Drug-induced dystonia

DRUGADVERS_DYSTON

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 G24.0#

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

107

4. Check minimum number of events

None

107

5. Include endpoints

None

107

6. Filter based on genotype QC (FinnGen only)

107

Control definitions (FinnGen only)

Controls for this endpoint are individuals that are not cases.

Extra metadata

Level in the ICD hierarchy
C
First used in FinnGen datafreeze
DF5

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 816 453 361
Only index persons 739 416 323
Unadjusted period prevalence (%)
Whole population 0.01 0.01 0.01
Only index persons 0.01 0.02 0.01
Median age at first event (years)
Whole population 48.80 52.93 43.66
Only index persons 46.80 49.61 43.17

-FinnGen-

Key figures

All Female Male
Number of individuals 107 65 42
Unadjusted period prevalence (%) 0.02 0.02 0.02
Median age at first event (years) 46.30 48.07 43.56

-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
100
Matched controls
999
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
G24.0
ICD-10 Finland
Drug-induced dystonia
+∞
144.2
100
*
112
Kela drug reimbursment
Severe psychotic and other severe mental disorders
40.1
40.7
52
26
N05AH03
ATC
olanzapine; systemic
26.1
30.7
44
29
N04AA02
ATC
biperiden; systemic
63.2
30.1
34
8
N05AX08
ATC
risperidone; systemic
28.0
29.5
41
24
N05AH04
ATC
quetiapine; oral
12.0
26.3
58
103
N05AX12
ATC
aripiprazole; systemic
35.4
25.0
32
13
F29
ICD-10 Finland
Unspecified nonorganic psychosis
42.0
24.5
30
10
N03AE01
ATC
clonazepam; systemic
20.0
22.8
35
26
N03AG01
ATC
valproic acid; systemic, rectal
16.5
20.6
34
30
N05AH02
ATC
clozapine; systemic
42.0
19.0
23
7
N05BA01
ATC
diazepam; systemic, rectal
9.2
17.7
41
70
F25.9
ICD-10 Finland
Schizoaffective disorder, unspecified
77.2
17.4
19
*
N05AA02
ATC
levomepromazine; systemic
24.4
16.5
23
12
G24.9
ICD-10 Finland
Dystonia, unspecified
72.2
16.4
18
*
N05AD01
ATC
haloperidol; systemic
23.7
15.0
21
11
N05BA06
ATC
lorazepam; systemic, sublingual
14.6
13.7
23
20
N06AX11
ATC
mirtazapine; oral
5.1
13.2
56
198
R56.8
ICD-10 Finland
Other and unspecified convulsions
14.5
13.1
22
19
F20.00
ICD-10 Finland
Paranoid schizophrenia continuous
37.6
13.0
16
5
F20.9
ICD-10 Finland
Schizophrenia, unspecified
31.3
12.5
16
6
N06AB04
ATC
citalopram; systemic
5.5
12.5
44
125
T36
ICD-10 Finland
Poisoning by systemic antibiotics
12.5
12.3
22
22
P72
ICPC
Schizophrenia
34.8
12.0
15
5
N05BA04
ATC
oxazepam; oral
5.1
12.0
47
149
X69
ICD-10 Finland
Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances
14.3
11.4
19
16
N05AB03
ATC
perphenazine; systemic, rectal
13.5
11.1
19
17
C07AA05
ATC
propranolol; systemic
5.5
11.0
37
97
N05BE01
ATC
buspirone; oral
16.8
11.0
17
12
G24.3
ICD-10 Finland
Spasmodic torticollis
122.3
10.6
11
*
N05AL01
ATC
sulpiride; systemic
36.9
10.6
13
*
F20.30
ICD-10 Finland
Undifferentiated schizophrenia continuous
26.8
10.6
14
6
N05CD07
ATC
temazepam; oral
8.0
10.4
24
38
N05AN01
ATC
lithium; oral
19.3
10.2
15
9
Z00.4
ICD-10 Finland
General psychiatric examination, not elsewhere classified
6.4
10.2
28
57
N07BB01
ATC
disulfiram; oral
13.4
10.0
17
15
N05AF03
ATC
chlorprothixene; systemic
17.4
9.9
15
10
