Effect of double dose plateletpheresis on target yield and donor platelet recovery

Introduction: The demand for apheresis platelets has increased in the recent past and the shrinking donor pool has shifted the trend to collection of double-dose or higher yield of platelets. Objective: The present study aimed to determine the effect of double-dose plateletpheresis on the target yie...

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Main Authors: Sapna Chopra, Paramjit Kaur, Ravneet Kaur Bedi, Gagandeep Kaur
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Hematology, Transfusion and Cell Therapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2531137921000833
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author Sapna Chopra
Paramjit Kaur
Ravneet Kaur Bedi
Gagandeep Kaur
author_facet Sapna Chopra
Paramjit Kaur
Ravneet Kaur Bedi
Gagandeep Kaur
author_sort Sapna Chopra
collection DOAJ
description Introduction: The demand for apheresis platelets has increased in the recent past and the shrinking donor pool has shifted the trend to collection of double-dose or higher yield of platelets. Objective: The present study aimed to determine the effect of double-dose plateletpheresis on the target yield and donor platelet recovery. Methods: The study was conducted on 100 healthy plateletpheresis donors, 50 of whom were in the study group, which underwent double-dose plateletpheresis (DDP), and 50 of whom were in the control group for single-donor plateletpheresis. Pre- and post-procedure samples of donors were subjected to a complete blood count. The DDP product was sampled for platelet yield and then split into two parts. Platelet yield, collection efficiency, collection rate, recruitment factor and donor platelet loss were calculated. Results: The mean platelet yield in the SDP was 4.09 ± 1.15 × 1011 and in the DDP, 5.93 ± 1.04 × 1011. There was a significant correlation between the pre-donation platelet count and platelet yield. The total of platelets processed for the SDP were 5.42 ± 1.08 × 1011 and for the DDP, 7.94 ± 0.77 × 1011. The collection efficiency was 71.93 ± 25.14% in the SDP and 72.94 ± 16.28% in the DDP, while the collection rates were 0.78 × 1011 and 0.94 × 1011 per minute, respectively. The average recruitment factor observed was 0.98 in the SDP, while it was 0.99 in the DDP. The mean platelet loss observed in the SDP was 35.55 ± 8.53% and in the DDP, 37.76 ± 8.65%. Conclusion: The double-dose plateletpheresis supplements the platelet inventory in developing countries where the apheresis donor pool is limited. It is prudent to ensure stringent donor selection criteria for donors donating high-yield platelet products, thus enhancing donor safety and retention.
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spelling doaj.art-98dab9f951c44397bfcc381872024cff2023-02-04T04:18:24ZengElsevierHematology, Transfusion and Cell Therapy2531-13792023-01-014511624Effect of double dose plateletpheresis on target yield and donor platelet recoverySapna Chopra0Paramjit Kaur1Ravneet Kaur Bedi2Gagandeep Kaur3All India Institute of Medical Sciences, Ansari Nagar, New Delhi, IndiaGovernment Medical College and Hospital, Sector 32, Chandigarh, India; Corresponding Author at: Department of Transfusion Medicine, Government Medical College and Hospital, Sector 32-B, Chandigarh, India, Postal code 160030, Phone: 91 172 2601023. Ext 2210.Government Medical College and Hospital, Sector 32, Chandigarh, IndiaGovernment Medical College and Hospital, Sector 32, Chandigarh, IndiaIntroduction: The demand for apheresis platelets has increased in the recent past and the shrinking donor pool has shifted the trend to collection of double-dose or higher yield of platelets. Objective: The present study aimed to determine the effect of double-dose plateletpheresis on the target yield and donor platelet recovery. Methods: The study was conducted on 100 healthy plateletpheresis donors, 50 of whom were in the study group, which underwent double-dose plateletpheresis (DDP), and 50 of whom were in the control group for single-donor plateletpheresis. Pre- and post-procedure samples of donors were subjected to a complete blood count. The DDP product was sampled for platelet yield and then split into two parts. Platelet yield, collection efficiency, collection rate, recruitment factor and donor platelet loss were calculated. Results: The mean platelet yield in the SDP was 4.09 ± 1.15 × 1011 and in the DDP, 5.93 ± 1.04 × 1011. There was a significant correlation between the pre-donation platelet count and platelet yield. The total of platelets processed for the SDP were 5.42 ± 1.08 × 1011 and for the DDP, 7.94 ± 0.77 × 1011. The collection efficiency was 71.93 ± 25.14% in the SDP and 72.94 ± 16.28% in the DDP, while the collection rates were 0.78 × 1011 and 0.94 × 1011 per minute, respectively. The average recruitment factor observed was 0.98 in the SDP, while it was 0.99 in the DDP. The mean platelet loss observed in the SDP was 35.55 ± 8.53% and in the DDP, 37.76 ± 8.65%. Conclusion: The double-dose plateletpheresis supplements the platelet inventory in developing countries where the apheresis donor pool is limited. It is prudent to ensure stringent donor selection criteria for donors donating high-yield platelet products, thus enhancing donor safety and retention.http://www.sciencedirect.com/science/article/pii/S2531137921000833Double-dose plateletpheresisRecruitment factorAdverse reactionsPlatelet recovery
spellingShingle Sapna Chopra
Paramjit Kaur
Ravneet Kaur Bedi
Gagandeep Kaur
Effect of double dose plateletpheresis on target yield and donor platelet recovery
Hematology, Transfusion and Cell Therapy
Double-dose plateletpheresis
Recruitment factor
Adverse reactions
Platelet recovery
title Effect of double dose plateletpheresis on target yield and donor platelet recovery
title_full Effect of double dose plateletpheresis on target yield and donor platelet recovery
title_fullStr Effect of double dose plateletpheresis on target yield and donor platelet recovery
title_full_unstemmed Effect of double dose plateletpheresis on target yield and donor platelet recovery
title_short Effect of double dose plateletpheresis on target yield and donor platelet recovery
title_sort effect of double dose plateletpheresis on target yield and donor platelet recovery
topic Double-dose plateletpheresis
Recruitment factor
Adverse reactions
Platelet recovery
url http://www.sciencedirect.com/science/article/pii/S2531137921000833
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AT gagandeepkaur effectofdoubledoseplateletpheresisontargetyieldanddonorplateletrecovery