Other and unspecified haemorrhagic conditions

D3_HAEMORRHAGICNAS

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 D69.9
  • Hospital discharge: ICD-9 287[8-9]
  • Hospital discharge: ICD-8 2879
  • Hospital discharge: excluded ICD-8 28790
  • Cause of death: ICD-10 D69.9
  • Cause of death: ICD-9 287[8-9]
  • Cause of death: ICD-8 2879
  • Cause of death: excluded ICD-8 28790

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

577

4. Check minimum number of events

None

577

5. Include endpoints

None

577

6. Filter based on genotype QC (FinnGen only)

577

Control definitions (FinnGen only)

Control exclude
D3_COAGDEF_PURPUR_HAEMORRHAGIC

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF4
Parent code in ICD-10
D69
Name in latin
Status haemorrhagicus non specificatus

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 4553 2524 1979
Only index persons 3723 2126 1597
Unadjusted period prevalence (%)
Whole population 0.06 0.07 0.06
Only index persons 0.07 0.08 0.06
Median age at first event (years)
Whole population 55.34 53.94 56.82
Only index persons 52.24 50.26 54.86

-FinnGen-

Key figures

All Female Male
Number of individuals 577 344 233
Unadjusted period prevalence (%) 0.11 0.12 0.10
Median age at first event (years) 53.80 47.74 62.74

