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献血和献血者:来自一家大型德国教学医院的观察(2008-2017 年)。

Blood donation and donors: insights from a large German teaching hospital (2008-2017).

机构信息

Hamburg Center for Health Economics, Hamburg, Germany.

Institut für Transfusionsmedizin, Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg, Germany.

出版信息

Vox Sang. 2020 Jan;115(1):27-35. doi: 10.1111/vox.12853. Epub 2019 Oct 22.

Abstract

BACKGROUND AND OBJECTIVES

The availability of blood and blood products is crucial for the provision of high-quality hospital services. We analyse changes in whole blood donations, donors and their behaviour over 9 years at a large German teaching hospital.

MATERIALS AND METHODS

A descriptive analysis using data from over 34 000 donors and 265 000 donations from a large university hospital's blood centre was conducted using data from July 2008 to December 2017. The analysis focussed on (a) whole blood donations and (b) donor characteristics and how they changed over time. We categorized donors into four categories according to their donation activity (First-Time, Highly Active, Active and Reactivated).

RESULTS

We observed falling donations over time and that donors donated less frequently. Consequently, we show a downward trend in the number of Highly Active donors, whilst First-Time donors remained stable. We also provide evidence that donors donated well below their capacity and that the blood type of donors appeared to be in line with the wider German donor population. Lastly, we show a sharp drop in the return rates of First-Time donors over time.

CONCLUSION

We recommend that Highly Active donors and former Highly Active donors are more carefully considered when planning donor engagement strategies and effort made in (at the very least) maintaining their donation activity. Our results in the context of the literature highlight the need for further research into the changing attitudes towards blood donation and prosocial activities.

摘要

背景与目的

血液和血液制品的供应对于提供高质量的医院服务至关重要。我们分析了一家大型德国教学医院 9 年来全血捐献者、捐献者及其行为的变化。

材料与方法

使用来自一家大型大学医院血库的超过 34000 名捐献者和 265000 次捐献的数据,对 2008 年 7 月至 2017 年 12 月的数据进行了描述性分析。分析重点为(a)全血捐献和(b)捐献者特征及其随时间的变化。我们根据捐献者的捐献活动将其分为四类(初次捐献者、高度活跃者、活跃者和再激活者)。

结果

我们观察到随着时间的推移捐献量下降,捐献者的捐献频率降低。因此,我们显示高度活跃捐献者的数量呈下降趋势,而初次捐献者保持稳定。我们还提供了证据表明,捐献者的捐献量远低于其能力,而且捐献者的血型似乎与更广泛的德国献血人群相符。最后,我们显示初次捐献者的回归率随着时间的推移急剧下降。

结论

我们建议在规划献血者参与策略时,更仔细地考虑高度活跃捐献者和前高度活跃捐献者,并努力(至少)维持他们的献血活动。我们在文献背景下的结果强调了进一步研究献血和亲社会活动态度变化的必要性。

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