Nondiabetic hypoglycaemic coma

E4_HYPOCOMA

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 E15
  • Hospital discharge: ICD-9 2510B
  • Cause of death: ICD-10 E15
  • Cause of death: ICD-9 2510B

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

144

4. Check minimum number of events

None

144

5. Include endpoints

None

144

6. Filter based on genotype QC (FinnGen only)

144

Control definitions (FinnGen only)

Control exclude
E4_GLUCOPANCREAS

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
E15-E16
Name in latin
Coma hypoglychaemicum non diabeticum

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 1177 513 627
Only index persons 618 283 335
Unadjusted period prevalence (%)
Whole population 0.02 0.01 0.02
Only index persons 0.01 0.01 0.01
Median age at first event (years)
Whole population 46.88 50.02 44.06
Only index persons 34.95 33.91 35.83

-FinnGen-

Key figures

All Female Male
Number of individuals 144 69 75
Unadjusted period prevalence (%) 0.03 0.02 0.03
Median age at first event (years) 24.84 25.86 23.91

-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

No data

-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
137
Matched controls
1369
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
2510B
ICD-9 Finland
Other disorders of pancreatic internal secretion, Hypoglycaemic coma[COMA HYPOGLYCAEMICUM]
+∞
142.9
111
*
A10AA02
ATC
NA
167.7
104.1
103
24
A10AA01
ATC
NA
175.6
100.4
98
19
A10AB01
ATC
insulin (human); parenteral (insulins and analog. for injection, fast-acting)
138.2
97.5
99
25
A10AC01
ATC
insulin (human); parenteral (insulins and analog. for injection, intermediate-acting)
93.1
94.6
106
48
2500B
ICD-9 Finland
Diabetes mellitus without mention of complication[DIABETES MELLITUS SINE COMPLICATIONE ,TYYPPI I]
124.4
82.2
84
17
E10.9
ICD-10 Finland
Type 1 diabetes mellitus, Without complications
69.9
74.6
85
31
103
Kela drug reimbursment
Diabetes, insulin-treated
46.2
73.6
120
181
A10AB05
ATC
insulin aspart; parenteral (insulins and analog. for injection, fast-acting)
53.3
71.1
87
43
A10AE04
ATC
insulin glargine; parenteral
48.2
71.0
90
52
H04AA01
ATC
glucagon; nasal, parenteral
87.9
70.4
76
19
E10.3
ICD-10 Finland
Type 1 diabetes mellitus, With ophthalmic complications
101.9
69.4
73
15
A10AB04
ATC
insulin lispro; parenteral (insulins and analog. for injection, fast-acting)
63.5
63.6
73
24
25000
ICD-8 Finland
Diabetes mellitus, Sine complicatione
63.7
57.0
65
19
T89
ICPC
Diabetes insulin dependent
53.3
54.0
64
22
215
Kela drug reimbursment
Diabetes, non-insulin-treated
21.0
53.5
99
151
E10.7
ICD-10 Finland
Type 1 diabetes mellitus, With multiple complications
70.5
52.0
58
14
A10AE05
ATC
insulin detemir; parenteral
32.4
44.6
60
32
E10
ICD-10 Finland
Type 1 diabetes mellitus
49.6
35.4
42
12
A10AE06
ATC
insulin degludec; parenteral
36.5
35.2
45
18
H3600, E103
ICD-10 Finland
NA
86.0
30.5
33
5
E10.00
ICD-10 Finland
Insulin-dependent diabetes diabetic hypoglycemic coma
61.4
29.0
33
7
E15
ICD-10 Finland
Nondiabetic hypoglycaemic coma
+∞
28.1
26
*
E16.2
ICD-10 Finland
Hypoglycaemia, unspecified
317.9
26.7
26
*
A10AD01
ATC
insulin (human); parenteral (insulins and analog. for injection, intermediate- or long-acting comb. with fast-acting)
41.2
26.0
32
10
177
Kela drug reimbursment
Insulin glargine 300 U / ml
69.6
25.1
28
5
H3603, E103
ICD-10 Finland
NA
57.6
20.9
24
5
SPAT1262
SPAT
Handing over of treatment supplies
8.0
20.8
53
100
E10.1
ICD-10 Finland
Type 1 diabetes mellitus, With ketoacidosis
45.6
19.3
23
6
E10.2
ICD-10 Finland
Type 1 diabetes mellitus, With renal complications
39.0
18.7
23
7
E10.4
ICD-10 Finland
Type 1 diabetes mellitus, With neurological complications
61.4
18.5
21
*
XCK10
NOMESCO Finland
Photography of fundus of eye
11.0
18.2
36
43
A10AA03
ATC
NA
40.9
17.2
21
6
E10.8
ICD-10 Finland
Type 1 diabetes mellitus, With unspecified complications
23.9
17.1
24
12
H3601, E103
ICD-10 Finland
NA
54.7
16.5
19
*
2501B
ICD-9 Finland
Diabetes mellitus, Diabetes with ketoacidosis[DIABETES MELLITUS CUM KETOACIDOSI ,TYYPPI I]
179.7
15.8
16
*
O24.0
ICD-10 Finland
Diabetes mellitus in pregnancy: Pre-existing diabetes mellitus, insulin-dependent
