Adverse Effects in Plateletpheresis Donors

Authors

  • Somjai Sombatnimitsakul National Blood Centre, Thai Red Cross Society
  • Siriporn Nathalang National Blood Centre, Thai Red Cross Society
  • Kultida Sumdin National Blood Centre, Thai Red Cross Society
  • Pawinee Kupatawintu National Blood Centre, Thai Red Cross Society
  • Rachanee Ocharoen National Blood Centre, Thai Red Cross Society
  • Oytip Nathalang Department of Pathology, Phramongkutklao College of Medicine

Keywords:

Plateletpheresis donor, Adverse effects, Calcium replacement

Abstract

Abstract: In a retrospective study data from 4272 plateletpheresis male donors ages ranging from 17 to 58 vears at the Hemapheresis Unit, the Reference Laboratory, in WHO Co-Operative, the National Blood Centre. Thai Red Cross Society Hom January 2001 to December 2001 were analyzed. All donors took calcium gluconate (500 mg) orally before donation. Altogether, 4,251 donots completedthe plateletpheresis procedure. Eight hundred and sixty-nine donors had adverse effects (20.4%). Themost common adverse effect was paresthesias (98.73%). The most common area of paresthesias was penoral paresthesias followed by face. The association between adverse effect in plateletpheresis donors and age, weight, height, hematocrit, white blood cell count, platelet count, ACD used, blood volume process, numbers of cycle and diferent instruments were analyzed. It was found that there were significant trends in the relationship between adverse-event rate and weight, height, hematocrit, white blood cell count, platelet count and diferent instruments. Furthermore, the adverse-event rate of MCS2P instrument was lower than MCS3P and MCS Plus respectively. In conclusion, plateletoheresis donation is a safe undertaking, suitable for Thai voluntary blood donors, with a very low nisk of serious adverse effects. However, calcium replacement before donation and careful observation of donors is recommended.

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References

Novotry VMJ. Prevention and management of platelet transfusion refractoriness. Vox Sang 1999,76:13.

Sibinga CTS, Kater L. Advances in Haemapheresis. Dordrecht: Kluwer Academic Publishers, 1990.

American Association of Blood Banks. Technical manual. 13th ed. Bethesda American Association of Blood Banks, 1999.

Despotis GJ, Goodnough LT, Dymis M, et al. Adverse Events in Platelet Apheresis Donors : A Multivariate Analysis in a Hospital-Based Program. Vox Sang 1999;77:24-32.

Makar YF, Bulter MO, Cockerole GM, et al. National audit of citrate toxicity in plateletpheresis donors. Transfusion Med 2002;12:187-91.

Charles D, Bolan CD, Geer SE, et al. Leitman. Comprehersive analysis of citrate effects devering plateletpheresis in normal donors. Transfusion 2001;41:1165-71.

McLed BC, Pries TH, Owen H, et al. Frequency of immediate adverse effects associated with therapeutic apheresis. Transfusion 1998;38:938-4.

สร้อยสอางค์ พิกุลสด วุฒิพันธ์ ศุภจัตุรัส และ จุรี ไววนิชกุล. คู่มือการคัดกรองผู้บริจาคโลหิต. ศูนย์บริการโลหิตแห่งชาติ สภากาชาดไทย, 2543;5-24.

Landerson JH, Miller WV. Relationship of physical symptoms, ECG, Free calcium and other blood chemistries in reinfusion with citrated blood. Transfusion. 18:670-9.

Olson PR, Cox C, Cullough JM. Laboratory and clinical effects of the infusion of ACD solution during plateletpheresis. Vox Sang 1997;33:79-87.

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Published

2018-12-30

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นิพนธ์ต้นฉบับ (Original article)