Air pollution and hospital admissions due to deep vein thrombosis (DVT) in Ahvaz, Iran

• Published in: Heliyon 2020-08, Vol.6 (8), p.e04814-e04814, Article e04814
• Main Authors: Borsi, Seyed Hamid, Khanjani, Narges, Nejad, Hamid Yazdani, Riahi, Atefeh, Sekhavatpour, Zohreh, Raji, Hanieh, Dastoorpoor, Maryam
• Format: Article
• Language: English
• Subjects: Air pollution; Atmospheric science; Cardiology; Deep-venous thrombosis; Environmental assessment; Environmental health; Environmental pollution; Environmental risk assessment; Time-series regression; Venous thrombosis
• ISSN: 2405-8440; 2405-8440
• DOI: 10.1016/j.heliyon.2020.e04814

There are limited studies on the relation between short-term exposure to air pollutants and the risk of deep venous thrombosis (DVT). The aim of this study was to determine the relation between the concentration of these pollutants and the risk of hospital admissions due to DVT in Ahvaz, which is one of the world's highly polluted cities. Daily data on pollutants including O3, NO, NO2, SO2, CO, PM10, and PM2.5and DVT hospital admissions were collected from2008until 2018. Quasi-Poisson regression combined with linear distributed lag models; adjusted for trend, seasonality, temperature, relative humidity, weekdays, and holidays were used to assess the relation between the daily average of air pollutants and hospital admission for DVT. The results showed that there was a significant increase in hospital admissions due to DVT in the total, men, women, and elderly populations in relation to NO and NO2. There was also a significant increase in DVT hospital admissions in the male and ≤60 years populations related to PM10; and among the female and ≤60 years old populations, related to PM2.5. Finally, the results showed that there were significant positive associations between SO2 and CO exposure and the incidence of DVT hospital admissions among men and women, respectively. The results of this study show the possible effect of short-term exposure to air pollution on the risk of DVT. Further studies are required to investigate whether direct interventions through industry and government policy may alter the impact of specific pollutants in order to alter the incidence of DVT and other identified health complications. Atmospheric science; Environmental assessment; Environmental health; Environmental pollution; Environmental risk assessment; Cardiology; Air pollution; Venous thrombosis; Deep-venous thrombosis; Time-series regression