Domen R E, Grewal I D, Hirschler N V, Hoeltge G A
Department of Clinical Pathology, Cleveland Clinic Foundation, OH 44195, USA.
Int J Qual Health Care. 1997 Feb;9(1):35-41. doi: 10.1093/intqhc/9.1.35.
This study examined the frequency with which allogeneic, volunteer blood donors who had been deferred from donation at one blood collection facility donated, or attempted to donate, at a second blood collection facility.
The blood donor computer files of two local blood collection facilities were-combined and matched donors on the donor deferral registry of each blood collection facility were identified.
Of 26,300 donors in the hospital-based blood bank file, 6732 (25.6%) were matched to the community blood center donor file (active donor base approximately 275,000). Matched donors on the donor deferral registry at each blood collection facility numbered 427 (6.3% of total matched donors). A total of 103 evaluable donors (1.5% of total, or 24.1% of deferred, matched donors) had been deferred at one blood collection facility and then later donated, or attempted donation, at the other blood collection facility. Of these 103, 51 were allogeneic donors who had been notified of their deferral status and should not have subsequently attempted blood donation. Thirty-two donors on the donor deferral registry of one blood collection facility made donations at the second blood collection facility which entered the general blood inventory.
Shared donor deferral registries may be valuable at the local or regional level to prevent deferred blood donors from donating at other blood collection facilities. Whether or not a national donor deferral registry would be efficacious remains to be proven and deserves further study.
本研究调查了在一个采血机构被推迟献血的异体志愿献血者在第二个采血机构献血或试图献血的频率。
合并了两个当地采血机构的献血者计算机文件,并识别了每个采血机构献血者延期登记册上的匹配献血者。
在医院血库文件中的26300名献血者中,6732名(25.6%)与社区血中心献血者文件相匹配(活跃献血者库约为275000人)。每个采血机构献血者延期登记册上的匹配献血者有427名(占总匹配献血者的6.3%)。共有103名可评估的献血者(占总数的1.5%,或延期匹配献血者的24.1%)在一个采血机构被推迟献血,后来在另一个采血机构献血或试图献血。在这103名中,51名是异体献血者,他们已被告知延期状态,随后不应再试图献血。一个采血机构献血者延期登记册上的32名献血者在第二个采血机构献血,这些血液进入了普通血库。
共享的献血者延期登记册在地方或区域层面可能有助于防止被推迟的献血者在其他采血机构献血。全国性的献血者延期登记册是否有效还有待证明,值得进一步研究。