Evaluation of Blood Donor Selection and Deferrals in a Tertiary Care Hospital Blood Centre

  • Mohmadovesh Mohmadyunus Panchbhaiya Pathology Department, GMERS Medical College, Gotri, Vadodara, Gujarat, India
  • Jignasha Prashantkumar Patel Pathology Department, GMERS Medical College, Gotri, Vadodara, Gujarat, India
  • Riya Satishbhai Visavadiya Pathology Department, GMERS Medical College, Gotri, Vadodara, Gujarat, India
Keywords: Blood donation, Temporary deferred, Permanent deferred, Anemia

Abstract

Background: Blood transfusion is considered an important life-saving treatment in the medical field, saving millions of lives. In blood transfusion practice, blood donor selection is the first and most important step to safeguard the health of both donors and recipients. Donors may be deferred permanently or temporarily due to various reasons during the screening procedure. This study was carried out to understand the reasons for donor deferral and deferral rates at our blood center. Methods: A retrospective study was conducted at the Blood Center, GMERS Medical College and Hospital, Gotri, Vadodara, Gujarat, for the period of January 2022 to June 2023. Relevant data on total blood donations and donor deferrals were retrieved from the donor registration form and analyzed. Results: Out of a total of 6054 blood donors, 721 (11.9%) were deferred. Amongst them, 89.74% were temporarily deferred and 10.26% were permanently deferred. The most common cause for temporary deferral was anemia (Hemoglobin < 12.5 gm%), comprising 53.47%, and the most common cause for permanent deferral was RPR positive status, comprising 40.54%. Conclusion: Donor selection is a crucial step for safe and healthy blood transfusion. Understanding the reasons for donor deferral can greatly aid in blood donor recruitment efforts, especially targeting temporarily deferred young adult donors who can be returned to the donor pool.

References

Baxi A. Misconceptions over shortage in India. The Economic Times. 2008 Feb 10.

Gillet P, Neijens E. An original approach to evaluating the quality of blood donor selection: checking donor questionnaires and analyzing donor deferral rate. Front Med. 2018;5:74.

Angurana N, Gupta D, Kaur R. Pattern of donor deferral in a tertiary care center analysis. Int J Basic Appl Med Sci. 2015;5:123-7.

Standards for Blood Banks and Blood Transfusion Services. National AIDS Control Organisation, Ministry of Health and Family Welfare, Government of India, New Delhi. 2007 May.

Saran RK. Transfusion Medicine Technical Manual. 2nd ed. Ministry of Health and Family Welfare: Drugs Controller General, India, Directorate General of Health Services, MoHFW, Govt. of India; 2003.

Awasthi S, Dutta S, Haritwal A, Ansari M, Arathi N, Agarwal D. Evaluation of the reasons for pre-donation deferral of prospective blood donors in a tertiary teaching hospital in North India. Indian J Public Health. 2010;1:1-3.

Priya ES. Retrospective analysis of patterns of donor deferral among blood donors in a tertiary care hospital. Int J Contemp Med Res. 2019;6(1)

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.

Shah A, Joshi P, Aghera GB, Shah KJ. A study on analysis of blood donation deferral during blood donation camp at tertiary-care teaching hospital in south Gujarat region. Int J Med Sci Public Health. 2016;5:894-7.

Mulla FI, Inaniya KS. Assessment of donor return following temporary deferral in camp as well as in-house donors in a blood bank attached to tertiary care hospital. Int J Res Med Sci. 2017;5:1846-50.

Aneke CJ, Ezeh UT, Nwosu AG, Anumba EC. Retrospective evaluation of prospective blood donor deferral in a tertiary hospital-based blood bank in South-East Nigeria. J Med Trop. 2016;18:103-7.

Chauhan DN, Desai KN, Trivedi HJ, Agnihotri AS. Evaluation of blood donor deferral cause: a tertiary-care center-based study. Int J Med Sci Public Health. 2015;4:389-92.

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 Evol Med Dent Sci. 2015;4:4590-8.

Sundar P, Sangeetha SK, Seema DM, Marimuthu P, Shivanna N. Pre-donation deferral of blood donors in South Indian set-up: an analysis. Asian J Transfus Sci. 2010;4(2):112-5.

Arslan O. Whole blood donor deferral rate and characteristics of the Turkish population. Transfus Med. 2007;17:379-83.

Agnihotri N. Whole blood donor deferral analysis at a center in Western India. Asian J Transfus Sci. 2010;4:116-22.

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.

Rabeya Y, Rapiaah M, Rosline H, Ahmed SA, Zaidah WA, Roshan TM. Blood pre-donation deferrals—a teaching hospital experience. Southeast Asian J Trop Med Public Health. 2008;39:571-4.

Halperin D, Baetens J, Newman B. The effect of short-term, temporary deferral on future blood donation. Transfusion. 1998;38:181-3.

Gajjar H, Shah FR, Shah NR, Shah CR. Whole blood donor deferral at General hospital blood bank—a retrospective study. NHL J Med Sci. 2014;3:6-13.

Chenna D, Shasty 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.

Mast AE. Low hemoglobin deferral in blood donors. Transfus Med Rev. 2014;28:18-22.

Jashnani KD, Patil LN. Blood donor deferrals: can this be reduced? Asian J Transfus Sci. 2011;5:60-2.

Prajapati D, et al. A study of whole blood donor deferrals in the blood bank of a rural medical college in India. Indian J Pathol Oncol. 2017;4(4):501-6.

Published
2024-07-11
Section
Original Article