SPAT1254
SPAT
Administration of medicine
5.9
9.7
29
65
N06AB03
ATC
fluoxetine; oral
5.3
9.4
31
78
N05AE04
ATC
ziprasidone; systemic
55.0
8.8
10
*
F31.7
ICD-10 Finland
Bipolar affective disorder, currently in remission
18.4
8.8
13
8
F25.10
ICD-10 Finland
Schizoaffective syndrome, depressive type with only concomitant bipolar and schizophrenic symptoms
98.0
8.6
9
*
F31.5
ICD-10 Finland
Bipolar affective disorder, current episode severe depression with psychotic symptoms
98.0
8.6
9
*
G72.8
ICD-10 Finland
Other specified myopathies
+∞
8.4
8
*
F31.6
ICD-10 Finland
Bipolar affective disorder, current episode mixed
36.6
8.2
10
*
N06AB06
ATC
sertraline; oral
5.3
8.2
26
62
F31.9
ICD-10 Finland
Bipolar affective disorder, unspecified
12.3
8.1
14
13
F10.1
ICD-10 Finland
Mental and behavioural disorders due to use of alcohol, Harmful use
7.9
8.0
18
27
N06AX03
ATC
mianserin; oral
12.2
7.5
13
12
G24.8
ICD-10 Finland
Other dystonia
86.2
7.5
8
*
AA1AD
NOMESCO Finland
CT of head and brain
4.1
7.4
31
98
AA400
NOMESCO Finland
Electroconvulsive therapy
+∞
7.4
7
*
P99
ICPC
Psychological disorders other
13.4
7.3
12
10
N05AA01
ATC
chlorpromazine; systemic, rectal
32.6
7.3
9
*
J18.9
ICD-10 Finland
Pneumonia, unspecified
3.8
7.1
33
114
F20.39
ICD-10 Finland
Undifferentiated schizophrenia UNS
43.1
6.9
8
*
F60.30
ICD-10 Finland
Emotionally unstable personality disorder, impulsive
11.2
6.7
12
12
N05AC02
ATC
thioridazine; oral
15.7
6.5
10
7
F22.0
ICD-10 Finland
Delusional disorder
74.4
6.5
7
*
F25.20
ICD-10 Finland
Schizoaffective syndrome, mixed type with only concomitant bipolar and schizophrenic symptoms
74.4
6.5
7
*
N05AE05
ATC
lurasidone; oral
74.4
6.5
7
*
IAA01
NOMESCO Finland
Assessment of need for psychiatric treatment
12.2
6.5
11
10
N05AF05
ATC
zuclopenthixol; systemic
28.7
6.3
8
*
F32.3
ICD-10 Finland
Severe depressive episode with psychotic symptoms
28.7
6.3
8
*
G25.9
ICD-10 Finland
Extrapyramidal and movement disorder, unspecified
+∞
6.3
6
*
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
4.6
6.2
21
54
N04BA02
ATC
levodopa and decarboxylase inhibitor; oral
16.3
6.0
9
6
188
Kela drug reimbursment
Psychosis requiring demanding treatment
16.3
6.0
9
6
F33.10
ICD-10 Finland
Recurrent depression, moderate episode without somatic syndrome
5.9
6.0
16
31

Mortality – FinRegistry

Association

Association between endpoint DRUGADVERS_DYSTON and mortality.

Females

Parameter HR [95% CI] p-value
DRUGADVERS_DYSTON 2.337 [1.66, 3.29] < 0.001
Birth year 0.996 [0.99, 1.0] 0.327

During the follow-up period (1.1.1998 — 31.12.2019), 94 out of 404 females with DRUGADVERS_DYSTON died.

Males

Parameter HR [95% CI] p-value
DRUGADVERS_DYSTON 3.612 [2.33, 5.59] < 0.001
Birth year 0.987 [0.98, 1.0] 0.009

During the follow-up period (1.1.1998 — 31.12.2019), 88 out of 311 males with DRUGADVERS_DYSTON died.

Mortality risk

Mortality risk for people of age

years, who have DRUGADVERS_DYSTON.

N-year risk Females Males
1 0.25% 0.727%
5 1.384% 4.207%
10 3.357% 10.293%
15 6.468% 18.763%
20 11.315% 30.864%

Relationships between endpoints

Index endpoint: DRUGADVERS_DYSTON – Drug-induced dystonia

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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