Abstract
Background: Hemovigilance like quality systems and audits have become an integral part of Blood Transfusion Services in the developed countries and has contributed greatly to its development. Hemovigilance begins with donors and must enable the collection of information on reactions occurring during the donation of blood, selections of donors and to prevent such incidents. The aim of study was to help identify the trends of adverse events , occurring in blood donors at a tertiary-care hospital, to recommend best practices to improve donor care and safety Materials and Methods: This record-based study was conducted on all adverse events related to allogenic whole blood donations performed over 24 months. All whole blood donations were analyzed. All adverse events occurring during or at the end of the donation were noted using a standardized format and analyzed determining significance at p<0.05. Results: Overall rate was 0.3% with vasovagal reactions constituting 82%, and 18% mild syncopal reactions (p<0.001). Immediate vasovagal reaction with injury was very rare (0.007%). Vasovagal reactions showed a significant association with young age, female gender, first time donation status. Mean age of persons recording adverse effects was 30.23 ± 7.49 years as compared to those without adverse effects, 31.14 ± 8.56 years. Conclusion: Donor safety is an essential perquisite to increase voluntary blood donation. AE analysis helps in identifying the blood donors at risk of AE, applying appropriate motivational strategies, predonation counseling, care during and after donation, developing guidelines and hemovigilance programme in countries with limited resources. DOI: http://dx.doi.org/10.3126/jpn.v3i6.8993 Journal of Pathology of Nepal (2013) Vol. 3, 459-463
Highlights
Hemovigilance like quality systems and audits have become an integral part of Blood Transfusion Service (BTS) in the developed countries and have contributed greatly to the Correspondence: Tools to help improve the safety of blood supply include –1
It is important to react swiftly to initial complaints of giddiness, light headedness, pallor by donor by stopping the donation immediately and raising the legs and lowering of head end of donor couch (Anti-shock position) as pallor, sweating, giddiness are harbingers of severe vasovagal reactions which could be prevented by taking corrective measures right at the onset of symptoms
We found a very low incidence (0.007% of total donations) of vasovagal reaction- immediate with injury but not necessitating hospitalization of the donor or administration of intravenous fluid which is in accordance with results of other authors[2,3,13] who categorized such adverse events as severe reactions
Summary
Hemovigilance like quality systems and audits have become an integral part of Blood Transfusion Service (BTS) in the developed countries and have contributed greatly to the Correspondence: Tools to help improve the safety of blood supply include –1. Hemovigilance like quality systems and audits have become an integral part of Blood Transfusion Service (BTS) in the developed countries and have contributed greatly to the Correspondence: Tools to help improve the safety of blood supply include –. Hemovigilance begins with donors and donations of blood and must enable the collection of information on reactions occurring during the donation of blood, selections of donors and to prevent the occurrence or recurrence of such incidents. Hemovigilance like quality systems and audits have become an integral part of Blood Transfusion Services in the developed countries and has contributed greatly to its development. Hemovigilance begins with donors and must enable the collection of information on reactions occurring during the donation of blood, selections of donors and to prevent such incidents. The aim of study was to help identify the trends of adverse events , occurring in blood donors at a tertiary-care hospital, to recommend best practices to improve donor care and safety
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