A two years retrospective cross-sectional study of donor deferrals in voluntary blood donation camps in a tertiary trauma and orthopaedic centre

  • Dr. Arundhathi. S. Sanjay Gandhi Institute of Trauma and Orthopaedics, Byrasandra, Jayanagar East, Bengaluru, India.
  • Dr. Shanthi Jyothi. K. Sanjay Gandhi Institute of Trauma and Orthopaedics, Byrasandra, Jayanagar East, Bengaluru, India.
Keywords: Donor deferral, Blood donation, Permanent deferral

Abstract

Introduction: Blood transfusion system is an important component of current modern health care system.Blood transfusion plays a pivotal role in saving lives in medical and surgical conditions and requires a continuous, adequate and safe supply of blood.

Materials and Methods:A retrospective, cross sectional descriptive study was conducted on blood donors in voluntary blood donation camps of tertiary trauma and orthopaedic centre over a period of two years. Donors were selected based on the standard guidelines. Predonation screening of donors was done using donor questionnaire, physical examination, haemoglobin estimation and blood grouping. Demographic data were collected from the donor deferral registry. The causes of deferral were categorized as temporary and permanent.Descriptive statistics were used to summarize data.

Results: In this two-year study 4,071 donors were registered; 3,668 (90.10%) qualified for donation and 403 (9.90%) were deferred. Among those who were deferred, females (284, 70.47%) outnumbered men. Temporary deferrals (360,89.33%) were common than permanent deferrals (43, 10.67%). Low hemoglobin was common cause for temporary deferral (35.48%) and hypertension for permanent deferral (6.45%).

Conclusion: There is a wide spectrum of variation in deferral rates of blood donors and its causes could be due to diversity in donor selection criteria, level of public awareness, environment and socio-economic status. In order to meet demand for blood and its products, blood bank should strive to recruit new donors efficiently and should retain existing donors. Effective measures should be implemented to raise awareness about blood donation and to encourage regular voluntary donations.

Downloads

Download data is not yet available.

References

1. Mourouguessine Vimal, Srinivasan Sowmya, Anandabaskar Nishanthi and Gandhi Ramya. Evaluation of Blood Donor Deferral Causes: A Retrospective Study From South India. Annals of Pathology and Laboratory Medicine, 2016;3 (6): 605-611.

2. Valerian DM, Mauka WI, Kajeguka DC, Mgabo M, Juma A, Baliyima L, et al. Prevalence and causes of blood donor deferrals among clients presenting for blood donation in northern Tanzania. PLoS ONE, 2018; 13(10): e0206487. https://doi.org/10.1371/journal.pone.0206487.[pubmed]

3. Rehman S, Arif SH, Mehdi G, Mirza S, Saeed N, et al. The Evaluation of Blood Donor Deferral Causes: A Tertiary Care Centre-based Study. J Blood Disorders Transf, 2012; 3:131. doi:10.4172/2155-9864.1000131

4. Sareen R, Gupta GN, Dutt A, Sareen R, Gupta GN, Dutt A. Donor awareness: key to successful voluntary blood donation. F1000Research 2012. 1;29.

5. Kusum D. Jashnani and Laxmi N. Patil. Blood donor deferrals: Can this be reduced? Asian J Transfus Sci. 2011 Jan; 5(1): 60. doi: 10.4103/0973-6247.76011.[pubmed]

6. Kasraian L, Negarestani N. Rates and reasons for blood donor deferral, Shiraz, Iran. A retrospective study. Sao Paulo Med J. 2015 Feb;133(1):36-42. doi: 10.1590/1516-3180-2013-7110002. Epub 2014 Aug 22.[pubmed]

7. Smith GA, Fisher SA, Dorée C, et al. A systematic review of factors associated with the deferral of donors failing to meet low haemoglobin thresholds. Transfus Med. 2013 Oct;23(5):309-20. doi: 10.1111/tme.12046. Epub 2013 Jul 5.[pubmed]

8. Chauhan D, Desai K, Trivedi H, Agnihotri A. Evaluation of blood donor deferral causes: a tertiary-care center-based study. Int. J. Med. Sci. Public Heal. 2015; 4(3): 389-392.

