015年在芬兰发生的所有1163524次献血者回访记录。结果表明,cHb恢复到献血前水平的平均恢复时间在所有年龄组中都长得多,超过200天,比允许的最短献血间隔时间还要长。在30岁以下的女性中,cHb恢复情况尤其不佳,她们在最短允许献血间隔后不久就回来献血。有趣的是,频繁献血者的恢复速度明显更快,男性的平均恢复时间约为100天,女性约为200天,比不频繁献血者快,这表明存在一部分献血者可以频繁献血而不用担心缺铁。事实上,献血间隔时间仅解释了cHb恢复变化的1%,这表明存在未知的个体特征,如遗传或生活方式因素,需要进一步研究,并表明仅仅延长允许的献血间隔时间可能不足以改善cHb恢复情况。该研究表明,对血库记录进行数据挖掘是描绘献血者群体特征的有力工具。