Vascular dementia (multiple infarctions)

VD_MI

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 F01.1
  • Hospital discharge: ICD-9 4378
  • Cause of death: ICD-10 F01.1
  • Cause of death: ICD-9 4378

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

632

4. Check minimum number of events

None

632

5. Include endpoints

None

632

6. Filter based on genotype QC (FinnGen only)

632

Control definitions (FinnGen only)

Control exclude
F5_DEMENTIA, G6_ALZHEIMER, G6_AD_WIDE

Extra metadata

First used in FinnGen datafreeze
DF2
Parent code in ICD-10
F01
Name in latin
Dementia e multis infarctibus

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 17740 8997 8189
Only index persons 5236 2717 2519
Unadjusted period prevalence (%)
Whole population 0.25 0.26 0.23
Only index persons 0.10 0.10 0.10
Median age at first event (years)
Whole population 79.25 80.73 77.74
Only index persons 80.26 82.38 77.98

-FinnGen-

Key figures

All Female Male
Number of individuals 632 186 446
Unadjusted period prevalence (%) 0.16 0.06 0.20
Median age at first event (years) 76.77 78.54 76.03

-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

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
584
Matched controls
5840
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
F01.19
ICD-10 Finland
Multi-infarct dementia without information on additional symptoms
+∞
262.8
232
*
F01.10
ICD-10 Finland
Multi-infarct dementia without additional symptoms
2576.8
191.5
175
*
F01.1
ICD-10 Finland
Multi-infarct dementia
2362.9
180.9
166
*
F01.9
ICD-10 Finland
Vascular dementia, unspecified
222.4
137.1
137
8
F03
ICD-10 Finland
Unspecified dementia
81.9
133.7
148
24
I69.3
ICD-10 Finland
Sequelae of cerebral infarction
7.9
84.4
225
428
N06DX01
ATC
memantine; oral
104.0
75.1
81
9
307
Kela drug reimbursment
Tacrine, donepezil, rivastigmine, galantamine and other major and expensive drugs used to treat Alzheimer's disease
+∞
69.1
65
*
N06DA02
ATC
donepezil; oral
121.3
61.2
65
6
N05AX08
ATC
risperidone; systemic
10.5
55.8
115
133
4378A
ICD-9 Finland
Other and ill-defined cerebrovascular disease, Other[MULTI-INFARKTIDEMENTIA]
+∞
52.9
50
*
G30.1
ICD-10 Finland
Alzheimer disease with late onset
56.4
51.9
61
12
I63.9
ICD-10 Finland
Cerebral infarction, unspecified
4.5
49.6
220
695
N05AH04
ATC
quetiapine; oral
7.2
46.5
122
206
G30.9
ICD-10 Finland
Alzheimer disease, unspecified
101.8
43.4
47
5
F01.0
ICD-10 Finland
Vascular dementia of acute onset
+∞
43.2
41
*
N06DA03
ATC
rivastigmine; oral, transdermal
112.7
39.2
42
*
4378X
ICD-9 Finland
Other and ill-defined cerebrovascular disease, Other[MORBUS CERBROVASCULARIS ALIA DEFINITA]
+∞
36.8
35
*
F01.14
ICD-10 Finland
Multi-infarct dementia's other mixed symptoms of mixed type
+∞
36.8
35
*
R41.8
ICD-10 Finland
Other and unspecified symptoms and signs involving cognitive functions and awareness
6.3
30.7
86
155
N03AG01
ATC
valproic acid; systemic, rectal
10.9
27.8
54
54
F00.10*G30.1
ICD-10 Finland
Primary degenerative dementia of the Alzheimer's type, senile onset without additional symptoms
39.9
27.4
34
9
G30.8
ICD-10 Finland
Other Alzheimer disease
65.1
27.2
