Vasovagal reactions among blood donors - incidence, mechanisms, risk factors, implications and preventive measures - a literature study

Background/objective: Blood donation is considered to be a safe procedure, however, sometimes vasovagal reactions (VVRs) with various degrees of severity can occur. This paper provides an overview of the incidence of VVR with a focus on vasovagal syncope (VVS, temporary loss of consciousness), risk...

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Main Authors: Sadaf Nabi Bhatti, Dorthe Charlotte Johannessen, Abid Hussain Llohn, Seyed Ali Mousavi
Format: Article
Language:Danish
Published: NITO - Bioingeniørfaglig institutt 2023-11-01
Series:Bioingeniøren
Subjects:
Online Access:https://www.bioingenioren.no/fag/fag-oversiktsartikkel/vasovagale-reaksjoner-blant-blodgivere--forekomst-mekanismer-risikofaktore-implikasjoner-og-forebyggende-tiltak---en-litteraturstudie/
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author Sadaf Nabi Bhatti
Dorthe Charlotte Johannessen
Abid Hussain Llohn
Seyed Ali Mousavi
author_facet Sadaf Nabi Bhatti
Dorthe Charlotte Johannessen
Abid Hussain Llohn
Seyed Ali Mousavi
author_sort Sadaf Nabi Bhatti
collection DOAJ
description Background/objective: Blood donation is considered to be a safe procedure, however, sometimes vasovagal reactions (VVRs) with various degrees of severity can occur. This paper provides an overview of the incidence of VVR with a focus on vasovagal syncope (VVS, temporary loss of consciousness), risk factors, and possible consequences of VVR/VVS for donors, as well as effects of interventions that are used to reduce VVR/VVS among blood donors. We also discuss mechanisms underlying VVS and evolutionary explanations for VVS. Methods: Relevant studies were found by search in PubMed. Results: Reported incidence of VVS varies from 0.1% to 0.5%, with higher incidence among younger and first-time donors, but mixed results have been found for gender differences: whereas some studies report higher incidence among female donors, other studies find no differences. Anxiety, fear of needles or seeing blood are frequent triggers of VVR/VVS, particularly among first-time donors. Donors who have experienced VVR/VVS are less likely to return to donate. Physiologic interventions such as pre-donation water intake and applied muscle tension during donation, alone or in combination, have shown effect in reducing VVR/VVS in several studies. Psychological interventions such as distraction and social support have also shown to reduce the risk of VVR/VVS. From an evolutionary perspective, VVS may have had a survival advantage in the distant past.
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spelling doaj.art-ba1c5b70901b4300a3ebf7c05b2a2fab2024-02-05T09:52:25ZdanNITO - Bioingeniørfaglig instituttBioingeniøren0801-68281890-18752023-11-015882631 Vasovagal reactions among blood donors - incidence, mechanisms, risk factors, implications and preventive measures - a literature studySadaf Nabi Bhatti0Dorthe Charlotte Johannessen1Abid Hussain Llohn2Seyed Ali Mousavi3Akershus universitetssykehus HFAkershus universitetssykehus HFAkershus universitetssykehus HFAkershus universitetssykehus HFBackground/objective: Blood donation is considered to be a safe procedure, however, sometimes vasovagal reactions (VVRs) with various degrees of severity can occur. This paper provides an overview of the incidence of VVR with a focus on vasovagal syncope (VVS, temporary loss of consciousness), risk factors, and possible consequences of VVR/VVS for donors, as well as effects of interventions that are used to reduce VVR/VVS among blood donors. We also discuss mechanisms underlying VVS and evolutionary explanations for VVS. Methods: Relevant studies were found by search in PubMed. Results: Reported incidence of VVS varies from 0.1% to 0.5%, with higher incidence among younger and first-time donors, but mixed results have been found for gender differences: whereas some studies report higher incidence among female donors, other studies find no differences. Anxiety, fear of needles or seeing blood are frequent triggers of VVR/VVS, particularly among first-time donors. Donors who have experienced VVR/VVS are less likely to return to donate. Physiologic interventions such as pre-donation water intake and applied muscle tension during donation, alone or in combination, have shown effect in reducing VVR/VVS in several studies. Psychological interventions such as distraction and social support have also shown to reduce the risk of VVR/VVS. From an evolutionary perspective, VVS may have had a survival advantage in the distant past.https://www.bioingenioren.no/fag/fag-oversiktsartikkel/vasovagale-reaksjoner-blant-blodgivere--forekomst-mekanismer-risikofaktore-implikasjoner-og-forebyggende-tiltak---en-litteraturstudie/blood donationvasovagal syncopebaroreceptorfirst-time donor
spellingShingle Sadaf Nabi Bhatti
Dorthe Charlotte Johannessen
Abid Hussain Llohn
Seyed Ali Mousavi
Vasovagal reactions among blood donors - incidence, mechanisms, risk factors, implications and preventive measures - a literature study
Bioingeniøren
blood donation
vasovagal syncope
baroreceptor
first-time donor
title Vasovagal reactions among blood donors - incidence, mechanisms, risk factors, implications and preventive measures - a literature study
title_full Vasovagal reactions among blood donors - incidence, mechanisms, risk factors, implications and preventive measures - a literature study
title_fullStr Vasovagal reactions among blood donors - incidence, mechanisms, risk factors, implications and preventive measures - a literature study
title_full_unstemmed Vasovagal reactions among blood donors - incidence, mechanisms, risk factors, implications and preventive measures - a literature study
title_short Vasovagal reactions among blood donors - incidence, mechanisms, risk factors, implications and preventive measures - a literature study
title_sort vasovagal reactions among blood donors incidence mechanisms risk factors implications and preventive measures a literature study
topic blood donation
vasovagal syncope
baroreceptor
first-time donor
url https://www.bioingenioren.no/fag/fag-oversiktsartikkel/vasovagale-reaksjoner-blant-blodgivere--forekomst-mekanismer-risikofaktore-implikasjoner-og-forebyggende-tiltak---en-litteraturstudie/
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AT abidhussainllohn vasovagalreactionsamongblooddonorsincidencemechanismsriskfactorsimplicationsandpreventivemeasuresaliteraturestudy
AT seyedalimousavi vasovagalreactionsamongblooddonorsincidencemechanismsriskfactorsimplicationsandpreventivemeasuresaliteraturestudy