Cited by 93Iron Metabolism and DisordersBlood donation and transfusion practicesBlood transfusion and management

How do we manage iron deficiency after blood donation?

Kiss, Joseph E., Vassallo, Ralph R.·2018·British Journal of Haematology

Abstract

Summary: Blood donors and the RBCs and other components they willingly provide are essential in the delivery of healthcare in all parts of the world. Nearly 70% of donated blood comes from repeat or committed donors. The amount of iron removed in the 10 min or so it takes to withdraw a unit of blood (500 ml, plus 25 ml for testing) requires over 24 weeks to replace on a “standard” diet, i.e., without added iron in the form of supplements The cumulative effect of repeat blood donations without adequate iron replacement or a longer wait between donations results in iron deficiency (ID) in many donors, low haemoglobin deferral (~8% of donation attempts), and frank anaemia in some. Moreover, ID can be associated with side effects that can impact a blood donor's health, such as fatigue, cognitive changes and other neuromuscular symptoms. In an effort to better identify and prevent ID, blood collection agencies are recommending various strategies, including changes in the donation interval, donation frequency, testing of iron status and iron supplementation. In this review, we present the evidence basis for these strategies and suggest our own approaches to improving iron balance in blood donors.

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  • TMPRSS6 genetic variants modulate iron and hematologic traits in several genome-wide association studies, alter hepcidin levels in normal subjects and might confer susceptibility/resistance to iron deficiency, as observed in blood donors.

    “TMPRSS6 genetic variants modulate iron and hematologic traits in several genome-wide association studies,58 alter hepcidin levels in normal subjects86 and might confer susceptibility/resistance to iron deficiency, as observed in blood donors.87”

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Authors
Kiss, J. E., & Vassallo, R. R.
Affiliations
  • Institute for Transfusion Medicine (US)
  • Chief Medical and Scientific Officer Blood Systems, Inc. Scottsdale AZ USA
Corresponding author
Kiss, Joseph E.
Venue
British Journal of Haematology
Publisher
Wiley
Published
2018-05-16
Volume
181
Issue
5
Pages
590-603
ISSN
  • 0007-1048 (ISSN-L)
  • 1365-2141
OpenAlex
W2803683681
Cited by
92
References
95
Citations by year
2026: 6 · 2025: 8 · 2024: 6 · 2023: 13 · 2022: 13 · 2021: 20 · 2020: 14 · 2019: 10 · 2018: 2
FWCI
1.90
Type
journal article
Language
en
Open access
closed
Locations
  • British Journal of Haematology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
  • Social Sciences › Business, Management and Accounting › Management of Technology and Innovation › Blood donation and transfusion practices
  • Health Sciences › Medicine › Biochemistry › Blood transfusion and management
Keywords
iron deficiency, blood donors, repeat blood donation, iron supplementation, anemia, iron balance, fatigue, neuromuscular symptoms
MeSH terms
Iron Deficiencies, Blood Donors, Female, Humans, Iron, Male

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