A computational model for prediction of ferritin and haemoglobin levels in blood donors
Corresponding Author
Yared Paalvast
Donor Medicine, Sanquin Blood Bank, Amsterdam, the Netherlands
Correspondence
Yared Paalvast, Donor Medicine, Sanquin Blood Bank, Amsterdam, the Netherlands.
Email: [email protected]
Search for more papers by this authorSara Moazzen
Donor Medicine Research – Donor Studies, Sanquin Research, Amsterdam, the Netherlands
Molecular Epidemiology Research Group, MDC Berlin-Buch, Max-Delbrück-Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany
Search for more papers by this authorMaike Sweegers
Donor Medicine Research – Donor Studies, Sanquin Research, Amsterdam, the Netherlands
Search for more papers by this authorBoris Hogema
Donor Medicine Research – Blood-borne Infections, Sanquin Research, Amsterdam, the Netherlands
Search for more papers by this authorMart Janssen
Donor Medicine Research – Transfusion Technology Assessment, Sanquin Research, Amsterdam, the Netherlands
Search for more papers by this authorKatja van den Hurk
Donor Medicine Research – Donor Studies, Sanquin Research, Amsterdam, the Netherlands
Search for more papers by this authorCorresponding Author
Yared Paalvast
Donor Medicine, Sanquin Blood Bank, Amsterdam, the Netherlands
Correspondence
Yared Paalvast, Donor Medicine, Sanquin Blood Bank, Amsterdam, the Netherlands.
Email: [email protected]
Search for more papers by this authorSara Moazzen
Donor Medicine Research – Donor Studies, Sanquin Research, Amsterdam, the Netherlands
Molecular Epidemiology Research Group, MDC Berlin-Buch, Max-Delbrück-Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany
Search for more papers by this authorMaike Sweegers
Donor Medicine Research – Donor Studies, Sanquin Research, Amsterdam, the Netherlands
Search for more papers by this authorBoris Hogema
Donor Medicine Research – Blood-borne Infections, Sanquin Research, Amsterdam, the Netherlands
Search for more papers by this authorMart Janssen
Donor Medicine Research – Transfusion Technology Assessment, Sanquin Research, Amsterdam, the Netherlands
Search for more papers by this authorKatja van den Hurk
Donor Medicine Research – Donor Studies, Sanquin Research, Amsterdam, the Netherlands
Search for more papers by this authorSummary
Blood donors are at risk of iron deficiency anaemia. While this risk is decreased through ferritin-based deferral, ideally ferritin monitoring should also aid in optimising donation frequencies. We extended an existing model of haemoglobin (Hb) synthesis with iron homeostasis and validated the model on a cohort of 300 new donors whose ferritin levels were measured from stored blood samples collected over a 2-year period. We then used the donor's gender, body weight, height, and baseline Hb and ferritin levels to predict subsequent Hb and ferritin levels. The prediction error was within measurement variability in 88% of Hb level predictions and 64% of ferritin level predictions. A sensitivity analysis of the model revealed that baseline ferritin level was the most important in predicting future ferritin levels. Finally, we used the model to calculate the annual donation frequency at which donors would keep their ferritin level >15 ng/ml when measured after donating for 2 years. The mean annual donation frequency would then be 1.9 for women and 4.1 for men. The computational model, requiring baseline values only, can predict future Hb and ferritin levels remarkably well. This enables determination of optimal donation frequencies for individual donors at the start of their donation career.
CONFLICT OF INTEREST
The authors have no conflicts of interest to declare.
Open Research
DATA AVAILABILITY STATEMENT
Data is available upon reasonable request.
Supporting Information
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bjh18367-sup-0001-FigureS1.pdfPDF document, 519.6 KB |
Figure S1 |
bjh18367-sup-0002-AppendixS1.pdfPDF document, 374.4 KB |
Appendix S1 |
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