PMID- 35667962 OWN - NLM STAT- MEDLINE DCOM- 20221209 LR - 20221209 IS - 1473-0502 (Print) IS - 1473-0502 (Linking) VI - 61 IP - 6 DP - 2022 Dec TI - Timing of hypotensive adverse events in U.S. source plasma donors: Exploratory analysis from the IMPACT trial. PG - 103470 LID - S1473-0502(22)00144-6 [pii] LID - 10.1016/j.transci.2022.103470 [doi] AB - BACKGROUND AND OBJECTIVES: There is less robust data describing adverse events (AEs) in source plasma donors than in whole blood donors, particularly regarding time to AEs (TAEs). We, therefore, sought to characterize TAE and the influence of donor characteristics in a large-scale clinical trial dataset. MATERIALS AND METHODS: TAE was calculated utilizing data from the IMPACT (IMproving PlasmA CollecTion) trial, with linear regression analyses performed to determine the influence of donor parameters on TAE. RESULTS: Linear regression revealed that repeat donors tended to have AEs ~6 min later than naive donors in the IMPACT trial; however, this was not statistically significant (p = 0.781). Besides this, gender showed greatest difference in TAE; however, no covariates were statistically significant. AE rates were relatively constant throughout the donation process with higher rates beginning 40 min after initiation; no initial peak was observed (first 10-15 min). CONCLUSION: AEs occurred throughout the donation process. None of the analyzed factors could fully explain the difference in the dynamics of AE timing with that of whole blood donation, particularly the missing early peak. Therefore, other factors, e.g., expectation and attitude towards donating plasma and potential events during plasma collection, may explain this difference and should be the focus of future studies. CI - Copyright (c) 2022 Elsevier Ltd. All rights reserved. FAU - Hartmann, Jan AU - Hartmann J AD - Haemonetics Corporation, Boston, MA, USA. Electronic address: Jan.Hartmann@haemonetics.com. FAU - Ragusa, Michael J AU - Ragusa MJ AD - Haemonetics Corporation, Boston, MA, USA. Electronic address: Ragusa@haemonetics.com. FAU - Manukyan, Zorayr AU - Manukyan Z AD - ClinStatDevice, Lexington, MA, USA. Electronic address: zorayr@clinstatdevice.com. FAU - Popovsky, Mark A AU - Popovsky MA AD - Haemonetics Corporation, Boston, MA, USA. Electronic address: MPopovsky@haemonetics.com. LA - eng PT - Journal Article DEP - 20220528 PL - England TA - Transfus Apher Sci JT - Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis JID - 101095653 MH - Humans MH - *Blood Donors MH - *Plasma MH - Clinical Trials as Topic OTO - NOTNLM OT - Donor health OT - Plasma OT - Plasma collection EDAT- 2022/06/07 06:00 MHDA- 2022/12/06 06:00 CRDT- 2022/06/06 22:06 PHST- 2022/02/24 00:00 [received] PHST- 2022/05/20 00:00 [revised] PHST- 2022/05/23 00:00 [accepted] PHST- 2022/06/07 06:00 [pubmed] PHST- 2022/12/06 06:00 [medline] PHST- 2022/06/06 22:06 [entrez] AID - S1473-0502(22)00144-6 [pii] AID - 10.1016/j.transci.2022.103470 [doi] PST - ppublish SO - Transfus Apher Sci. 2022 Dec;61(6):103470. doi: 10.1016/j.transci.2022.103470. Epub 2022 May 28.