Pattern and outcome of donor deferral -? need of hour
DOI:
https://doi.org/10.18203/2320-6012.ijrms20175736Keywords:
Donor selection, Donor deferral, Deferral reasonsAbstract
Background: To analyze various reasons for blood donor deferral and to study its long term impact on potential prospective blood donors.
Methods: A total of 26029, otherwise healthy, prospective blood donors were studied retrospectively over a period of 5 years. WHO blood donor selection criteria and counseling guidelines were used for donor selection. Donor deferral data was evaluated with respect to age, sex and cause of deferral which was further analyzed as temporary or permanent deferral.
Results: 1448 (5.56%) blood donors were deferred for various reasons. 1232 (4.89%) of total male donors and 216 (26.83%) of total female blood donors were deferred.1378 (95.16%) donors were deferred on temporary basis and only 70 (4.84 %) donors were permanently deferred. Anemia (42.26%) was observed to be the most common cause of temporary donor deferral while hypertension with cardiac disorder (1.93%) was the most common cause of permanent deferral. All the temporary deferred donors (1378) were called after the period of deferment. Out of total 1378 temporarily deferred donors, only 129 donors returned later for voluntary donation.
Conclusions: Establishment of effective measures is needed in regard to consider the effect of donor deferrals on future availability of donor and donor return and to monitor necessity and effectiveness of deferrals and their reasons. As percentage of temporary deferral is higher, they should be efficiently managed, counseled, educated and encouraged for future donation which can compensate the increasing demand of blood donors.
References
World Health Organization. Towards 100% voluntary blood donation, 2010. Available at http://www.who.int/bloodsafety/publications/9789241599696/en/.
World Health Organization. Blood donor selection and counseling. Available at http://www.who.int/bloodsafety/voluntary_donation/blood_donor_selection_counselling/en/.
Rehman S, Arif SH, Mehdi G, Mirza S, Saeed N, Yusuf F. The evaluation of blood donor deferral causes: A tertiary care centre-based study. J Blood Disorders Transf. 2012;3(5):131.
Department of AIDS Control Ministry of Health and Family Welfare Government of India. Annual report 2008-2009. 2009:27.
Ekwere TA, Ino-Ekanem M, Motilewa OO, Iquo Augustine Ibanga. Pattern of blood donor deferral in a tertiary hospital, South-south, Nigeria: A three-year study review. Int J Blood Transfus Immunohematol. 2014;4:7-13.
Gorlin, J, Blood donor deferrals: biting the hand that feeds us!. Transfusion. 2008;48:2484-86.
Vimal M, Sowmya S, Nishanthi A, Ramya G. Evaluation of blood donor deferral causes: a retrospective study from South India. Annals Pathol Lab Medic. 2016;3(6):A605-611.
Patel S, Patel J, Patel A, Pandya AN, Raja K, Dobariya G, et al. “The study of deferred blood donors at tertiary level hospital based blood bank of south Gujarat”. J Evolution Medic Dental Sci. 2015;4(27):4590-98.
Agnihotri N. Whole blood donor deferral analysis at a center in Western India. Asian J Transfusion Sci. 2010;4(2):116-22.
Gajjar H, Shah FR, Shah NR, Shah CK. Whole blood donor deferral analysis at General hospital blood bank-A retrospective study. NHL J Medic Sci. 2014;235:6-13.
Krishna MC, Sharada MS, Harish SG, Hulinaykar RM. An analysis of pre-donation deferral of blood donors in a tertiary care teaching hospital blood bank unit, Tumakur, Karnataka, India. Int J Healthcare Sci. 2015;2(2):258-62.
Chenna D, Shastry S, Murugesan M, Baliga PB. Implication of deferral pattern on the donor pool: Study at a Tertiary Care Hospital. J Appl Hematol. 2015;6:111-4
Mallhi SR, Kushwaha N, Pawar A. Blood Donor Deferral: do We Need to Revise our Strategy? Ind J App Res. 2016;6.
Bobati SS, Basavraj V, Prakash P. Analysis of predonation loss of blood donors due to deferrals - in a tertiary care hospital set up. Int J Health Allied Sci. 2016;5:15-8.
Shariff MH, Sadiqunissa, Sultana Q. Impact of blood donor deferrals on blood availability in a tertiary care centre of Dakshina Kannada. Ind J Pathology Oncology. 2016;3(3);376-78.
Girish CJ, Chandrashekhar TN, Ramesh BK, Kantikar SM. Pre-donation deferral of whole blood donors in district transfusion centre. J Clinic Diag Res. 2012;6(1):47-50.
John F, Varkey RM. Evaluation of blood donor deferral causes in a tertiary hospital, South India. International J Biomed Advance Res. 2015;6(03):253-58.
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 Transfusion Sci. 2016;10(2):122-26.
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 Heal. 2009;40(5):1087-91.
Shah SD, Shah MC, Bhatnagar NM, Gajjar MD, Soni SA, Patel TR. Analysis of blood donor deferral characteristics in a tertiary care hospital in a blood bank-a review. Southeast Asian J Case Rep Rev. 2013;2(5):389-95.
