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RISK OF COMPLICATIONS IN RELATION TO BLOOD DONATION

RISK OF COMPLICATIONS IN RELATION TO BLOOD DONATION. B. Aagaard, B. Samuelsen, J. Jorgensen, K. Titlestad, and S.P. Johnsen*. Blood Transfusion Centre, Dept. of Clinical Immunology and Dept. of Clinical Epidemiology* Aarhus University Hospital, Denmark. DATA.

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RISK OF COMPLICATIONS IN RELATION TO BLOOD DONATION

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  1. RISK OF COMPLICATIONS IN RELATION TO BLOOD DONATION B. Aagaard, B. Samuelsen, J. Jorgensen, K. Titlestad, and S.P. Johnsen*. Blood Transfusion Centre, Dept. of Clinical Immunology and Dept. of Clinical Epidemiology* Aarhus University Hospital, Denmark.

  2. DATA A standardized form was filled in, when blood donors developed symptoms at the time of or after blood donation. The form was sent to the central organization of Blood Donors in Denmark (BiD). These reports are the basis for the analysis.

  3. COMPLICATIONS — divided into two groups 1) Needle injuries included:haematoma pain paresthesia 2) Vasovagal reactions included:discomfort syncope seizure Few complications (poorly described or unclassified) were excluded – 9 per 578 (1997-2002)

  4. OCCURRENCENo. of complications per 100,000 donations

  5. OCCURRENCE of complications Conclusion: The number of needle injuries has increased from 13 to 29/100,000 donations, resulting in a correspondingraise in the total number of reported complications  most likely, the increase is a result of enhanced attention among staff as well as donors.

  6. Severe complications (SC)Symptoms lasting  12 months

  7. SC ─ in relation to ageRC = reported complications

  8. SC and disablement Conclusion:  The number of SC increased steadilywith age from 5 – 19% of total reported complications same group of age.  The risk of disablement, for donors with a complication, increased with age. Needle injury is the event most likely to cause severe complications and disablement.

  9. Summary Occurrence:  disablement 3 per year  SC 10  needle injuries 51  donations 367,000 as a mean from 1997 ─ 2001

  10. Conclusion of analysis  The risk of complication related to bleeding of donor was low. Nevertheless, for donors suffering prolonged and life lasting symptoms still unacceptable.  Roughly, SC in blood donation correlates to the risk of serious complications for the patient in blood transfusion! (Taaning, E. and Jorgensen, J., p 24.14, ISBT 2004)

  11. Conclusion of analysis  SC were most often developed after needle injuries.  Efforts have been made to reduce their occurrence: Change in needle insertion technique Intensive treatment of needle injuries

  12. Conclusion of analysis Severe complications  related to donation 3/100,000 donations  related to transfusion 4/100,000 components The risk of severe complications is the same for blood donors and transfused patients! (Taaning, E. and Jorgensen, J., p 24.14, ISBT 2004)

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