41.0
14.9
18
5
E10.6
ICD-10 Finland
Type 1 diabetes mellitus, With other specified complications
59.9
14.1
16
*
CKC12
NOMESCO Finland
Photocoagulation of retina
15.1
14.0
23
18
SPAT1250
SPAT
Comprehensive monitoring of chronic illness
4.5
12.5
51
158
H36.00
ICD-10 Finland
Diabetic background retinopathy
24.0
12.4
17
8
E11.7
ICD-10 Finland
Type 2 diabetes mellitus, with multiple complications
13.5
12.3
21
18
N08.39*E10.2
ICD-10 Finland
Insulin-dependent diabetes mellitus - Diabetic nephropathy
51.6
12.1
14
*
E11.9
ICD-10 Finland
Type 2 diabetes mellitus, without complications
4.7
12.1
46
132
H36.09*E10.3
ICD-10 Finland
Insulin-dependent diabetes mellitus - Diabetic retinopathy
33.4
11.9
15
5
171
Kela drug reimbursment
Degludekinsuliini
71.2
11.8
13
*
Z01.0
ICD-10 Finland
Examination of eyes and vision
4.9
11.2
40
107
BEF00
NOMESCO Finland
Continuous subcutaneous glucose monitoring
47.5
11.1
13
*
A10AB06
ATC
insulin glulisine; parenteral
118.7
10.6
11
*
A10AD04
ATC
insulin lispro; parenteral (insulins and analog. for injection, intermediate- or long-acting comb. with fast-acting)
35.6
10.5
13
*
2500A
ICD-9 Finland
Diabetes mellitus without mention of complication[DIABETES MELLITUS SINE COMPLICATIONE,TYYPPI II]
14.7
10.5
17
13
H43.1
ICD-10 Finland
Vitreous haemorrhage
16.6
9.8
15
10
E16.19
ICD-10 Finland
Other specified hypoglycaemia
+∞
9.5
9
*
2507B
ICD-9 Finland
Diabetes mellitus, Diabetes with peripheral circulatory disorders[DIABETES MELLITUS CUM COMPLICAT ALIA ,TYYPPI I]
53.5
8.8
10
*
E11.00
ICD-10 Finland
Non-insulin dependent diabetes diabetic hypoglycaemic coma
17.8
8.7
13
8
138
Kela drug reimbursment
Severe anaemia associated with chronic renal failure
17.8
8.7
13
8
XCW99
NOMESCO Finland
Other investigative procedure of eye
5.8
8.5
24
48
2504B
ICD-9 Finland
Diabetes mellitus, Diabetes with renal manifestations[DIABETES MELLITUS CUM COMPLICATIONE OCULI ,TYYPPI I]
35.7
8.2
10
*
H36.03
ICD-10 Finland
Proliferative diabetic retinopathy
23.7
8.2
11
5
R73.9
ICD-10 Finland
Hyperglycaemia, unspecified
16.3
7.9
12
8
123
Kela drug reimbursment
Chronic disorders of vitamin D metabolism
19.7
7.7
11
6
CL2S4
NOMESCO Finland
Ocular fundus photography for diabetic retinopathy screening
26.7
7.7
10
*
25002
ICD-8 Finland
Diabetes mellitus, Retinopathia diabetica
84.5
7.5
8
*
137
Kela drug reimbursment
Uraemia requiring dialysis
+∞
7.4
7
*
2503B
ICD-9 Finland
Diabetes mellitus, Diabetes with other coma[SOKERITAUDIN AIHEUTTAMA MUNUAISSAIRAUS,TYYPPI I]
+∞
7.4
7
*
B05DA
ATC
Isotonic solutions
+∞
7.4
7
*
N08.39
ICD-10 Finland
Glomerular disorders in diabetes mellitus microalbuminuria
+∞
7.4
7
*
CKD65
NOMESCO Finland
Pars plana or pars plicata vitrectomy
21.4
7.2
10
5
6480A
ICD-9 Finland
Other current conditions in the mother classifiable elsewhere but complicating pregnancy, childbirth and the puerperium, Diabetes mellitus
31.9
7.2
9
*
Z71.3
ICD-10 Finland
Dietary counselling and surveillance
9.0
7.0
14
17
H36.01
ICD-10 Finland
Diabetic maculopathy
15.3
6.5
10
7
25008
ICD-8 Finland
Diabetes mellitus, Complicatio alia definita
73.1
6.5
7
*
QDB05
NOMESCO Finland
Revision of wound of skin of lower limb
11.8
6.4
11
10
L97
ICD-10 Finland
Ulcer of lower limb, not elsewhere classified
11.8
6.4
11
10
C10AA01
ATC
simvastatin; oral
2.7
6.4
53
260
Z49.2
ICD-10 Finland
Other dialysis
+∞
6.3
6
*
CK2S4
NOMESCO Finland
Plain photography of ocular fundus
7.0
6.0
14
22

Mortality – FinRegistry

Association

Association between endpoint E4_HYPOCOMA and mortality.

Females

No data

Males

Parameter HR [95% CI] p-value
E4_HYPOCOMA 4.588 [1.64, 12.87] 0.004
Birth year 0.987 [0.98, 1.0] 0.01

During the follow-up period (1.1.1998 — 31.12.2019), 67 out of 143 males with E4_HYPOCOMA died.

Mortality risk

Mortality risk for people of age

years, who have E4_HYPOCOMA.

N-year risk Females Males
1 No data 0.841%
5 No data 5.63%
10 No data 13.552%
15 No data 23.531%
20 No data 36.266%

Relationships between endpoints

Index endpoint: E4_HYPOCOMA – Nondiabetic hypoglycaemic coma

GWS hits: 1

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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