THE THE EVALUATION OF PATTERN OF WHOLE BLOOD DONOR DEFERRALS IN A TERTIARY CARE CENTER OF NORTH INDIA
DOI:
https://doi.org/10.22159/ajpcr.2024.v17i5.50314Keywords:
Donor Deferral, Safe blood transfusion, Donor recruitment, Temporary deferral, Permanent deferralAbstract
Objectives: Donor recruitment is critical to the supply of safe and adequate blood/blood components to meet patient’s need; the first and most crucial step to provide safe blood is proper selection of blood donors. Blood donor selection criteria are designed to ensure the donor as well as the recipient’s health. The objective of this study is to analyze the various causes of donor deferral, study their frequency pattern and to suggest changes to retain and retrieve donors in future.
Methods: A retrospective study on analysis of deferred donors of whole blood was conducted in a blood center at tertiary care hospital in North India. The study included blood donors deferred from January 2022 to December 2022.
Results: A total of 27,121 donors were registered for whole blood donation and 4534 (16.71%) were deferred. Female deferral (41.67%) was more as compared to male deferral (15.11%). Temporary deferrals (n=4238 [93.47%]) were significantly higher than permanent deferrals (n=296 [6.5%]). The most common reason for temporary deferral was anemia (n = 940 [20.7%]) while that for permanent deferral was jaundice (n=179 [3.94%]).
Conclusion: Analyzing the causes, frequency and deferral pattern of blood donors will help to guide the recruitment and retention efforts to maintain a healthy donor pool at large.
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References
World Health Organization. Blood Donor Selection; Guidelines on Assessing Donor Suitability for Blood Donation. Geneva: World Health Organization; 2012.
Lamba DS, Sachdev S, Hans R, Krishan Dhawan HK, Sharma RR, Marwaha N. Review of blood donor deferral with emphasis on donor and patient safety. Transfus Clin Biol. 2023;30(1):56-62. doi: 10.1016/j. tracli.2022.07.002, PMID 35835317
Shrivastava M, Shah N, Navaid S, Agarwal K, Sharma G. Blood donor selection and deferral pattern as an important tool for blood safety in a tertiary care hospital. Asian J Transfus Sci. 2016;10(2):122-6. doi: 10.4103/0973-6247.187938, PMID 27605848
Faheem K, Nusrath N, Sushma C, Sujatha C, Sai Prasad BV, Anuradha B, et al. Pattern of blood donor deferral system in a tertiary care teaching hospital-an evaluation and fact-finding analysis. J Dent Sci. 2019;18:53-8.
Agnihotri N. Whole blood donor deferral analysis at a center in Western India. Asian J Transfus Sci. 2010;4(2):116-22. doi: 10.4103/0973- 6247.67035, PMID 20859512
Schedule F. The Drugs and Cosmetics Act, 1940 and the Drugs and Cosmetics Rules. (as Amended till 11th March 2020). Part XIIB. Ministry of Health and Family Welfare. Department of Health. GoI; 1945. p. 268-88.
Kandasamy D, Shastry S, Chenna D, Mohan G. Blood donor deferral analysis in relation to the screening process: A single-center study from southern India with emphasis on high hemoglobin prevalence. J Blood Med. 2020;11:327-34. doi: 10.2147/JBM.S265461, PMID 33061730
Masser BM, White KM, Hyde MK, Terry DJ. The psychology of blood donation: Current research and future directions. Transfus Med Rev. 2008;22(3):215-33. doi: 10.1016/j.tmrv.2008.02.005, PMID 18572097
Halperin D, Baetens J, Newman B. The effect of short-term, temporary deferral on future blood donation. Transfusion. 1998;38(2):181-3. doi: 10.1046/j.1537-2995.1998.38298193102.x, PMID 9531951
John F, Varkey MR. Evaluation of blood donor deferral causes in a tertiary hospital, South India. Int J Biomed Adv Res. 2015;6(3):253-8. doi: 10.7439/ijbar.v6i3.1833
Okoroiwu HU, Asemota EA. Blood donors deferral prevalence and causes in a tertiary health care hospital, southern Nigeria. BMC Health Serv Res. 2019;19(1):510. doi: 10.1186/s12913-019-4352-2, PMID 31331326
Vyas KN, Sapre JP, Maru AM, Shah AR. Donor deferral criteria one year study at tertiary care hospital. J Diagn Pathol Oncol. 2021;6:90-3.
Meena GC, Beelwal D, Tailor SB, Sunaria RK. Pre donation deferral pattern among blood donors in tertiary care Hospital, Ajmer, Rajasthan. Asian J Pharm Clin Res. 2022;15(10):137-41. doi: 10.22159/ajpcr.2022. v15i10.46075
Malhotra S, Negi G. Analysis of reasons of blood donor deferral at a tertiary care institute in India and its reflections on community health status. Asian J Transfus Sci. 2023 Jan-Jun;17(1):48-52. doi: 10.4103/ ajts.AJTS_69_19, PMID 37188024
Vyasrao KT, Adinarayan M. Evaluation of blood donor deferral pattern in a tertiary care teaching hospital in North Karnataka. Indian J Pathol Res Pract. 2017 Apr-Jun;6(2(Part-1)):242-5. doi: 10.21088/ ijprp.2278.148X.6217.12
Thaker MV, Shah PH, Bano S, Sheth N. A study of causes of donor deferral at tertiary care hospital – Bhavnagar, Gujarat. J Med Sci Clin Res. 2017;5(6):23275-81.
Bahadur S, Jain S, Goel RK, Pahuja S, Jain M. Analysis of blood donor deferral characteristics in Delhi, India. Southeast Asian J Trop Med Public Health. 2009;40(5):1087-91. PMID 19842393
Transforming Nutrition in India: POSHAN Abhiyaan. A Progress Report. NITI Aayog; 2018.
National Viral Hepatitis Control Programme. (Operational guidelines). MoHFW, GoI; 2018.
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