Thyroid crisis or storm

E4_THYCRISIS

Hyperthyroidism: Overactivity of the thyroid gland resulting in overproduction of thyroid hormone and increased metabolic rate. Causes include diffuse hyperplasia of the thyroid gland (Graves' disease), single nodule in the thyroid gland, and thyroiditis. The symptoms are related to the increased metabolic rate and include weight loss, fatigue, heat intolerance, excessive sweating, diarrhea, tachycardia, insomnia, muscle weakness, and tremor.

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Endpoint definition

Report an error or suggest an improvement for this endpoint codes

Endpoint definition steps

FinnGen

Phenotype data

519972

1. Apply sex-specific rule

None

519972

2. Check conditions

None

519972

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

Registry filters:

  • Hospital discharge: ICD-10 E05.5
  • Cause of death: ICD-10 E05.5

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

89

4. Check minimum number of events

None

89

5. Include endpoints

None

89

6. Filter based on genotype QC (FinnGen only)

85

Control definitions (FinnGen only)

Control exclude
E4_THYROID

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
E05
Name in latin
Crisis thyreotoxica

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 550 428 119
Only index persons 515 401 114
Unadjusted period prevalence (%)
Whole population 0.01 0.01 0.00
Only index persons 0.01 0.01 0.00
Median age at first event (years)
Whole population 50.42 49.11 55.48
Only index persons 49.42 47.76 55.28

-FinnGen-

Key figures

All Female Male
Number of individuals 85 67 18
Unadjusted period prevalence (%) 0.02 0.02 0.01
Median age at first event (years) 49.20 48.15 53.12

-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

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
89
Matched controls
890
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
H03AA01
ATC
levothyroxine sodium; systemic
512.8
155.5
77
11
E05.5
ICD-10 Finland
Thyroid crisis or storm
+∞
120.1
86
*
H03BB01
ATC
carbimazole; oral
2304.1
96.1
76
*
E05.0
ICD-10 Finland
Thyrotoxicosis with diffuse goitre
+∞
96.0
74
*
E05.9
ICD-10 Finland
Thyrotoxicosis, unspecified
1077.3
57.4
50
*
BAA60
NOMESCO Finland
Total thyroidectomy
+∞
47.1
41
*
104
Kela drug reimbursment
Thyroid insufficiency
793.7
46.8
42
*
E89.01
ICD-10 Finland
Postsurgical hypothyroidism
+∞
33.5
30
*
H06.2*E05.9
ICD-10 Finland
Dysthyroid exophthalmos
+∞
25.2
23
*
E03.9
ICD-10 Finland
Hypothyroidism, unspecified
144.1
21.7
22
*
E05.2
ICD-10 Finland
Thyrotoxicosis with toxic multinodular goitre
+∞
13.9
13
*
E89.00
ICD-10 Finland
Postirradiation hypothyroidism
+∞
13.9
13
*
C07AA05
ATC
propranolol; systemic
5.2
13.1
41
126
E03
ICD-10 Finland
Other hypothyroidism
81.9
13.0
14
*
E03.89
ICD-10 Finland
Other specified hypothyroidism
137.0
11.7
12
*
H062, E050,
ICD-10 Finland
+∞
11.7
11
*
E05
ICD-10 Finland
Thyrotoxicosis [hyperthyroidism]
+∞
10.6
10
*
BA1AE
NOMESCO Finland
Thyroiid ultrasound examination
55.7
8.9
10
*
T86
ICPC
Hypothyroidism/myxoedema
+∞
8.5
8
*
T85
ICPC
Hyperthyroidism/thyrotoxicosis
+∞
7.4
7
*
E03.80
ICD-10 Finland
Hypothyroidism caused by autoimmune thyroiditis
+∞
7.4
7
*
Z03.80
ICD-10 Finland
Observation for other suspected diseases and conditions
18.5
6.9
10
6
H05.2
ICD-10 Finland
Exophthalmic conditions
+∞
6.3
6
*

