Mesa Redonda – Anemia e Dádiva de Sangue

Handling of iron-deficiency and low haemoglobin in a blood donors population: 2 years experience

11:30 – 12:30


Gracinda de Sousa e Ana Paula Sousa


Karin Magnussen

Background: Iron deciency and blood donors with low hemoglobin concentration are well known challenges in any blood bank setting. In the Capital region of Denmark the problem was approached, by centralizing measurement of hemoglobin, initiating ferritin measurements and establishing Centre for Donor Hemoglobin and Iron, now more than 2 years ago. An algorithm was created, taking into account the hemoglobin and ferritin levels and the Donor Hemoglobin and Iron Resource Team decided whether to contact the donor by letter or phone or not at all, and whether no action or iron supplementation was needed, or, on rare occasions, if the donor should be referred to their general practitioner. Study design and Methods: The measurements of ferritin and change in HB for all the donors was followed during the first 2 years of the intervention strategy, which included oering intermittent iron supplementation to some of the donors. Results: In two years 62,663 blood donors donated 193,288 units of blood and 318 donors gave 754 FBC blood samples. The number of ferritin tests was highest in the rst few months and then declined rapidly with a slight increase from August 2013. Over time the HB increased and the number of donors with low HB decreased signicantly for both female and male donors. The program also helped to diagnose donors with hemochromatosis, donors who are carriers of hemoglobin disease and the few donors with disease like leukemia or cancer. Conclusion: The program with goal directed iron supplementation only to those that would benet, has led to an increase in hemoglobin concentration and a reduction the number of donors with low hemoglobin concentration.