31
5
N05AD03
ATC
melperone; systemic
9.0
25.9
56
68
B01AC07
ATC
dipyridamole; systemic
3.5
25.9
140
485
N06AB04
ATC
citalopram; systemic
3.0
23.6
163
668
N06DA04
ATC
galantamine; oral
46.9
22.5
27
6
F00.20*G30.8
ICD-10 Finland
Dementia in Alzheimer's disease, atypical or mixed type without additional symptoms
46.9
22.5
27
6
R41.0
ICD-10 Finland
Disorientation, unspecified
6.8
22.1
57
91
F01.11
ICD-10 Finland
The other additional symptoms of multi-infarct dementia, mainly paranoidism
+∞
20.9
20
*
N05AD01
ATC
haloperidol; systemic
5.4
20.6
64
130
Z75.5
ICD-10 Finland
Holiday relief care
9.9
19.9
40
43
G40.9
ICD-10 Finland
Epilepsy, unspecified
7.5
19.7
47
67
B01AC30
ATC
platelet aggregation inhibitors excl. heparin - combinations
3.3
19.2
106
367
F01.20
ICD-10 Finland
Subcortical vascular dementia without additional symptoms
45.5
18.3
22
5
111
Kela drug reimbursment
Epilepsy and comparable convulsive disorders
5.1
18.3
59
125
2900A
ICD-9 Finland
Senile and presenile organic psychotic conditions, Senile dementia, uncomplicated
+∞
17.8
17
*
R56.8
ICD-10 Finland
Other and unspecified convulsions
5.8
17.2
49
90
F01.12
ICD-10 Finland
The other additional symptoms of multi-infarct dementia, mainly hallucinations
+∞
16.7
16
*
P70
ICPC
Dementia
11.2
15.6
29
27
I63.3
ICD-10 Finland
Cerebral infarction due to thrombosis of cerebral arteries
3.5
15.4
75
234
J18.9
ICD-10 Finland
Pneumonia, unspecified
2.0
14.6
252
1577
F00.10
ICD-10 Finland
Primary degenerative dementia of the Alzheimer's type, senile onset without additional symptoms
76.8
13.6
15
*
F01.13
ICD-10 Finland
The other additional symptoms of multi-infarct dementia, mainly depression
+∞
12.5
12
*
112
Kela drug reimbursment
Severe psychotic and other severe mental disorders
4.5
12.5
44
103
F01.29
ICD-10 Finland
Subcortical vascular dementia without information on additional symptoms
132.4
12.5
13
*
R53
ICD-10 Finland
Malaise and fatigue
2.2
12.2
140
727
4380A
ICD-9 Finland
Late effects of cerebrovascular disease[SEQUELAE MORBI CEREBROVASCULARIS]
6.1
11.9
32
55
N03AF02
ATC
oxcarbazepine; oral
6.9
11.9
29
44
F01.3
ICD-10 Finland
Mixed cortical and subcortical vascular dementia
+∞
11.5
11
*
F0019, G301
ICD-10 Finland
NA
+∞
11.5
11
*
G45.9
ICD-10 Finland
Transient cerebral ischaemic attack, unspecified
2.7
11.4
81
328
F01
ICD-10 Finland
Vascular dementia
44.1
10.9
13
*
F05.1
ICD-10 Finland
Delirium superimposed on dementia
21.9
10.7
15
7
F01.2
ICD-10 Finland
Subcortical vascular dementia
61.0
10.6
12
*
N05AH03
ATC
olanzapine; systemic
7.0
10.5
25
37
I63.4
ICD-10 Finland
Cerebral infarction due to embolism of cerebral arteries
3.5
10.2
48
147
W01
ICD-10 Finland
Fall on same level from slipping, tripping and stumbling
1.9
10.1
196
1238
P20
ICPC
Memory disturbance
2.5
10.0
82
359
G40.29
ICD-10 Finland
Localization-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures
7.8
10.0
22
29
Z2445
NOMESCO Finland
Psychologist
8.9
9.8
20
23
N05BA06
ATC
lorazepam; systemic, sublingual
3.3
9.8
48
152
130
Kela drug reimbursment
Malignant tumour
0.1
9.7
6
387
F00.20
ICD-10 Finland
Dementia in Alzheimer's disease, atypical or mixed type without additional symptoms