LabWAS

OMOP Concept
People with measurements
Mean N measurements
Mean measured value
(ID) Name
N Cases
N Controls
OR
-log10(p)
cases
controls
cases
controls
unit
-log10(p)
N cases
N controls
40
9
78.75
36.74
3.3
1.3
5.95
—
iu/l
—
27
0
19
39
5.92
9.33
1.5
1.2
352.30
96.25
iu/ml
—
10
15
56
335
2.81
5.23
7.5
5.6
1.21
1.22
mmol/l
0.41
48
281
40
214
2.58
4.50
3.8
3.5
7.42
7.40
ph
—
8
46
45
289
2.13
3.04
3.9
3.5
34.85
35.86
g/l
0.57
39
275
48
324
2.05
2.76
7.3
5.1
0.67
0.65
%
0.12
43
299
50
347
2.01
2.62
7.3
5.0
25.33
27.94
%
0.76
45
333
21
105
2.31
2.57
1.3
1.7
932.90
1323.32
nmol/l
1.85
21
77
41
267
1.99
2.56
1.8
1.8
101.74
97.34
pmol/l
0.24
14
128
48
333
1.96
2.47
7.3
5.0
2.60
2.66
%
0.07
43
314
13
53
2.70
2.40
3.8
3.4
—
—
—
0
0
44
300
1.92
2.36
19.6
8.8
1.25
1.19
inr
0.16
18
97
47
337
1.84
2.08
7.7
4.9
57.96
57.70
%
0.05
42
322
29
187
1.82
1.76
6.5
7.8
—
—
—
0
0
14
71
2.15
1.64
1.2
1.2
—
—
—
0
0
55
435
1.69
1.57
10.5
9.7
4.18
4.19
e9/l
0.01
49
380
25
159
1.80
1.57
1.5
1.3
2.10
2.10
g/l
0.01
17
99
47
357
1.67
1.56
7.6
5.3
0.59
0.55
e9/l
0.52
41
319
26
171
1.74
1.45
1.5
1.2
1.44
1.22
u/ml
—
5
46
20
122
1.82
1.43
5.8
2.8
60.46
70.30
ng/l
0.06
13
80
48
374
1.62
1.40
7.7
5.8
0.18
0.18
e9/l
0.02
43
335
6
23
2.72
1.39
1.0
1.3
—
—
—
0
0
46
355
1.61
1.39
7.7
5.4
0.04
0.04
e9/l
0.25
40
316
33
236
1.63
1.35
1.9
1.9
—
—
—
0
0
61
507
1.65
1.34
3.8
3.9
—
—
—
0
0
11
55
2.14
1.34
1.1
1.1
—
—
—
0
0
6
24
2.60
1.32
2.5
1.7
251.40
230.72
ug/l
—
6
19
9
44
2.16
1.31
1.7
1.5
—
—
—
0
0
9
44
2.16
1.31
2.7
1.4
—
—
—
0
0
83
763
2.30
1.29
15.1
11.8
18.77
21.58
mg/l
0.35
68
576
25
169
1.67
1.26
3.0
3.7
—
—
—
0
0
12
65
1.98
1.20
1.8
1.4
—
—
—
0
0
21
137
1.70
1.20
1.2
1.3
53.03
8.30
u/ml
—
7
50
24
164
1.63
1.15
1.7
1.5
1.32
1.13
mg/l
0.10
18
131
5
21
2.46
1.10
1.0
1.2
—
—
—
0
0
33
247
1.53
1.08
3.3
3.6
37.92
24.18
ng/l
0.47
22
161
40
314
1.50
1.04
2.0
1.9
—
—
—
0
0
8
42
1.99
0.91
1.1
2.4
—
—
—
0
0
6
29
2.14
0.91
12.8
6.2
25.33
24.66
mmol/l
—
6
29
13
80
1.73
0.90
1.6
1.5
—
—
—
0
0
56
481
1.44
0.87
4.1
3.6
—
—
—
0
0
39
315
1.42
0.84
11.2
9.8
0.00
0.00
e9/l
0.53
32
261
42
344
1.42
0.84
8.8
5.8
—
—
—
0
0
8
47
1.77
0.83
1.0
2.6
64.59
68.93
g/l
—
8
42
11
67
1.73
0.79
1.3
1.4
—
—
—
0
0
73
665
1.54
0.79
5.7
5.2
38.71
38.99
mmol/mol
0.11
68
628
7
43
1.68
0.68
11.9
5.4
—
—
—
0
0
24
185
1.41
0.65
3.8
3.6
—
—
—
0
0
5
29
1.77
0.65
1.4
1.5
—
—
—
0
0
0
21
0.00
0.61
0.0
1.3
—
—
—
0
0
0
22
0.00
0.60
0.0
1.3
—
19.00
—
0
16
0
22
0.00
0.60
0.0
4.1
—
—
—
0
0
0
22
0.00
0.60
0.0
1.2
—
1.87
—
0
15
6
36
1.71
0.58
14.0
2.9
22.75
24.52
mmol/l
—
6
36
79
745
1.54
0.56
4.8
4.6
2.76
2.83
mmol/l
0.26
73
690
22
172
1.37
0.55
2.0
3.3
—
—
—
0
0
6
39
1.58
0.54
1.8
1.2
—
—
—
0
0
6
40
1.54
0.52
1.0
1.1
—
—
—
0
0
76
714
1.44
0.52
4.7
4.2
5.78
5.77
mmol/l
0.03
71
656
42
368
1.27
0.47
3.1
3.6
0.00
0.01
estimate
—
7
84
42
373
1.24
0.40
3.1
3.6
0.00
