Evidence map›Paper›PMID 39587929›Full record

SynthesisTransfusion2025

Risk factors for vasovagal reactions in blood donors: A systematic review and meta-analysis.

Yaning Wu, Hongchao Qi, Emanuele Di Angelantonio, Stephen Kaptoge, Angela M Wood, Lois G Kim

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Transfusion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Engaging Youth in Blood Donation: A Call for Ethical Public Health Strategies.The Malaysian journal of medical sciences : MJMS · 2025
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yaning WuBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0009-0003-7698-4675
Hongchao QiBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0000-0003-0932-2076
Emanuele Di AngelantonioBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Stephen KaptogeBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Angela M WoodBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Lois G KimBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0000-0002-4552-3820

Funding

BHF Cambridge Centre for Research Excellence RE/24/130011BHF Chair Award CH/12/2/29428BHF-Turing Cardiovascular Data Science Award BCDSA\100005British Heart Foundation RG/18/13/33946British Heart Foundation RG/F/23/110103National Institute for Health and Care Research Blood and Transplant Research Unit in Donor Health and Behaviour NIHR203337National Institute for Health and Care Research Blood and Transplant Research Unit in Donor Health and Behaviour NIHR303137Wellcome Trust
6 · The paper itself

Abstract

backgroundWhile blood donation is generally safe, some donors experience vasovagal reactions (VVRs) that may lead to injury and reduce likelihood of future donation. Several risk factors for VVRs have been identified, but the consistency, magnitude, and validity of their associations have not been systematically evaluated. Therefore, this systematic review and meta-analysis synthesized evidence for VVR risk factors.

methodsDatabase searches identified English-language studies published before February 2024 describing VVR risk factors in voluntary whole blood donors. Study characteristics, VVR and risk factor assessment methods, and effect sizes were extracted. Random-effects models pooled estimates across all studies and subgroups of geographical context, study quality, donation experience, and outcome severity. Inconsistently and infrequently reported risk factors were narratively synthesized.

resultsTotally 71 studies reporting a total of 19 million total donations were included. Female sex, new donor status, younger age, smaller blood volume, and lower blood pressure were positively associated with higher VVR risk. Donation-related fear, anxiety, and disgust were associated with higher VVR risk in narrative syntheses. Substantial between-study heterogeneity (I

conclusionThis systematic review and meta-analysis provides a comprehensive synthesis of risk factors for VVRs across wide-ranging blood service contexts and symptom severities, reinforcing evidence for previously identified factors. The heterogeneous associations of several risk factors motivate large-scale studies that enable comprehensive multivariable adjustment to evidence donor selection criteria and preventative intervention allocation.

Indexed as

Blood DonorsSyncope, VasovagalFemaleHumansMaleRisk Factorsdonors

Identifiers

PMID39587929
PMCPMC11747113

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.