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Asthma associated with increased odds of venous thromboembolism, pulmonary embolism, and deep vein thrombosis in observational studiesAsthma Linked to Higher Risk of Blood Clots in Observational Data

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Key Takeaway
Note that asthma is associated with increased odds of VTE in observational studies; causality remains unproven.

This meta-analysis evaluated the association between asthma and the risk of venous thromboembolism (VTE), pulmonary embolism (PE), and deep vein thrombosis (DVT). The study synthesized data from observational designs, including cohorts, case-control, and cross-sectional studies. The population consisted of patients with asthma, though the total sample size was not reported. Settings included various regions, with results stratified by geography.

The primary outcome measured the odds ratios for VTE components. Patients with asthma demonstrated a 1.61-fold higher odds of overall VTE (OR = 1.61; 95% CI: 1.45-1.77). Specifically, the odds of pulmonary embolism were 2.41-fold higher (OR = 2.41; 95% CI: 1.77-3.27), while deep vein thrombosis odds were 1.56-fold higher (OR = 1.56; 95% CI: 1.49-1.63).

Regional analysis indicated the highest risk in Asia (OR = 3.19; 95% CI: 2.06-4.96), followed by America (OR = 2.24; 95% CI: 1.55-3.24) and Europe (OR = 1.64; 95% CI: 1.49-1.81). Associations were strongest in cohort studies, where the odds ratio reached 4.21 (95% CI: 2.56-6.92). Safety data, adverse events, and tolerability were not reported in the included studies.

Key limitations include the reliance on observational designs, which preclude causal inference, and the lack of reported sample sizes. The authors note that absolute risks were not provided. Consequently, these results describe an association and should not be interpreted as evidence that asthma directly causes VTE or that specific clinical management changes are warranted without further prospective data.

This study combined data from many observational research projects to look at patients with asthma. The goal was to see if having asthma was connected to a higher risk of developing venous thromboembolism, which includes deep vein thrombosis and pulmonary embolism. The analysis looked at different types of studies, including cohorts, case-control, and cross-sectional designs.

The results showed that people with asthma had 1.61 times higher odds of overall venous thromboembolism. Specifically, the risk of pulmonary embolism was 2.41 times higher, and the risk of deep vein thrombosis was 1.56 times higher. The connection appeared strongest in cohort studies, where the odds were 4.21 times higher. Risk levels also varied by region, with the highest odds found in Asia.

Readers should understand that these numbers represent odds, not absolute risk. Since the study relied on observational data, it cannot prove that asthma causes blood clots. Other factors might explain the link. This information is not meant to change how doctors manage asthma or treat patients right now.

What this means for you:
Asthma is linked to higher odds of blood clots in observational data, but this does not prove asthma causes them.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
OBJECTIVE: To systematically evaluate the association between asthma and the risk of venous thromboembolism (VTE), including pulmonary embolism (PE) and deep vein thrombosis (DVT). DATA SOURCES: PubMed, Embase, Web of Science, and the Cochrane Library were searched for relevant studies published up to May 2025. STUDY SELECTION: Observational studies (cohort, case-control, and cross-sectional) reporting the association between asthma and VTE, PE, or DVT with available odds ratios (ORs) or hazard ratios and 95% confidence intervals (or data to calculate them) were included. RESULTS: The meta-analysis revealed a significant association between asthma and increased risk of VTE. Patients with asthma had a 2.41-fold higher odds of PE (OR = 2.41, 95% CI: 1.77-3.27), 1.56-fold higher odds of DVT (OR = 1.56, 95% CI: 1.49-1.63), and 1.61-fold higher odds of overall VTE (OR = 1.61, 95%: CI 1.45-1.77). Cohort studies showed the strongest association (OR = 4.21, 95% CI 2.56-6.92). Subgroup analysis by region indicated the highest risk in Asia (OR =3.19, 95% CI: 2.06-4.96), followed by America (OR = 2.24, 95% CI: 1.55-3.24) and Europe (OR = 1.64, 95% CI: 1.49-1.81). CONCLUSION: Asthma is significantly associated with an elevated risk of PE, DVT, and VTE, with particularly strong associations observed in cohort studies and Asian populations. These findings highlight the need for further research into underlying mechanisms and whether optimized asthma management can reduce thrombotic risk.
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