Blood donor deferral analysis: A tertiary care centre experience.

  • Harjot Kaur Department of Pathology, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar , Punjab, India
  • Rahul Mannan Department of Pathology, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar , Punjab, India
  • Mridu Manjari Department of Pathology , Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar , Punjab, India
  • Sonam Sharma Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Tania Garg Department of Pathology, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar , Punjab, India
  • Tejinder Bhasin
Keywords: Blood bank, Deferral, Donors, Punjab, Repeat, First time

Abstract

Background: Blood donor selection is important to ensure the safety of  both donors and recipients. There is a paucity of data on reasons for blood donor deferral in Punjab. The aim of this study was to identify the reasons for predonation deferral at a blood collection site at a blood bank of a tertiary care teaching hospital.Method: The investigators conducted retrospectively of data pertaining to donor deferral for blood donors from January 1, 2014 to December 31, 2014.Results: Among 8523 donors reporting to our blood bank during the one year period, 91 % were males. Of these, 7927 (93%) attempted donation, while 596 (6.9%) were deferred. Among the deferred, 342 (57.4%) were deferred for temporary reasons and 254 (42.6%) for permanent or semi-permanent reasons. Main reasons for temporary deferral were low hemoglobin (17.25%), alcohol abuse (13.15% ) and tattooing (12.18%). A positive history of cardiac abnormalities with high blood pressure ( 37.4%) followed by age disparity ( age , 18 years or > 65 years)- 25.98 % and practicing unsafe sex or drug abuse (13.77%) were the main reasons for permanent/semi-permanent deferrals.Statistically it was noted that the overall proportion of deferral was higher in males (5.3% vs 1.1%, p < 0.0001), and first-time donors (4.97% vs 2.01%, p < 0.0001)Conclusion: First time donors are more frequently deferred than repeat donors, especially because of interview decisions and presence of high risk behaviour. The study suggests the importance of recruiting repeated blood donors for better hemovigilance and blood safety practices. 

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Published
2016-11-08
Issue
Vol 3 No 5 (2016): (Suppl) November
Section
Original Article

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