Objective: To analyze the factors related to vessel vasovagal reaction (VVR) in apheresis donors, establish a mathematical model for predicting the correlation factors and occurrence risk, and use the prediction model to intervene in high-risk VVR blood donors, improve the blood donation experience, and retain blood donors. Methods: A total of 316 blood donors from the Xi’an Central Blood Bank from June to September 2022 were selected to statistically analyze VVR-related factors. A BP neural network prediction model is established with relevant factors as input and DRVR risk as output. Results: First-time blood donors had a high risk of VVR, female risk was high, and sex difference was significant (P value < 0.05). The blood pressure before donation and intergroup differences were also significant (P value < 0.05). After training, the established BP neural network model has a minimum RMS error of 0.116, a correlation coefficient R = 0.75, and a test model accuracy of 66.7%. Conclusion: First-time blood donors, women, and relatively low blood pressure are all high-risk groups for VVR. The BP neural network prediction model established in this paper has certain prediction accuracy and can be used as a means to evaluate the risk degree of clinical blood donors.
Liu Y, Liu J, Xu G, et al., 2022, Characterization of Blood Donors with Adverse Reactions to Single Platelets and Study of Countermeasures. Chinese Journal of Blood Transfusion, 2022, 35(3): 311–314.
Thijsen A, Masser B, 2019, Vasovagal Reactions in Blood Donors: Risks, Prevention and Management. Transfusion Medicine, 2019(29): 13–22.
Soodejani MT, Haghdoost AA, Okhovati M, et al., 2020, Incidence of Adverse Reaction in Blood Donation: A Systematic Review. American Journal of Blood Research, 10(5): 145–150.
National Health and Family Planning Commission, 2018, Guidelines for the Prevention and Disposition of Blood Donation-related Vasovagal Reactions, WS/T 595-2018.
National Health and Family Planning Commission of the People’s Republic of China, 2017, Guidelines for the Classification of Adverse Reactions to Blood Donation, WS/T 551-2017, China Standard Press, Beijing.
Huang X, Ouyang J, Huang J, et al., 2021, Effects of Psychological Intervention and Health Education on Psychological Emotions and Adverse Reactions to Blood Donation in First-time Blood Donors. Chinese Contemporary Medicine, 28(36): 212–214.
France CR, France JL, Himawan LK, et al., 2021, Donation-related Fears Predict Vasovagal Reactions and Donor Attrition Among High School Donors. Transfusion, 2021(61): 102–107.
France CR, France JL, Conatser R, et al., 2019, Predonation Fears Identify Young Donors at Risk for Vasovagal Reactions. Transfusion, 2019(59): 2870–2875.
Hoogerwerf MD, Veldhuizen IJ, De Kort WL, et al., 2015, Factors Associated with Psychological and Physiological Stress Reactions to Blood Donation: A Systematic Review of the Literature. Blood Transfusion, 13(3): 354–62.
Lei LY, Raj SR, Sheldon RS, 2020, Pharmacological Norepinephrine Transporter inhibition for the Prevention of Vasovagal Syncope in Young and Adult Subjects: A Systematic Review and Meta-analysis. Heart Rhythm 2020(17): 1151–1158.
Thijsen A, Masser B, Davison TE, 2020, Reduced Risk of Vasovagal Reactions in Australian Whole Blood Donors after National Implementation of Applied Muscle Tension and Water Loading. Transfusion, 2020(60): 918–921.
Morand C, Coudurier N, Rolland C, et al., 2016, Prevention of Syncopal-type Reactions After Whole Blood Donation: A Cluster-randomized Trial Assessing Hydration and Muscle Tension Exercise. Transfusion, 56(10): 2412–2421.
Jia Z, Hui C, Li Y, et al., 2020, Predonation Applied Muscle Tension to Prevent Vasovagal Reactions to Blood Donation. Chinese Journal of Blood Transfusion, 2020(33): 1029–1032.
Cheung CHY, Khaw ML, Leung WS, et al., 2021, Effects of Performing Applied Muscle Tension During Recovery after Phlebotomy in Young, First-time Donors: A Pilot Study. International Journal of Environmental Research: Public Health, 2021(18): 10541.