Delayed donor reactions to blood donations – anonymous electronic survey

Česká verze

Authors: P. Papoušek ¹; Z. Kráľovská ¹; T. Suchý ²; R. Procházková, (STL) ^1,3
Authors place of work: Transfuzní oddělení, Krajská nemocnice Liberec, a. s. ¹; Oddělení kompozitních a uhlíkových materiálů, Ústav struktury a mechaniky hornin,   Akademie věd České republiky, Praha ²; Fakulta zdravotnických studií, Technická univerzita v Liberci ³
Published in the journal: Transfuze Hematol. dnes,24, 2018, No. 1, p. 46-52.
Category: Původní práce

Summary

Background:
The incidence of undesirable delayed blood donation reactions that appear only after leaving a donation centre (off-site) are not as methodically monitored as early reactions. In this study, their frequency was determined using the simple and inexpensive method of an electronic survey.

Materials and methods:
The studied population included voluntary and non-remunerated donors who gave whole blood as well as apheresis donors at the Regional Hospital Liberec over the previous 12 months. 5497 were contacted via a short mobile phone text message with a link to an anonymous electronic questionnaire located on the Regional Hospital Liberec website. Donors reported any complaints or symptoms related only to their last donation.

Results:
1 792 questionnaires were used in the definitive analysis (32.6% of all contacted donors). The average age of the donors was 38.5 years. One complication was present in 35.3% donors (26.8% males and 46.7% females, p < 0.001). The most frequent complaints included fatigue (21.2%); haematoma at the site of puncture (13.1%); weakness, faintness and dizziness (5.30%); pain of the limb from which blood was collected (4.80%); shortness of breath on exertion (3.46%); symptoms of infection (cold, elevated temperature, muscle and joint pains, chills) over the seven post-donation days (2.01%); delayed venipuncture bleeding (1.51%); phlebitis (0.61%); nausea and vomiting (0.45%); collapse (0.45%) and unconsciousness (0.33%). The adverse reactions occurre more frequently after whole blood donation (36.8%) than after plasmapheresis (24.4%), p < 0.001. Tired male donors ran a 17 times higher risk of weakness or dizziness than non-tired donors (p < 0.001), and tired women donors also had a 2.5 times higher risk of weakness or dizziness than non-tired female donors (p < 0.001).

Conclusion:
More than 1/3 of donors, predominantly women, reported some problems after donations. Fatigue was the dominant complaint among these. The study provided detailed data for designing educational material for donors.

Key words:
adverse delayed reaction –⁠ blood donation –⁠ electronic survey

Zdroje

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