Donor Hemovigilance during Preparatory Plasmapheresis.
BACKGROUND
Reports on unexpected donor events (UEs) during preparatory plasmapheresis (PPP) are scarce, and rarely consider technical UEs.


METHODS
Defined local and systemic UEs were graded by severity; technical UEs were not graded. On January 1, 2008, E.B.P.S.-Logistics (EBPS) installed the UE module for plasma management software (PMS). Donor room physicians entered UEs daily into the PMS. Medical directors reviewed entries quarterly. EBPS compiled data on donors, donations and UEs from January 1, 2008 to June 30, 2011.


RESULTS
66,822 UEs were observed during 1,107,846 PPPs for a corrected incidence of 6.55% (1.4% local, 0.55% systemic, 4.6% technical UEs). 3.36% of PPPs were accompanied by 1 UE and 1.18% by >1 UE (2-5). 13.7% of donors undergoing PPP for the first time, 9.7% of those having a second PPP and 4.0% of those having a third or more PPPs were associated with UEs. Most common UEs were repeated venipuncture, and broken-off collection due to venous access problems and small hematomas. Severe systemic UEs occurred at a rate of 36 per 100,000 PPPs.


CONCLUSIONS
Technical UEs were common with PPP. UEs accompanied first and second donations significantly more frequently than for subsequent donations.
Haema AG, Leipzig, Germany.
Ulrich
U
Diekamp
E.B.P.S.-Logistics GmbH, Vienna, Austria.
Johannes
J
Gneißl
Haema AG, Leipzig, Germany.
Angela
A
Rabe
Haema AG, Leipzig, Germany.
Stephan T
ST
Kießig
Adverse effects; Blood banks; Blood supply; Donor hemovigilance; Methods; Plasmapheresis; Statistics