Evaluation of blood donor deferral causes in a tertiary hospital, South India

John, Fred; Varkey, Mary Rithu

doi:10.7439/ijbar.v6i3.1833

Cited by 14 publications

(11 citation statements)

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“…Males (97.5%) and females (2.5%) constitutes total registered donor population, similar to other studies in literature. 6,7 The deferral rate among females was much higher when compared to males in current study similar to other studies in literarture. 8,9 Higher female deferral rate, low participation could be due to higher frequency of anemia, health problems, social taboos, cultural habits, lack of motivation, misbeliefs, reluctancy and fear to donate blood.…”

Section: Discussionsupporting

confidence: 89%

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Retrospective Analysis of Patterns of Donor Deferral among Blood Donors in a Tertiary Care Hospital

Priya¹

2019

IJCMR

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Introduction: Blood transfusion saves millions of lives. Donors undergo certain stringent selection criteria to ensure safe and quality blood and blood products. During such process it is likely that donors may get deferred either temporarily or permanently. Deferral leads to precious loss of donors and blood units. Morever rates and reasons of deferral vary from region to region. The aim of the study was to analyse rates and reasons of donor deferral in our hospital. Material and Methods: It is a retrospective study done over a period of 6 years from January 2012 to December 2017. Details of donors who were deferred either temporarily or permanently during the study period was collected from the donor registry. Results: Out of the 15,807 donors who registered for blood donation during study period, 971 donors were deferred due to several reasons both temporarily and permanently. Total deferral rate of 6% as comparable to other studies in literature. Conclusion: Knowledge about rates and reasons of donor deferral may guide medical personnel to focus on donor screening. Proper follow up measures can be carried out in case of temporarily deferred donors to bring them back to donor pool.

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Section: Discussionsupporting

confidence: 89%

“…The higher rate was due to inclusion of TTI seropositivity post donation similar to other studies in literature. 2,7,8,14 in contrast to lower rate reported by other studies. 11,13 Most common predonation cause of permanent deferral was hypertension 92 (76%) of donors.…”

Section: Discussionmentioning

confidence: 59%

Retrospective Analysis of Patterns of Donor Deferral among Blood Donors in a Tertiary Care Hospital

Priya¹

2019

IJCMR

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“…Other causes include history of malaria, dengue or typhoid, dental procedures and vaccination. A study by John et al (2015) 24 26 reported their donor deferral rate to be 11.6%. This wavering seen in the donor deferral rates can be due to varying demographics of study population.…”

Section: Discussionmentioning

confidence: 99%

Quality Indicators- Performance Tools of Blood Transfusion Services

Varshney¹,

Gupta²

2017

jemds

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BACKGROUNDBlood transfusion services play a crucial role in patient's health care management. The quality of blood and blood products as well as their injudicious use may affect the health care facility. Therefore, it becomes necessary for any blood centre to promote high standards of quality in all aspects of its blood transfusion services. This can be achieved through implementation of quality management systems, which can be monitored to provide high quality services. Quality management systems can be monitored with the help of performance measures known as Quality Indicators (QI's). Thus, our study is aimed to evaluate and analyse quality indicators as performance tools of our Blood Transfusion Services. MATERIALS AND METHODSThis descriptive study was conducted in Department of Immunohematology and Blood Transfusion, MGM Medical College and Hospital, Kamothe, Navi Mumbai for a period of three years (2014 -2016). The data was captured for eight most frequently used quality indicators in our blood bank, defined by NABH and was tabulated and charted. RESULTSOn analysing the outcomes of the quality indicator parameters, we found that overall TTI% was found to be 0.93% and ATRR was 0.16%. Overall, wastage rate of whole blood and PRC were 2.05% and 3.19% respectively, while that of platelet it was 16.11% and for FFP and Cryoprecipitate it was 1.52%. Overall, TAT for routine issues were 135.82 mins and for emergency issues it was 29.87 mins. The overall QC failure rate of PRBC, platelet, FFP and SwPC (Saline washed packed cells) was 10.67%, 8.22%, 8.63% and 11.03% respectively. ADRR was found to be 1.15%, while DDR was 8.23%. The overall percentage of component issued were 98.18%. CONCLUSIONA well-structured blood transfusion service contributes towards a better healthcare in a hospital, which is reflected by quality indicators. Quality Indicator Data is acted upon by continuous measurement, identifying problems, root cause analysis, implementing corrective action, developing a quality improvement strategy (i.e. Preventive action), reporting and seeking opportunities for improvement. Quality indicators act like tools for continuous improvement to enable an organisation to achieve its quality goals. Hence, by implementation of root cause analysis, corrective and preventive measures, the concerned authorities should ensure that the QI's are instituted in the right way for improving the quality of BTS in the organisation.

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“…Safe and adequate supply of blood and blood products is a public health priority. According to national AIDS control organization's statistics, the annual rate of blood donation is about 7.4 million units against the requirement of 10 million units in India [1,2] Increasing awareness among people regarding blood transfusion has increased the number of voluntary donors over time. A voluntary donor is one who donates without any rewards or compulsion [3], whereas a replacement donor is one who donates blood upon request of specific patient or patient's family which intended to be used specifically for treatment of a patient [4].…”

Section: Introductionmentioning

confidence: 99%

Assessment of blood donor selection and deferral pattern in a tertiary care hospital in Central India

Kujur

Tiwari

Bagde

et al. 2020

Trop J Pathol Microbiol

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Introduction: Safety and efficacy of blood donations depends on selection of suitable donors. Understanding the prevalent reasons of non-suitability of donors can help understanding the donor pool demographics to develop better donor recruitment and screening strategies. Material and Methods: This is across sectional retrospective study conducted in a tertiary care hospital in central India over a period of two years from January 2017 to December 2018. The donor registry from in hospital donation as well as the blood donation camps were analyzed for the pattern of deferral. Results: Total 18,025 people donated blood during the study period. During this period the number of deferrals was 681. The overall deferral rate was 3.77%. Males constituted the majority of donors (17586, 97.56%), and expectedly majority of deferrals were in males (626, 3.47%). The most common reason of temporary deferral in donors was recent alcohol intake is 197(28.93%) potential donors which was exclusively in the males. The most common reason of permanent deferral was hypertension (59, 8.66%). The common reason for deferral among deferred females was low hemoglobin (26, 47.27%) and that in deferred males was alcohol intake (197, 31.46%). Conclusion: Donor deferral is essential to ensure the safety of both the donor and recipient of the blood; however, it can also lead to non-return of temporarily deferred donors. A pattern and trend in donor deferral could be used as a reference for developing policy and future initiatives in donor education, encouragement and retention.

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Evaluation of blood donor deferral causes in a tertiary hospital, South India

Cited by 14 publications

References 10 publications

Retrospective Analysis of Patterns of Donor Deferral among Blood Donors in a Tertiary Care Hospital

Retrospective Analysis of Patterns of Donor Deferral among Blood Donors in a Tertiary Care Hospital

Quality Indicators- Performance Tools of Blood Transfusion Services

Assessment of blood donor selection and deferral pattern in a tertiary care hospital in Central India

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