55.8
9.7
11
*
N05BA04
ATC
oxazepam; oral
2.0
9.5
137
772
A06AD11
ATC
lactulose; oral
1.9
9.1
163
998
F10.20
ICD-10 Finland
Alcohol dependence currently independent
24.4
8.9
12
5
N06AX11
ATC
mirtazapine; oral
1.9
8.9
140
817
F05.9
ICD-10 Finland
Delirium, unspecified
4.7
8.9
29
64
Z02.4
ICD-10 Finland
Examination for driving licence
0.4
8.8
29
746
F009, G309
ICD-10 Finland
NA
+∞
8.3
8
*
N10
ICD-10 Finland
Acute tubulo-interstitial nephritis
2.0
8.0
107
583
4340A
ICD-9 Finland
Occlusion of cerebral arteries, Cerebral thrombosis
3.1
7.8
42
143
I63.0
ICD-10 Finland
Cerebral infarction due to thrombosis of precerebral arteries
4.1
7.7
29
74
AA1AD
NOMESCO Finland
CT of head and brain
1.9
7.7
132
786
4019X
ICD-9 Finland
Essential hypertension, Unspecified
2.4
7.5
63
280
G30
ICD-10 Finland
Alzheimer disease
80.9
7.4
8
*
S01.0
ICD-10 Finland
Open wound of scalp
2.6
7.3
51
205
J69.0
ICD-10 Finland
Pneumonitis due to food and vomit
3.8
7.2
29
79
A10AB05
ATC
insulin aspart; parenteral (insulins and analog. for injection, fast-acting)
2.7
7.1
47
184
A98
ICPC
Health maint/preventive medicine
0.6
7.0
191
2567
A10AE04
ATC
insulin glargine; parenteral
2.5
6.9
52
219
SPAT1053
SPAT
Memory test
2.0
6.8
91
494
R29.8
ICD-10 Finland
Other and unspecified symptoms and signs involving the nervous and musculoskeletal systems
3.0
6.7
38
133
E11.7
ICD-10 Finland
Type 2 diabetes mellitus, with multiple complications
2.3
6.6
60
275
N04BA02
ATC
levodopa and decarboxylase inhibitor; oral
3.0
6.5
37
130
N06AB10
ATC
escitalopram; oral
2.3
6.5
57
258
J15.9
ICD-10 Finland
Bacterial pneumonia, unspecified
1.9
6.4
97
552
G21.9
ICD-10 Finland
Secondary parkinsonism, unspecified
14.5
6.4
10
7
A10AC01
ATC
insulin (human); parenteral (insulins and analog. for injection, intermediate-acting)
2.0
6.4
78
408
L15
ICPC
Knee symptom/complaint
0.3
6.3
12
398
F10.1
ICD-10 Finland
Mental and behavioural disorders due to use of alcohol, Harmful use
3.3
6.3
29
90
G45.1
ICD-10 Finland
Carotid artery syndrome (hemispheric)
2.8
6.1
36
132
G40.12
ICD-10 Finland
Simple partial seizures with secondary generalization
12.7
6.1
10
8
315
Kela drug reimbursment
Clopidogrel
4.2
6.0
21
51
E16.2
ICD-10 Finland
Hypoglycaemia, unspecified
5.6
6.0
16
29

Mortality – FinRegistry

Association

Association between endpoint VD_MI and mortality.

Females

Parameter HR [95% CI] p-value
VD_MI 2.991 [2.64, 3.39] < 0.001
Birth year 1.0 [0.99, 1.01] 0.916

During the follow-up period (1.1.1998 — 31.12.2019), 3138 out of 3584 females with VD_MI died.

Males

Parameter HR [95% CI] p-value
VD_MI 3.558 [2.97, 4.26] < 0.001
Birth year 0.986 [0.98, 1.0] 0.003

During the follow-up period (1.1.1998 — 31.12.2019), 2806 out of 3330 males with VD_MI died.

Mortality risk

Mortality risk for people of age

years, who have VD_MI.

N-year risk Females Males
1 0.241% 0.492%
5 1.79% 3.705%
10 4.924% 9.421%
15 9.633% 17.903%
20 16.907% 28.507%

Relationships between endpoints

Index endpoint: VD_MI – Vascular dementia (multiple infarctions)

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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