Evaluation of the application effectiveness and optimization strategies of confidential unit exclusion in Zhengzhou
10.13303/j.cjbt.issn.1004-549x.2026.03.011
- VernacularTitle:郑州地区保密性弃血程序应用效果评价及优化策略
- Author:
Dan LIU
1
;
Hongwei MA
1
;
Tao WEN
1
;
Yonglei LYU
1
;
Mengru JI
1
;
Ge SONG
1
;
Huanyu LIU
1
;
Mengdi FAN
1
Author Information
1. Henan Red Cross Blood Center, Zhengzhou 450000, China
- Publication Type:Journal Article
- Keywords:
confidential unit exclusion;
blood safety;
transfusion-transmitted infections;
post-donation report
- From:
Chinese Journal of Blood Transfusion
2026;39(3):379-383
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the practical effectiveness of confidential unit exclusion (CUE) in ensuring blood safety in Zhengzhou, analyze its application characteristics and existing problems, and provide a basis for optimizing blood safety management strategies. Methods: A retrospective analysis was conducted on CUE data handled by Henan Red Cross Blood Center from January 2019 to December 2024. Parameters such as the number of cases, demographic characteristics, reasons for exclusion, and time of report were statistically analyzed and compared with those of non-CUE. Results: From 2019 to 2024, the CUE reporting rate in Zhengzhou was 0.002 6% (40/1 547 666). CUE donors were predominantly male (65.00%, 26/40), aged 18-34 years (47.50%, 19/40), had college degree orabove (50.00%, 20/40), and were employees of enterprises or public institutions (32.50%, 13/40). Among the 40 CUE blood units, only one was reactive for anti-TP, while all others were qualified. The main reasons for CUE were recent vaccination (32.50%, 13/40), medical conditions unsuitable for donation (27.50%, 11/40), and high-risk sexual behavior (17.50%, 7/40). A total of 70.00% of reports occurred within 24 hours after donation, during which none of the corresponding blood units had been released; all units reported after more than 7 days had already been issued for clinical use, with no adverse transfusion reactions reported upon follow-up. Conclusion: The confidential unit exclusion program has played an active role in establishing a supplementary information feedback channel for blood donors. The procedure can be optimized by strengthening interactive communication and confirmation before donation, improving the accuracy of donors' self-assessment, and expanding convenient and rapid information-based reporting channels.
