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

557745

1. Apply sex-specific rule

None

557745

2. Check conditions

None

557745

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.

91

4. Check minimum number of events

None

91

5. Include endpoints

None

91

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
624.0
160.0
78
10
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
+∞
59.1
50
*
BAA60
NOMESCO Finland
Total thyroidectomy
+∞
49.7
43
*
104
Kela drug reimbursment
Thyroid insufficiency
831.5
48.1
43
*
E89.01
ICD-10 Finland
Postsurgical hypothyroidism
+∞
34.7
31
*
E03.9
ICD-10 Finland
Hypothyroidism, unspecified
190.7
27.3
27
*
H06.2*E05.9
ICD-10 Finland
Dysthyroid exophthalmos
+∞
25.2
23
*
E03
ICD-10 Finland
Other hypothyroidism
192.4
16.0
16
*
E03.89
ICD-10 Finland
Other specified hypothyroidism
88.8
14.0
15
*
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
5.3
13.4
41
124
H062, E050,
ICD-10 Finland
+∞
11.7
11
*
E05
ICD-10 Finland
Thyrotoxicosis [hyperthyroidism]
+∞
11.7
11
*
T86
ICPC
Hypothyroidism/myxoedema
+∞
10.6
10
*
BA1AE
NOMESCO Finland
Thyroiid ultrasound examination
55.7
8.9
10
*
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
15.4
7.1
11
8
O99.2
ICD-10 Finland
Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium
75.0
6.5
7
*
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
21
42
6.24
10.66
1.5
1.2
328.76
49.43
u/ml
1.43
11
17
59
384
2.59
4.33
7.8
6.1
1.21
1.22
mmol/l
0.29
51
330
42
242
2.39
3.91
4.0
3.7
7.41
7.40
ph
0.37
33
168
50
330
2.18
3.19
4.1
3.7
35.88
36.13
g/l
0.11
44
316
22
105
2.45
3.00
1.4
1.7
893.63
1348.34
nmol/l
2.44
22
77
34
197
2.17
2.97
1.4
1.2
1.22
1.98
u/ml
—
6
53
52
372
1.96
2.44
8.0
5.4
8.17
8.19
%
0.01
47
355
53
382
1.96
2.43
8.2
5.4
25.88
27.35
%
0.37
48
369
30
181
1.99
2.28
1.5
1.3
2.10
2.17
g/l
0.13
19
111
47
332
1.88
2.22
2.0
1.9
99.35
95.71
pmol/l
0.21
17
160
51
370
1.89
2.22
8.1
5.4
2.72
2.69
%
0.04
46
351
51
370
1.89
2.22
8.2
5.4
0.72
0.67
%
0.26
46
345
60
464
1.90
2.09
10.7
10.5
4.11
4.19
e9/l
0.08
54
406
36
240
1.84
2.00
5.5
7.3
—
—
—
0
0
37
250
1.82
1.96
7.9
5.3
—
—
—
0
0
50
373
1.78
1.88
8.3
5.3
57.70
58.29
%
0.12
45
359
16
82
2.16
1.83
1.4
1.2
—
—
—
0
0
14
68
2.26
1.82
3.1
2.7
1.84
1.65
%
0.27
14
63
53
407
1.75
1.76
8.0
5.9
0.58
0.55
e9/l
0.38
46
358
7
26
2.83
1.61
2.3
1.6
219.34
214.41
ug/l
—
7
21
24
151
1.81
1.56
1.2
1.4
53.03
9.86
u/ml
—
7
56
52
407
1.67
1.53
8.1
5.9
0.04
0.04
e9/l
0.08
45
356
22
136
1.82
1.51
6.0
3.0
50.21
75.91
ng/l
0.21
14
92
7
28
2.62
1.48
1.1
1.2
—
—
—
0
0
13
69
2.04
1.37
1.7
1.4
—
—
—
0
0
12
62
2.08
1.35
1.2
1.1
—
—
—
0
0
9
43
2.21
1.35
2.7
1.4
—
—
—
0
0
34
248
1.60
1.27
2.4
3.2
—
0.00
—
0
6
28
198
1.60
1.18
3.1
3.8
—
—
—
0
0
64
549
1.59
1.13
4.1
4.3
—
—
—
0
0
5
21
2.46
1.10
1.2
1.2
—
—
—
0
0
42
332
1.50
1.06
2.1
1.9
—
—
—
0
0
44
353
1.49
1.03
2.7
3.4
6.21
6.18
ph
0.06
19
200
0
28
0.00
0.99
0.0
4.2
—
37.02
—
0
28
6
27
2.31
0.95
1.0
1.3
—
—
—
0
0
43
350
1.44
0.90
12.6
12.1
0.00
0.00
e9/l
0.50
35
287
8
44
1.90
0.88
1.0
2.5
—
—
—
0
0
14
89
1.68
0.87
1.8
1.6
—
—
—
0
0
8
45
1.85
0.87
1.6
1.2
—
—
—
0
0
35
277
1.43
0.84
3.2
3.7
35.72
26.16
ng/l
0.33
24
188
8
47
1.77
0.83
1.0
1.1
—
—
—
0
0
0
24
0.00
0.80
0.0
1.2
—
2.18
—
0
17
0
25
0.00
0.80
0.0
1.3
—
22.11
—
0
19
51
435
1.40
0.80
3.1
3.9
0.00
0.00
estimate
—
9
96
24
180
1.46
0.76
1.7
1.6
1.25
