健康检查原因延缓捐献机采血小板献血者召回的影响因素分析  

Analysis on the factors influencing the return of deferred apheresis platelet donors due to abnormal health examination before donation

作　　者：李丰沛 蓝琴[1] 陈小萍[1] 谢桂芸 LI Fengpei;LAN Qin;CHEN Xiaoping;XIE Guiyun(Guangzhou Medical Key Laboratory,Guangzhou Blood Center,Guangzhou 510080,China)

机构地区：[1]广州血液中心//广州市血液安全重点实验室,广东广州510080

出　　处：《现代医院》2023年第12期1920-1922,共3页Modern Hospitals

基　　金：广州市医学重点学科(2021—2023年)。

摘　　要：目的分析广州地区基于健康检查原因延缓捐献机采血小板的献血者的人群特征及召回的影响因素,为制定科学合理的招募策略提供依据。方法收集2022年1月1日—6月30日广州血液中心的机采血小板延缓献血者共5960例,随访跟踪截止2023年8月31日其后续献血行为,分析被阻止献血的原因,并采用Logistic回归分析性别、年龄、献血次数、被阻止时长对召回的影响。结果延缓献血者5960例中永久不宜献血者164例(2.75%),最常见的延缓原因是过敏;暂缓献血者5796例(97.25%),最常见的原因是血常规异常。暂缓献血者召回的相关因素分析发现,男性献血者比女性[OR=1.16,95%CI(1.01,1.34)],26~35岁[OR=1.65,95%CI(1.41,1.92)]、36~45岁[OR=1.90,95%CI(1.55,2.31)]及46~60岁献血者[OR=2.63,95%CI(1.96,3.53)]对比18~25岁献血者,被阻止时间14 d以内[OR=4.22,95%CI(2.73,6.52)]及被阻止时间15~89 d[OR=5.24,95%CI(3.42,8.03)]对比被阻止时间≥90 d的献血者,重复献血者对比初次献血者[OR=6.78,95%CI(5.62,8.19)]召回率高,差异有统计学意义。结论为提高机采血小板延缓献血者的召回率,我们应该重点关注年轻献血者、初次献血者的宣教,同时也可以考虑在献血被阻止献血期满后通过短信或者电话的方式对献血者进行主动召回。Objective Analyze the characteristics of delayed apheresis platelet donors due to health consultation or examination,and the influencing factors of recall in Guangzhou,and to provide evidence for recruitment strategy.Methods 5960 delayed apheresis platelet donors from January fisrt,2022 to June 30th,2022 were collected in Guangzhou Blood Center and followed up to August 31th,2023.Logistic regression analysis was used to analyze the influence of sex,age,times of blood donation and length of blood donation on recall.Results Among the 5960 delayed platelet donors,164(2.75%)were permanently unsuitable for blood donation.The most common reason was allergy.Among the 5796(97.25%)delayed blood donors,the most common reason was abnormal blood routine.Analysis of factors associated with delayed donor recall found that male donors were more likely than female donors[OR=1.16,95%CI(1.01,1.34)],blood donors aged 26-35[OR=1.65,95%CI(1.41,1.92)],36-45[OR=1.90,95%CI(1.55,2.31)]or 46-60[OR=2.63,95%CI(1.96,3.53)]compared with those aged 18-25,blood donors who were blocked for less than 14 days[OR=4.22,95%CI(2.73,6.52)]or for 15-89 days[OR=5.24,95%CI(3.42,8.03)]compared with those who were blocked for more than or equal to 90 days,the recall rate of repeat donors was higher than that of first-time donors[OR=6.78,95%CI(5.62,8.19)].Conclusion In order to improve the recall rate of apheresis platelet donors,we should pay more attention to the education of young donors and first-time donors,also consider a voluntary recall by text message or phone after a donor has been prevented from donating blood.

关 键 词：暂缓献血者 机采血小板 召回 LOGISTIC回归 

分 类 号：R193.3[医药卫生—卫生事业管理] R331.1[医药卫生—公共卫生与预防医学]