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Blood donations and donors' profile in Lithuania: Trends for coming back after the COVID-19 outbreak
Vytenis Kalibatas1, Lina Kalibatienė2, Dulat Imashpayev3
1Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Insights
Blood donation levels in Lithuania have largely recovered post-COVID-19, with fewer deferrals and lower infectious markers. However, a concerning drop in first-time and young donors persists.
Area of Science:
- Hematology
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic significantly impacted global blood donation services.
- Restoring blood services to pre-pandemic operational levels is crucial.
Purpose of the Study:
- To compare blood donation and donor demographics in Lithuania before and during the COVID-19 pandemic.
- To assess the recovery trends of blood services post-pandemic.
Main Methods:
- Analysis of 413,358 blood and component donations and donor demographics from April 2019 to March 2023.
- Data sourced from annual publications and the Blood Donor Register.
- Descriptive statistical analysis.
Main Results:
- Donations decreased by 9.41% in the first pandemic year but increased by 3.49% by the third year compared to pre-pandemic levels.
- Significant decreases observed in first-time donors and donors under 25 years old.
- Pre-donation deferrals and prevalence of transfusion-transmitted infectious (TTI) markers (Hepatitis B, Hepatitis C) significantly decreased during the pandemic.
Conclusions:
- Most blood donation and donor characteristics in Lithuania have returned to pre-pandemic levels.
- A persistent concern is the decline in donations from first-time and young (under 25) donors.
- The reduction in TTI markers suggests improved donor health or screening effectiveness.
Abstract:
The coronavirus disease (COVID-19) pandemic has significantly affected blood donors worldwide. It is important for the blood service to return to its pre-pandemic level as soon as possible and to perform its functions fully. This study compared the donation and demographic profiles of blood and its component donors one year before and during three pandemic years in Lithuania. All blood and blood component donations (n = 413,358) and demographic characteristics of all donors from April 1, 2019, to March 31, 2023, were analyzed. All data were obtained from annual publications, and statistics were obtained from the Blood Donor Register. Data were analyzed using descriptive statistics. Following a 9.41 percent decrease in the first year of the pandemic, the quantity of blood and blood component donations increased by 3.49 percent in the third year compared to the pre-pandemic year. Throughout the three years of the pandemic, a statistically significant decrease in the proportion of first-time blood and blood component donations was observed. Both the number and proportion of donations by donors under 25 years old decreased during the pandemic. The proportion of pre-donation deferrals for all attempts to donate significantly decreased during the pandemic. There was a statistically significant lower prevalence of all positive transfusion-transmitted infectious (TTI) markers among all donations compared to the pre-pandemic year for all three pandemic years. The odds for hepatitis B virus, hepatitis C virus, and all TTI markers during the second and third pandemic years were significantly lower than those in the pre-pandemic year. In conclusion, most dimensions of blood and its component donations and donor characteristics have returned to pre-pandemic levels or show positive trends. However, the major concern is the remaining decrease in donations from first-time and donors under 25 years old.
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