Premium
Frequent Multiunit Plateletpheresis from Single Donors: Effects on Donors' Blood and the Platelet Yield
Author(s) -
Glowitz R. J.,
Slichter S. J.
Publication year - 1980
Publication title -
transfusion
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.045
H-Index - 132
eISSN - 1537-2995
pISSN - 0041-1132
DOI - 10.1046/j.1537-2995.1980.20280169961.x
Subject(s) - plateletpheresis , platelet , medicine , leukapheresis , hematocrit , surgery , apheresis , anesthesia , biology , stem cell , cd34 , genetics
Two thousand plateletpheresis procedures performed on 335 donors by either semicontinuous flow centrifu‐gation (Haemonetics Model 30) or a multiple bag technique were analyzed for effects on donors and the yield of platelets. The platelet yield was independent of collection method, number of prior donations and donor's hematocrit. It varied directly with the donors' platelet count and was significantly higher for women donating by semi‐continuous flow centrifugation. Even at the lowest platelet harvest, the number of platelets obtained was sufficient to meet federal standards for platelet collection procedures. Donor platelet counts decreased following the first multiunit plateletpheresis procedure. After the equivalent of continued alternate day platelet collections the count reached a mean low of 70 per cent as compared to the precollection count, occurring after six to eight donations. The yield was comparably reduced to a mean of 64 per cent. By the tenth donation platelet counts had returned to baseline values, apparently as a result of increased production by the marrow. Similarly, platelet yields returned to higher (i.e. normal) levels. Further donations did not cause platelet counts or yields to vary from normal values. Repeated daily plateletpheresis resulted in more variability in donor platelet counts. Since none of the donors was subjected to this procedure for more than nine consecutive days, marrow response could not be assessed. Comparing number of donations, donor platelet counts and subsequent yields, there was no difference between daily pheresis and an alternate day schedule. Donor hematocrits were not changed by these frequent collections and other side effects were not observed. This study indicates that repeated multiunit plateletpheresis can continuously provide adequate platelet yields without adversely affecting donors.