9. Arslan O. Whole blood donor deferral rate and characteristics of the Turkish population. Transfus Med. 2007 Oct;17(5):379-83. Epub 2007 Aug 23. DOI:10.1111/j.1365-3148.2007.00738.x

10. Shaz BH, James AB, Hillyer KL, Schreiber GB, Hillyer CD. Demographic variations in blood donor deferrals in a major metropolitan area. Transfusion (Paris). 2010 Apr;50(4):881–7.[pubmed]

11.Lawson-Ayayi S, Salmi LR. Epidemiology of blood collection in France. Eur J Epidemiol. 1999 Mar;15(3):285-92.[pubmed]

12. Radhiga ST, Kalpana S, Selvakumar, Natarajan MV. Evaluation of Deferral Causes Among Voluntary Blood Donors in Chennai –A Retrospective Study. Int J Med Health Sci. 1357925221;2(1):42–7.

13. Custer B, Johnson ES, Sullivan SD, et al. Community blood supply model: development of a new model to assess the safety, sufficiency, and cost of the blood supply. Med Decis Making. 2005 Sep-Oct;25(5):571-82. DOI:10.1177/0272989X05280557.[pubmed]

14. Gajjar H, Shah FR, Shah NR, Shah CK. Whole blood donor deferral analysis at General hospital blood bank–A retrospective study. Medicine (Baltimore). 2014;235:6–13.

15. Taneja K, Bhardwaj K, Arora S, Agarwal A. Analysis of the reasons for deferral of prospective blood donors in a Tertiary Care Hospital in North India. J Appl Hematol. 2015;6(4):154-156.

16. Tedeschi E, Maria G, Mendrone A, Fátima S, Gualandro M, Cerdeira E, et al. Risk factors for deferral due to low hematocrit and iron depletion among prospective blood donors in a Brazilian center. Rev. Bras. Hematol. 2015;37 (5):306–15.

17. Kumari S, Arya D, Mahawar NL, Bharti A, Sharma L, Das PK, et al. Prevalence and pattern of anemia among persons reported for blood donation at a tertiary care center in western part of Rajasthan. Int. J. Med. Sci. Public Heal. 2016;5 (6):1256–9.

18. Msuya SE, Hussein TH, Uriyo J, et al. Anaemia among pregnant women in northern Tanzania: prevalence, risk factors.[pubmed]

19. Newman BH. Adjusting our management of female blood donors: the key to an adequate blood supply. Transfusion. 2004 Apr;44(4):591-6. DOI:10.1111/j.0041-1132.2004.04014.x

20. Magnussen K, Bork N, Asmussen L. The effect of a standardized protocol for iron supplementation to blood donors low in hemoglobin concentration. Transfusion (Paris). 2008 Apr 1;48(4):749–54.[pubmed]

21. Pauwels NS, Cusack L, De Buck E, et al. The effect of pre-donation hypotension on whole blood donor adverse reactions: a systematic review. J Am Soc Hypertens. 2014 Jun;8(6):429-36. doi: 10.1016/j.jash.2014.03.332. Epub 2014 Apr 5.[pubmed]

22. Unnikrishnan B, Rao P, Kumar N, et al. Profile of blood donors and reasons for deferral in coastal South India. Australas Med J. 2011;4(7):379-85. doi: 10.4066/AMJ.2011.641. Epub 2011 Jul 31.[pubmed]

23. Bahadur S, Jain S, Goel RK, et al. Analysis of blood donor deferral characteristics in Delhi, India. Southeast Asian J Trop Med Public Health. 2009 Sep;40(5):1087-91.[pubmed]

24. K. Padma Malini, Tamil Arasi, K. Sudha, O. Shravan Kumar. Evaluation of causes of deferral of blood donors in blood bank- A study of 2 years at tertiary care hospital blood bank. IAIM,2017; 4 (5): 128-132.
A two years retrospective cross-sectional study of donor deferrals in voluntary blood donation camps in a tertiary trauma and orthopaedic centre
CITATION
DOI: 10.17511/jopm.2019.i03.07
Published: 2019-03-31
How to Cite
Dr. Arundhathi. S., & Dr. Shanthi Jyothi. K. (2019). A two years retrospective cross-sectional study of donor deferrals in voluntary blood donation camps in a tertiary trauma and orthopaedic centre. Tropical Journal of Pathology and Microbiology, 5(3), 150-155. https://doi.org/10.17511/jopm.2019.i03.07
Section
Original Article