Difference between revisions of "Weight"
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To calculate BMI, use this calculator: | To calculate BMI, use this calculator: | ||
| − | [ | + | [https://www.nhs.uk/health-assessment-tools/calculate-your-body-mass-index/] |
==Guidance== | ==Guidance== | ||
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AT RECRUITMENT | AT RECRUITMENT | ||
| − | Acceptable | + | Acceptable |
| − | - For PBSC - if | + | - For PBSC - if BMI less than, or equal to, 40.0. |
| − | - For BM - if | + | - For BM - if BMI less than, or equal to, 35.0. |
| Line 29: | Line 29: | ||
Acceptable | Acceptable | ||
| − | - For PBSC - if over | + | - For PBSC - if 45kg and over (or 7st 1lb) and BMI less than, or equal to, 40.0 (If BMI 40-43 discuss with MO). |
| − | - For BM - if over | + | - For BM - if 45kg and over (or 7st 1lb) and BMI less than, or equal to, 35.0 (If BMI 35-40 discuss with MO). |
| + | If a donor is < 45kg, the VT team need to ask the TC what the patient weight is, and then discuss with a MO. | ||
| − | |||
| − | |||
Potential donors with BMI >35-40 may have complications prior, during and after the harvest: | Potential donors with BMI >35-40 may have complications prior, during and after the harvest: | ||
| − | - PBSC - poor venous access, need of central line insertion (and | + | - PBSC - poor venous access, need of central line insertion (and its subsequent complications). Risk is less clear than BM so greater discretion may be used. |
| − | - BM - should be carefully assessed for additional anaesthetic risk factors (e.g. cardiovascular, respiratory and endocrine disease). If no additional risk factors donor may at discretion of MO proceed to medical assessment when an anaesthetic opinion is mandatory before donor can be cleared to donate. At medical donor must also be examined to decide whether a BMH is technically possible. The collection centre must be alerted to this additional requirement before donor is sent to medical. | + | - BM - should be carefully assessed for additional anaesthetic risk factors (e.g. cardiovascular, respiratory and endocrine disease). If no additional risk factors donor may at discretion of MO proceed to medical assessment when an anaesthetic opinion is mandatory before donor can be cleared to donate. At medical donor must also be examined to decide whether a BMH is technically possible. The collection centre must be alerted to this additional requirement before donor is sent to medical. |
| − | + | ==Justification== | |
| + | BMI is the most reliable tool to assess the body composition within the scientific community, and it is the criteria to based our decision upon. | ||
| + | It should be strictly followed at recruitment although donors outside these limits at work-up should be discus with the medical officer who may allow them to proceed after discussion with the Medical Director. | ||
==Pseudonyms or Related Conditions== | ==Pseudonyms or Related Conditions== | ||
| Line 50: | Line 51: | ||
==Version== | ==Version== | ||
| − | Version 1, Edition | + | Version 1, Edition 4 |
====Date of Last Update==== | ====Date of Last Update==== | ||
| − | + | 27 December 2023 | |
Latest revision as of 11:16, 28 December 2023
Contents
Acceptability at Recruitment
QUALIFIED
Acceptability at CT / Work-Up
QUALIFIED
Individual at Risk
Donor
Explanation of Condition
To calculate BMI, use this calculator:
Guidance
AT RECRUITMENT
Acceptable
- For PBSC - if BMI less than, or equal to, 40.0.
- For BM - if BMI less than, or equal to, 35.0.
AT VT
Acceptable
- For PBSC - if 45kg and over (or 7st 1lb) and BMI less than, or equal to, 40.0 (If BMI 40-43 discuss with MO).
- For BM - if 45kg and over (or 7st 1lb) and BMI less than, or equal to, 35.0 (If BMI 35-40 discuss with MO).
If a donor is < 45kg, the VT team need to ask the TC what the patient weight is, and then discuss with a MO.
Potential donors with BMI >35-40 may have complications prior, during and after the harvest:
- PBSC - poor venous access, need of central line insertion (and its subsequent complications). Risk is less clear than BM so greater discretion may be used.
- BM - should be carefully assessed for additional anaesthetic risk factors (e.g. cardiovascular, respiratory and endocrine disease). If no additional risk factors donor may at discretion of MO proceed to medical assessment when an anaesthetic opinion is mandatory before donor can be cleared to donate. At medical donor must also be examined to decide whether a BMH is technically possible. The collection centre must be alerted to this additional requirement before donor is sent to medical.
Justification
BMI is the most reliable tool to assess the body composition within the scientific community, and it is the criteria to based our decision upon. It should be strictly followed at recruitment although donors outside these limits at work-up should be discus with the medical officer who may allow them to proceed after discussion with the Medical Director.
Pseudonyms or Related Conditions
Obesity
Version
Version 1, Edition 4
Date of Last Update
27 December 2023
