COIOS
Healthcare today Item refines peer-reviewed

Particulate matter shows no overall association with venous thromboembolism

An updated meta-analysis of 19 observational studies covering more than 4.5 million people found no significant overall association between long-term particulate exposure and venous thromboembolism, with a modest one appearing only among studies reporting in the same units.

The review pooled 19 observational studies of ambient particulate matter and venous thromboembolism covering over 4.5 million participants, harmonising estimates to increments of 10 micrograms per cubic metre. Overall long-term associations were not significant for PM2.5 (HR 1.42, 95% CI 0.88-2.28) or PM10 (HR 1.18, 0.85-1.64), both with heterogeneity above 96%. Restricting to studies that natively reported in those units gave PM2.5 a hazard ratio of 1.07 (1.01-1.14) with no heterogeneity at all, and short-term exposures showed no association.

Why it is interesting: The result turns on how exposures were harmonised rather than on the underlying data, which is a caution about how air pollution estimates are assembled.

Source
Thrombosis and Haemostasis, 21 September 2026
DOI
10.1055/a-2945-4974
Type
Peer-reviewed article
Design
Systematic review and random-effects meta-analysis of 19 observational studies, >4.5 million participants
Verdict
Refines prior evidence
Driver
Environment: air, heat, cold