1.45
mg/l
0.10
19
148
51
440
1.37
0.72
3.1
3.9
0.00
0.00
estimate
—
9
88
33
266
1.38
0.70
2.0
2.0
—
—
—
0
0
50
432
1.36
0.69
3.1
3.9
0.00
0.00
estimate
—
8
96
0
22
0.00
0.60
0.0
1.3
—
—
—
0
0
12
82
1.54
0.58
1.3
1.5
—
—
—
0
0
77
722
1.49
0.57
6.4
6.0
38.17
38.67
mmol/mol
0.24
72
683
83
790
1.75
0.55
16.9
13.7
20.57
22.28
mg/l
0.18
70
634
29
243
1.29
0.46
3.6
3.5
—
—
—
0
0
50
449
1.26
0.45
5.6
4.3
6.46
6.55
mmol/l
0.15
50
427
13
96
1.41
0.44
1.6
1.4
—
—
—
0
0
21
169
1.32
0.44
1.2
1.4
9.30
24.28
iu/ml
—
5
66
0
15
0.00
0.41
0.0
1.3
—
—
—
0
0
0
15
0.00
0.41
0.0
1.2
—
—
—
0
0
6
44
1.39
0.35
12.8
6.8
25.33
25.03
mmol/l
—
6
44
13
101
1.34
0.34
1.8
1.5
—
—
—
0
0
17
206
0.78
0.34
8.1
5.1
—
—
—
0
0
29
252
1.22
0.33
3.3
3.3
0.00
0.01
estimate
—
6
78
7
56
1.27
0.30
11.9
6.4
—
—
—
0
0
5
71
0.69
0.27
1.0
1.8
—
0.00
estimate
—
0
20
8
101
0.77
0.22
1.4
1.4
—
—
—
0
0
0
12
0.00
0.21
0.0
1.3
—
—
—
0
0
0
12
0.00
0.21
0.0
1.1
—
31.17
—
0
12
6
47
1.30
0.21
14.0
4.8
22.75
24.74
mmol/l
—
6
47
0
13
0.00
0.21
0.0
3.5
—
1.19
—
0
13
0
13
0.00
0.21
0.0
3.5
—
3.90
—
0
13
0
13
0.00
0.21
0.0
1.0
—
—
—
0
0
0
13
0.00
0.21
0.0
3.5
—
108.15
—
0
13
0
14
0.00
0.20
0.0
1.3
—
—
—
0
0
8
72
1.12
0.16
3.9
3.4
—
—
—
0
0
40
376
1.12
0.15
2.6
2.6
—
—
estimate
—
0
0
11
93
1.21
0.15
1.2
1.4
—
—
—
0
0
9
105
0.84
0.14
1.3
1.2
—
—
—
0
0
21
228
0.90
0.11
2.6
2.8
0.59
0.41
e6/l
0.24
14
160
10
86
1.18
0.11
1.7
1.8
—
—
—
0
0
25
232
1.11
0.11
3.4
2.9
10.76
44.98
mg/l
1.67
17
146
5
45
1.12
0.10
2.2
2.2
—
—
—
0
0
36
343
1.08
0.09
3.5
3.6
0.00
0.00
estimate
—
7
84
12
107
1.14
0.09
1.3
1.2
—
—
—
0
0
15
164
0.90
0.08
2.3
2.0
—
—
—
0
0
20
186
1.10
0.08
3.4
3.6
1.02
1.02
kg/l
0.00
12
119
20
214
0.92
0.08
2.7
2.8
—
—
estimate
—
0
0
37
355
1.07
0.07
2.0
1.9
1.33
1.32
mmol/l
0.03
31
299
82
806
1.22
0.07
17.1
12.2
—
—
—
0
0
66
673
0.93
0.07
26.3
17.4
13.42
13.62
%
0.88
66
663
13
141
0.91
0.06
1.7
1.6
—
—
—
0
0
25
238
1.07
0.05
4.0
3.5
1.61
8.89
mg/mmol
1.69
18
143
23
242
0.93
0.05
1.3
1.6
—
—
—
0
0
16
171
0.92
0.05
2.6
2.6
5.40
6.04
e6/l
0.12
16
158
31
322
0.94
0.05
2.8
3.1
—
—
—
0
0
22
229
0.95
0.03
3.3
3.8
0.00
0.00
estimate
—
9
89
25
257
0.96
0.01
2.8
3.0
—
—
—
0
0
11
108
1.02
0.00
1.9
1.9
—
—
—
0
0
25
255
0.97
0.00
2.7
3.1
52.27
44.93
e6/l
0.08
19
188
10
95
1.06
0.00
7.9
6.4
107.20
104.16
mmol/l
—
10
95
12
116
1.04
0.00
2.4
3.0
25.60
3.38
e6/l
—
5
52
30
296
1.02
0.00
3.0
4.0
29.64
67.55
e6/l
0.35
19
201
0
6
0.00
0.00
0.0
1.2
—
31.68
—
0
6
0
6
0.00
0.00
0.0
2.2
—
11.27
—
0
6
0
6
0.00
0.00
0.0
1.7
—
—
—
0
0
0
6
0.00
0.00
0.0
2.3
—
71.50
—
0
6
0
6
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
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
4.7
—
0.83
—
0
6
0
7
0.00
0.00
0.0
1.1
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
7.32
—
0
6
0
7
0.00
0.00
0.0
7.0
—
—
—
0
0
6
61
0.98
-0.00
1.5
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
223.76
—
0
5
0
9
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
3.36
—
0
5
0
5
0.00
-0.00
0.0
4.2
—
2110.00
—
0
5
0
5
0.00
-0.00
0.0
1.4
—
—
—
0
0
8
87
0.91
-0.00
1.5
1.7
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
12.6
—
1038.80
—
0
5
0
9
0.00
-0.00
0.0
3.2
—
10.84
—
0
9
0
5
0.00
-0.00
0.0
1.0
—
1378.20
—
0
5
0
5
0.00
-0.00
0.0
1.2
—
—
—
0
0

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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