0.00
estimate
—
7
74
11
81
1.41
0.38
1.6
1.3
—
—
—
0
0
82
791
1.47
0.33
16.2
10.9
—
—
—
0
0
7
52
1.38
0.32
1.7
2.2
—
—
—
0
0
41
370
1.20
0.32
4.7
5.0
0.00
0.00
estimate
—
6
79
24
275
0.83
0.29
3.0
2.8
—
—
—
0
0
9
74
1.24
0.26
8.7
6.0
107.00
104.07
mmol/l
—
9
74
0
11
0.00
0.21
0.0
3.7
—
—
—
0
0
0
11
0.00
0.21
0.0
3.7
—
3.93
—
0
11
0
11
0.00
0.21
0.0
3.7
—
108.45
—
0
11
0
10
0.00
0.21
0.0
3.4
—
—
—
0
0
0
12
0.00
0.21
0.0
1.3
—
—
—
0
0
0
12
0.00
0.21
0.0
1.0
—
—
—
0
0
0
12
0.00
0.21
0.0
1.3
—
—
—
0
0
0
13
0.00
0.21
0.0
1.2
—
—
—
0
0
0
14
0.00
0.20
0.0
1.3
—
—
—
0
0
17
193
0.85
0.18
3.7
3.6
0.00
0.00
estimate
—
7
78
8
69
1.17
0.17
3.8
3.4
—
—
—
0
0
18
202
0.86
0.16
2.7
2.6
0.64
0.40
e6/l
0.31
13
145
9
78
1.17
0.16
1.4
1.7
—
—
—
0
0
7
89
0.77
0.15
1.4
1.3
—
—
—
0
0
10
84
1.21
0.14
1.9
1.4
—
—
—
0
0
11
95
1.18
0.12
1.8
1.9
—
—
—
0
0
18
198
0.89
0.12
2.7
2.6
—
—
—
0
0
11
96
1.17
0.11
1.2
1.4
—
—
—
0
0
23
213
1.11
0.10
3.7
3.3
—
—
—
0
0
18
165
1.11
0.09
3.5
3.0
11.99
54.90
mg/l
1.49
13
108
21
220
0.94
0.04
1.3
1.5
—
—
—
0
0
23
240
0.94
0.04
2.6
2.8
—
—
—
0
0
67
661
1.06
0.03
22.8
14.6
14.61
14.84
%
0.13
67
649
10
93
1.08
0.02
1.1
1.2
—
—
—
0
0
26
253
1.04
0.01
2.9
3.4
31.14
40.41
e6/l
0.13
18
170
15
146
1.03
0.00
2.6
2.3
4.99
6.14
e6/l
0.23
15
133
12
121
0.99
0.00
1.6
1.6
—
—
—
0
0
0
6
0.00
0.00
0.0
2.3
—
71.50
—
0
6
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
191.50
—
0
6
0
6
0.00
0.00
0.0
4.7
—
—
—
0
0
0
6
0.00
0.00
0.0
1.8
—
2.00
—
0
6
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.4
—
257.14
—
0
7
0
6
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
6.7
—
—
—
0
0
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.4
—
12.32
—
0
5
0
9
0.00
-0.00
0.0
1.1
—
—
—
0
0
15
150
1.00
-0.00
2.0
1.7
—
—
—
0
0
0
8
0.00
-0.00
0.0
2.4
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
3.36
—
0
5
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.8
—
—
—
0
0
0
5
0.00
-0.00
0.0
3.8
—
2180.00
—
0
5
9
95
0.94
-0.00
1.1
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
9.2
—
1126.80
—
0
5
0
5
0.00
-0.00
0.0
1.0
—
15.66
—
0
5
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
223.76
—
0
5
0
8
0.00
-0.00
0.0
1.1
—
274.25
—
0
8
8
80
1.00
-0.00
1.5
1.7
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.0
—
31.75
—
0
8
0
8
0.00
-0.00
0.0
1.5
—
—
—
0
0
0
5
0.00
-0.00
0.0
26.0
—
2161.20
—
0
5

Mortality – FinRegistry

Association

Association between endpoint E4_THYCRISIS and mortality.

Females

No data

Males

No data

Mortality risk

Mortality risk for people of age

years, who have E4_THYCRISIS.

N-year risk Females Males
1 No data No data
5 No data No data
10 No data No data
15 No data No data
20 No data No data

Relationships between endpoints

Index endpoint: E4_THYCRISIS – Thyroid crisis or storm

GWS hits: -

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