Zahidin Muhamad Aidil, Saidin Nur Ilyia Syazwani, Ibrahim Nur Asni, Mohd Nasir Nik Nurul Atikah, Abdul Razak Nurul Izzah, Ramli Marini, Hassan Mohd Nazri, Mohd Noor Noor Haslina
Department of Hematology, Universiti Sains Malaysia School of Medical Sciences, Kota Bharu, MYS.
Cureus. 2024 Feb 26;16(2):e54954. doi: 10.7759/cureus.54954. eCollection 2024 Feb.
A deferral takes place when donors fail to meet the eligibility criteria for donating blood during their visit to a blood collection site. Deferral periods, which can be either permanent or temporary, are implemented to protect the well-being of both the donor and the recipient. This study aimed to investigate the frequency of deferrals and the various factors contributing to them. A retrospective analysis was conducted at the Transfusion Medicine Unit of Hospital Universiti Sains Malaysia (USM), utilizing data obtained from blood donors during the period from January 2022 to June 2023. The research included a cohort of 18,751 donors who visited our transfusion unit for blood donation. Data, including gender, age, and reasons for deferral, were collected by reviewing the records of donors who were deferred. Descriptive statistics were employed to analyze the data of deferral blood donors. Out of 18,751 blood donors, 3,533 (18.84%) were deferred, consisting of 1,267 males (35.86%) and 2,266 females (64.14%). The age group of 18-25 years accounted for the highest number, comprising 1,875 donors (53.07%). Among the deferred cases, 53.33% were first-time donors, followed by 25.28% regular donors and 21.40% lapsed donors. The deferral of blood donors resulted from various reasons. The most common cause of overall deferral among blood donors was low hemoglobin (38.33%), followed by upper respiratory tract infections (8.38%), chronic medical illness (7.08%), and high blood pressure (7.02%). Temporary deferrals were more prevalent than permanent deferrals, accounting for 91.57% of cases compared to 8.43% for permanent deferrals. Voluntary non-remunerative blood donors constitute the backbone for a safe and reliable blood supply in transfusion services. Utilizing a comprehensive database will enable effective counseling of temporarily deferred donors, providing insights into the reasons for their deferral, the expected duration, and the appropriate treatments. This information is crucial for motivating these donors to recruit again in the donor pool. Public education initiatives aimed at raising awareness about the causes of deferral and promoting regular health check-ups can play a pivotal role in minimizing these deferrals.
当献血者在前往采血点献血时未达到献血资格标准，就会出现延期献血的情况。延期期限可以是永久性的，也可以是临时性的，实施延期是为了保护献血者和受血者双方的健康。本研究旨在调查延期献血的频率以及导致延期的各种因素。在马来西亚理科大学医院输血医学科进行了一项回顾性分析，利用了2022年1月至2023年6月期间从献血者那里获得的数据。该研究纳入了18751名到我们输血科献血的献血者队列。通过查阅被延期献血者的记录，收集了包括性别、年龄和延期原因等数据。采用描述性统计方法分析延期献血者的数据。在18751名献血者中，有3533人（18.84%）被延期，其中男性1267人（35.86%），女性2266人（64.14%）。18至25岁年龄组的人数最多，有1875名献血者（53.07%）。在被延期的案例中，53.33%是首次献血者，其次是25.28%的定期献血者和21.40%的曾有过献血经历但已不再献血的人。献血者被延期有多种原因。献血者总体延期的最常见原因是血红蛋白水平低（38.33%），其次是上呼吸道感染（8.38%）、慢性疾病（7.08%）和高血压（7.02%）。临时性延期比永久性延期更为普遍，临时性延期占病例的91.57%，而永久性延期占8.43%。自愿无偿献血者是输血服务中安全可靠血液供应的支柱。利用一个全面的数据库将能够对临时延期的献血者进行有效的咨询，提供有关他们延期原因、预期期限和适当治疗方法的见解。这些信息对于激励这些献血者再次加入献血者队伍至关重要。旨在提高对延期原因的认识并促进定期健康检查的公众教育举措，在尽量减少这些延期情况方面可以发挥关键作用。
