Hypertensive encephalopathy

I9_HYPERTENC

Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

520210

1. Apply sex-specific rule

None

520210

2. Check conditions

None

520210

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 I67.4
  • Hospital discharge: ICD-9 4372
  • Cause of death: ICD-10 I67.4
  • Cause of death: ICD-9 4372

2 out of 7 registries used, show all original rules.

125

4. Check minimum number of events

None

125

5. Include endpoints

None

125

6. Filter based on genotype QC (FinnGen only)

125

Control definitions (FinnGen only)

Control exclude
I9_CEREBVASC

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
I67
Name in latin
Encephalopathia hypertensiva

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 1060 561 482
Only index persons 823 460 363
Unadjusted period prevalence (%)
Whole population 0.01 0.02 0.01
Only index persons 0.02 0.02 0.01
Median age at first event (years)
Whole population 67.18 71.76 61.86
Only index persons 66.77 72.24 59.83

-FinnGen-

Key figures

All Female Male
Number of individuals 125 65 60
Unadjusted period prevalence (%) 0.02 0.02 0.03
Median age at first event (years) 69.14 68.82 69.49

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

-FinnGen-

Cumulative Incidence Function

No data

CodeWAS (R11)

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
114
Matched controls
1140
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
I67.4
ICD-10 Finland
Hypertensive encephalopathy
+∞
134.5
101
*
I63.9
ICD-10 Finland
Cerebral infarction, unspecified
+∞
31.8
29
*
I69.3
ICD-10 Finland
Sequelae of cerebral infarction
142.5
22.5
23
*
I63.3
ICD-10 Finland
Cerebral infarction due to thrombosis of cerebral arteries
+∞
13.8
13
*
4372A
ICD-9 Finland
Other and ill-defined cerebrovascular disease, Hypertensive encephalopathy
+∞
12.7
12
*
I10
ICD-10 Finland
Essential (primary) hypertension
5.5
12.6
96
563
R41.8
ICD-10 Finland
Other and unspecified symptoms and signs involving cognitive functions and awareness
7.0
12.3
32
60
C08CA01
ATC
amlodipine; oral
4.1
11.8
70
316
AA1AD
NOMESCO Finland
CT of head and brain
4.2
10.7
49
172
I67.3
ICD-10 Finland
Progressive vascular leukoencephalopathy
54.3
8.8
10
*
XA800
NOMESCO Finland
Neuropsychological investigation
22.1
8.7
12
6
B01AC30
ATC
platelet aggregation inhibitors excl. heparin - combinations
11.3
8.3
15
15
C07AB07
ATC
bisoprolol; oral
3.2
8.2
76
435
AA1CG
NOMESCO Finland
Extensive MRI examination of brain with high intensity magnet
7.1
8.0
19
31
R56.8
ICD-10 Finland
Other and unspecified convulsions
8.7
7.7
16
21
I63.4
ICD-10 Finland
Cerebral infarction due to embolism of cerebral arteries
+∞
7.4
7
*
205
Kela drug reimbursment
Chronic hypertension
3.1
7.2
55
266
TAB00
NOMESCO Finland
Lumbar puncture
10.3
7.0
13
14
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
3.5
6.7
33
118
Z01.9
ICD-10 Finland
Special examination, unspecified
6.5
6.1
15
26
R4110
NOMESCO Finland
Physiotherapy
3.0
6.1
41
179

Mortality – FinRegistry

Association

Association between endpoint I9_HYPERTENC and mortality.

Females

Parameter HR [95% CI] p-value
I9_HYPERTENC 1.734 [1.28, 2.34] < 0.001
Birth year 0.994 [0.98, 1.0] 0.144

During the follow-up period (1.1.1998 — 31.12.2019), 153 out of 379 females with I9_HYPERTENC died.

Males

Parameter HR [95% CI] p-value
I9_HYPERTENC 1.693 [1.05, 2.72] 0.03
Birth year 0.986 [0.98, 1.0] 0.003

During the follow-up period (1.1.1998 — 31.12.2019), 96 out of 273 males with I9_HYPERTENC died.

Mortality risk

Mortality risk for people of age

years, who have I9_HYPERTENC.

N-year risk Females Males
1 0.233% 0.273%
5 1.208% 1.923%
10 2.592% 4.794%
15 4.882% 8.678%
20 8.622% 14.586%

Relationships between endpoints

Index endpoint: I9_HYPERTENC – Hypertensive encephalopathy

GWS hits: -

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
Extremity
rg [CI]
Extremity
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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