Long-Term Exposure to Air Pollution and Incidence of Venous Thromboembolism in the General Population: A Population-Based Retrospective Cohort Study

被引:5
作者
Gwon, Jun Gyo [1 ]
Lee, Sang Ah [1 ]
Park, Kye-Yeung [2 ]
Oh, Se Uk [3 ]
Kim, Joung Soo [3 ]
Seo, Hyun-Min [3 ,4 ]
机构
[1] Ulsan Univ, Asan Med Ctr, Dept Surg, Div Vasc Surg,Coll Med, Seoul 05505, South Korea
[2] Hanyang Univ, Dept Family Med, Coll Med, Seoul 04763, South Korea
[3] Hanyang Univ, Guri Hosp, Coll Med, Dept Dermatol, 153 Gyeongchun Ro, Guri Si 11923, South Korea
[4] Hanyang Univ, Hanyang Inst Biosci & Biotechnol, Seoul 04763, South Korea
关键词
deep vein thrombosis; pulmonary embolism; particulate matter; disease; national health program; air pollutants; CARDIOVASCULAR-DISEASE; THROMBOSIS; RISK; STATEMENT; ARTERIAL; PM2.5;
D O I
10.3390/jcm11123517
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To date, the relationship between air pollutants and venous thromboembolism (VTE) has not been well established. Our aim is to investigate the association between ambient air pollutants and the incidence of VTE using the Korean National Health Insurance Service-National Health Screening Cohort (NHIS-HEALS) database. From 2003 to 2015, 338,616 subjects from the general population not previously diagnosed with VTE were included. The long-term average concentration of air pollutants before diagnosis for each subject was calculated. During the study period, there were 3196 incident cases of VTE. After adjusting for age, gender, economic status, body mass index, physical activity, smoking, alcohol consumption, comorbid diseases, and meteorological variables, the risk of VTE was observed to increase significantly with the long-term average concentration of particulate matter < 10 mu m in diameter: PM10 (hazard ratio (HR) = 1.064 (95% confidence interval [CI] 1.053-1.074) for 1 mu g/m(3)), SO2 (HR = 1.118 (95% CI 1.079-1.158) 1 ppb), and O-3 (HR = 1.039 (95% CI 1.026-1.053) for 1 ppb), respectively. A difference between the date of the health screening and the date of diagnosis of the disease was observed. Long-term exposure to air pollutants including PM10, SO2, and O-3 may be an independent risk factor for the development of VTE.
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页数:9
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