Risk factors for deferral due to low hematocrit and iron depletion among prospective blood donors in a Brazilian center

Deferral of blood donors due to low hematocrit and iron depletion is commonly reported in blood banks worldwide. This study evaluated the risk factors for low hematocrit and iron depletion among prospective blood donors in a large Brazilian blood center. A case–control study of 400 deferred donors d...

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Published inRevista brasileira de hematologia e hemoterapia Vol. 37; no. 5; pp. 306 - 315
Main Authors Dauar, Eloísa Tedeschi, Patavino, Giuseppina Maria, Mendrone Júnior, Alfredo, Gualandro, Sandra Fátima Menosi, Sabino, Ester Cerdeira, de Almeida-Neto, Cesar
Format Journal Article
LanguageEnglish
Published Brazil Elsevier Editora Ltda 01.09.2015
Sociedade Brasileira de Hematologia e Hemoterapia
Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular
Elsevier
Subjects
Anemia
Blood donors
Ferritin
HEMATOLOGY
Iron deficiency
MEDICINE, RESEARCH & EXPERIMENTAL
Original
Risk factors
Iron deficiency
Anemia
Blood donors
Risk factors
Ferritin
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Abstract Deferral of blood donors due to low hematocrit and iron depletion is commonly reported in blood banks worldwide. This study evaluated the risk factors for low hematocrit and iron depletion among prospective blood donors in a large Brazilian blood center. A case–control study of 400 deferred donors due to low hematocrit and 456 eligible whole blood donors was conducted between 2009 and 2011. Participants were interviewed about selected risk factors for anemia, and additional laboratory tests, including serum ferritin, were performed. Bivariate and multivariate analyses were performed to assess the association between predictors and deferral due to low hematocrit in the studied population and iron depletion in women. Donors taking aspirins or iron supplementation, those who reported stomachache, black tarry stools or hematochezia, and women having more than one menstrual period/month were more likely to be deferred. Risk factors for iron depletion were repeat donation and being deferred at the hematocrit screening. Smoking and lack of menstruation were protective against iron depletion. This study found some unusual risk factors related to gastrointestinal losses that were associated with deferral of donors due to low hematocrit. Knowledge of the risk factors can help blood banks design algorithms to improve donor notification and referral.
AbstractList Deferral of blood donors due to low hematocrit and iron depletion is commonly reported in blood banks worldwide. This study evaluated the risk factors for low hematocrit and iron depletion among prospective blood donors in a large Brazilian blood center. A case-control study of 400 deferred donors due to low hematocrit and 456 eligible whole blood donors was conducted between 2009 and 2011. Participants were interviewed about selected risk factors for anemia, and additional laboratory tests, including serum ferritin, were performed. Bivariate and multivariate analyses were performed to assess the association between predictors and deferral due to low hematocrit in the studied population and iron depletion in women. Donors taking aspirins or iron supplementation, those who reported stomachache, black tarry stools or hematochezia, and women having more than one menstrual period/month were more likely to be deferred. Risk factors for iron depletion were repeat donation and being deferred at the hematocrit screening. Smoking and lack of menstruation were protective against iron depletion. This study found some unusual risk factors related to gastrointestinal losses that were associated with deferral of donors due to low hematocrit. Knowledge of the risk factors can help blood banks design algorithms to improve donor notification and referral.
OBJECTIVE: Deferral of blood donors due to low hematocrit and iron depletion is commonly reported in blood banks worldwide. This study evaluated the risk factors for low hematocrit and iron depletion among prospective blood donors in a large Brazilian blood center.METHOD: A case-control study of 400 deferred donors due to low hematocrit and 456 eligible whole blood donors was conducted between 2009 and 2011. Participants were interviewed about selected risk factors for anemia, and additional laboratory tests, including serum ferritin, were performed. Bivariate and multivariate analyses were performed to assess the association between predictors and deferral due to low hematocrit in the studied population and iron depletion in women.RESULTS: Donors taking aspirins or iron supplementation, those who reported stomachache, black tarry stools or hematochezia, and women having more than one menstrual period/month were more likely to be deferred. Risk factors for iron depletion were repeat donation and being deferred at the hematocrit screening. Smoking and lack of menstruation were protective against iron depletion.CONCLUSION: This study found some unusual risk factors related to gastrointestinal losses that were associated with deferral of donors due to low hematocrit. Knowledge of the risk factors can help blood banks design algorithms to improve donor notification and referral.
OBJECTIVEDeferral of blood donors due to low hematocrit and iron depletion is commonly reported in blood banks worldwide. This study evaluated the risk factors for low hematocrit and iron depletion among prospective blood donors in a large Brazilian blood center. METHODA case-control study of 400 deferred donors due to low hematocrit and 456 eligible whole blood donors was conducted between 2009 and 2011. Participants were interviewed about selected risk factors for anemia, and additional laboratory tests, including serum ferritin, were performed. Bivariate and multivariate analyses were performed to assess the association between predictors and deferral due to low hematocrit in the studied population and iron depletion in women. RESULTSDonors taking aspirins or iron supplementation, those who reported stomachache, black tarry stools or hematochezia, and women having more than one menstrual period/month were more likely to be deferred. Risk factors for iron depletion were repeat donation and being deferred at the hematocrit screening. Smoking and lack of menstruation were protective against iron depletion. CONCLUSIONThis study found some unusual risk factors related to gastrointestinal losses that were associated with deferral of donors due to low hematocrit. Knowledge of the risk factors can help blood banks design algorithms to improve donor notification and referral.
Author de Almeida-Neto, Cesar
Patavino, Giuseppina Maria
Dauar, Eloísa Tedeschi
Gualandro, Sandra Fátima Menosi
Sabino, Ester Cerdeira
Mendrone Júnior, Alfredo
AuthorAffiliation c Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, Brazil
a Diagnósticos da América (DASA), São Paulo, SP, Brazil
b Fundação Pró-Sangue Hemocentro de São Paulo, São Paulo, SP, Brazil
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Issue 5
Keywords Iron deficiency
Anemia
Blood donors
Risk factors
Ferritin
Language English
License http://creativecommons.org/licenses/by-nc-nd/4.0
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Snippet Deferral of blood donors due to low hematocrit and iron depletion is commonly reported in blood banks worldwide. This study evaluated the risk factors for low...
OBJECTIVEDeferral of blood donors due to low hematocrit and iron depletion is commonly reported in blood banks worldwide. This study evaluated the risk factors...
OBJECTIVE: Deferral of blood donors due to low hematocrit and iron depletion is commonly reported in blood banks worldwide. This study evaluated the risk...
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StartPage 306
SubjectTerms Anemia
Blood donors
Ferritin
HEMATOLOGY
Iron deficiency
MEDICINE, RESEARCH & EXPERIMENTAL
Original
Risk factors
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Title Risk factors for deferral due to low hematocrit and iron depletion among prospective blood donors in a Brazilian center
URI https://dx.doi.org/10.1016/j.bjhh.2015.05.008
https://www.ncbi.nlm.nih.gov/pubmed/26408364
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Volume 37
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