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

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 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)

89

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 89 70 19
Unadjusted period prevalence (%) 0.02 0.02 0.01
Median age at first event (years) 49.16 47.50 55.29

-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
79
Matched controls
789
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E05.5
ICD-10 Finland
Thyroid crisis or storm
+∞
105.7
76
*
E05.0
ICD-10 Finland
Thyrotoxicosis with diffuse goitre
+∞
85.7
66
*
H03BB01
ATC
carbimazole; oral
2180.6
84.1
67
*
H03AA01
ATC
levothyroxine sodium; systemic
270.5
72.3
69
19
E05.9
ICD-10 Finland
Thyrotoxicosis, unspecified
+∞
53.2
45
*
BAA60
NOMESCO Finland
Total thyroidectomy
+∞
42.6
37
*
104
Kela drug reimbursment
Thyroid insufficiency
+∞
40.0
35
*
E89.01
ICD-10 Finland
Postsurgical hypothyroidism
+∞
28.9
26
*
H06.2*E05.9
ICD-10 Finland
Dysthyroid exophthalmos
+∞
23.0
21
*
E03.9
ICD-10 Finland
Hypothyroidism, unspecified
60.7
13.4
15
*
E05.2
ICD-10 Finland
Thyrotoxicosis with toxic multinodular goitre
139.3
11.8
12
*
E89.00
ICD-10 Finland
Postirradiation hypothyroidism
+∞
11.7
11
*
H062, E050
ICD-10 Finland
NA
+∞
10.6
10
*
E03.89
ICD-10 Finland
Other specified hypothyroidism
+∞
10.6
10
*
C07AA05
ATC
propranolol; systemic
5.7
10.4
35
96
E05
ICD-10 Finland
Thyrotoxicosis [hyperthyroidism]
50.1
7.9
9
*
E03
ICD-10 Finland
Other hypothyroidism
50.1
7.9
9
*
BA1AE
NOMESCO Finland
Thyroiid ultrasound examination
+∞
7.4
7
*
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
3.7
6.9
40
171
H05.2
ICD-10 Finland
Exophthalmic conditions
+∞
6.3
6
*

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]
Extremity
rg [CI]
Extremity
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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