-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
522
Matched controls
5221
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
D69.9
ICD-10 Finland
Haemorrhagic condition, unspecified
8955.6
323.0
442
*
D69.6
ICD-10 Finland
Thrombocytopenia, unspecified
263.8
88.4
88
*
D69.3
ICD-10 Finland
Idiopathic thrombocytopenic purpura
+∞
55.2
52
*
28799
ICD-8 Finland
Purpura and other haemorrhagic conditions, Other and unspecified
+∞
50.9
48
*
D69.0
ICD-10 Finland
Allergic purpura
+∞
39.0
37
*
D68.0
ICD-10 Finland
Von Willebrand disease
+∞
32.6
31
*
D68.9
ICD-10 Finland
Coagulation defect, unspecified
+∞
22.0
21
*
B02AA02
ATC
tranexamic acid; systemic
3.2
19.5
116
428
R50.9
ICD-10 Finland
Fever, unspecified
3.2
18.8
111
405
A49.9
ICD-10 Finland
Bacterial infection, unspecified
3.7
18.6
88
272
H02AB06
ATC
prednisolone; systemic
2.2
17.3
267
1660
R4110
NOMESCO Finland
Physiotherapy
2.5
16.7
167
835
H02AB07
ATC
prednisone; oral
3.0
16.3
106
412
D68.8
ICD-10 Finland
Other specified coagulation defects
62.0
15.9
18
*
GD1AA
NOMESCO Finland
Thorax X-ray examination
2.2
15.7
245
1510
C03CA01
ATC
furosemide; systemic
2.3
15.2
178
957
ZXD05
NOMESCO Finland
Urgent procedure
2.3
15.1
191
1065
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
2.3
14.9
173
925
WW500
NOMESCO Finland
Blood transfusion
5.8
14.9
42
77
ZX120
NOMESCO Finland
Intravenous
3.3
14.8
78
261
TPH04
NOMESCO Finland
Cathetrisation of vein
2.5
14.6
134
634
N02AX02
ATC
tramadol; systemic, rectal
2.1
14.6
237
1473
XW000
NOMESCO Finland
Bone marrow biopsy
5.2
13.9
43
88
JN1AE
NOMESCO Finland
Ultrasound examination of upper part of abdomen
3.3
13.8
72
239
ZXE00
NOMESCO Finland
One hour or less
2.1
13.7
231
1444
2879X
ICD-9 Finland
Purpura and other haemorrhagic conditions, Unspecified haemorrhagic conditions
+∞
13.6
13
*
129
Kela drug reimbursment
Idiopathic thrombocytopaenia or granulocytopenia
143.6
13.5
14
*
D64.9
ICD-10 Finland
Anaemia, unspecified
3.2
13.2
73
251
A02BC02
ATC
pantoprazole; systemic
2.0
13.1
346
2570
TQX10
NOMESCO Finland
Biopsy of skin and subcutaneous tissue
3.2
13.1
73
254
D69.4
ICD-10 Finland
Other primary thrombocytopenia
+∞
12.5
12
*
D69.1
ICD-10 Finland
Qualitative platelet defects
+∞
12.5
12
*
L95.9
ICD-10 Finland
Vasculitis limited to skin, unspecified
27.4
12.1
16
6
JN3AE
NOMESCO Finland
Abdominal ultrasound examination
2.7
12.0
90
378
N18.9
ICD-10 Finland
Chronic kidney disease, unspecified
4.0
12.0
48
128
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
2.1
12.0
181
1068
L04AA06
ATC
mycophenolic acid; systemic
12.1
11.9
21
18
TPH15
NOMESCO Finland
Insertion of central venous catheter through external or internal jugular vein
4.1
11.9
47
124
FM1AE
NOMESCO Finland
Standard cardiac ultrasound examination
2.4
11.7
106
494
28719
ICD-8 Finland
Purpura and other haemorrhagic conditions, Thrombocytopenia NUD
+∞
11.5
11
*
28798
ICD-8 Finland
Purpura and other haemorrhagic conditions, Purpura et status haemorrhagicus alius
+∞
11.5
11
*
D69.8
ICD-10 Finland
Other specified haemorrhagic conditions
122.6
11.5
12
*
I50.9
ICD-10 Finland
Heart failure, unspecified
2.6
11.4
90
390
ZXE20
NOMESCO Finland
More than three and less than five hours
2.6
11.3
91
396
M05BA04
ATC
alendronic acid; oral
3.2
11.3
60
202
J18.9
ICD-10 Finland
Pneumonia, unspecified
2.1
11.1
142
777
R04.0
ICD-10 Finland
Epistaxis
3.5
11.0
52
160
GD1UA
NOMESCO Finland
Thorax X-ray examination outside radiological department
2.5
11.0
94
423
I48
ICD-10 Finland
Atrial fibrillation and flutter
2.2
10.9
128
676
Z3226
NOMESCO Finland
Physiotherapist
2.3
10.8
116
588
L04AX01
ATC
azathioprine; systemic
4.3
10.7
39
96
TK800
NOMESCO Finland
Hemodialysis
10.3
10.6
20
20
Z3231
NOMESCO Finland
Registered nurse
2.0
10.5
164
970
126
Kela drug reimbursment
Chronic coagulation defects
+∞
10.4
10
*
QDB10
NOMESCO Finland
Major dressing of wound of skin of lower limb
4.4
10.1
36
87
ZXE10
NOMESCO Finland
More than one and less than three hours
1.9
10.0
202
1311
B01AA03
ATC
warfarin; systemic
2.2
9.8
113
587
ZXD10
NOMESCO Finland
Scheduled procedure
1.8
9.6
210
1393
C07AB07
ATC
bisoprolol; oral
1.8
9.6
234
1614
138
Kela drug reimbursment
Severe anaemia associated with chronic renal failure
7.8
9.5
21
28
R10.4
ICD-10 Finland
Other and unspecified abdominal pain
1.9
9.4
194
1263
2873A
ICD-9 Finland
Purpura and other haemorrhagic conditions, Primary thrombocytopenia[PURPURA THROMBOCYTOPENICA IDIOPATHICA (ITP)]
+∞
9.4
9
*
N08.2*D69.0
ICD-10 Finland
Glomerular disorders in Henoch(-Schönlein) purpura
+∞
9.4
9
*
M04AA01
ATC
allopurinol; systemic
2.5
9.2
74
323
J01FF01
ATC
clindamycin; systemic
2.0
9.1
145
857
D07AB08
ATC
desonide; topical
2.6
9.1
70
297
Z2221
NOMESCO Finland
Medical doctor
1.9
9.1
160
983
P01AB01
ATC
metronidazole; oral, rectal
1.8
9.0
203
1355
T81.0
ICD-10 Finland
Haemorrhage and haematoma complicating a procedure, not elsewhere classified
3.2
9.0
46
152
WX408
NOMESCO Finland
General anesthesy, balanced
1.9
9.0
145
861
A46
ICD-10 Finland
Erysipelas
2.4
9.0
82
382
K92.1
ICD-10 Finland
Melaena
3.5
8.5
39
118
A09
ICD-10 Finland
Other gastroenteritis and colitis of infectious and unspecified origin
2.1
8.4
96
496
D69.2
ICD-10 Finland
Other nonthrombocytopenic purpura
+∞
8.4
8
*
N08.39*E11.2
ICD-10 Finland
Non-insulin-dependent diabetes mellitus - Diabetic nephropathy
11.0
8.3
15
14
XF400
NOMESCO Finland
ECG with 12 standard connections
2.2
8.2
92
469
B01AB05
ATC
enoxaparin; parenteral
1.9
8.1
151
938
J01MA12
ATC
levofloxacin; systemic
2.0
8.1
107
586
NK6QA
NOMESCO Finland
Measurement of bone density from tow or more locations with X-ray
3.2
8.0
41
136
GD1PA
NOMESCO Finland
X-ray examination of the lungs in one projection
2.7
7.9
54
215
R06.0
ICD-10 Finland
Dyspnoea
1.9
7.8
132
793
UJF32
NOMESCO Finland
Coloscopy
1.9
7.7
133
804
C03DA01
ATC
spironolactone; oral
2.4
7.6
64
285
B03BA03
ATC
hydroxocobalamin; parenteral
3.1
7.4
39
132
2878X
ICD-9 Finland
Purpura and other haemorrhagic conditions, Other specified haemorrhagic conditions
+∞
7.3
7
*
D69.5
ICD-10 Finland
Secondary thrombocytopenia
+∞
7.3
7
*
J01DB01
ATC
cefalexin; oral
1.8
7.2
411
3522
6BA02
NOMESCO Finland
NA
30.5
7.2
9
*
123
Kela drug reimbursment
Chronic disorders of vitamin D metabolism
5.8
7.1
19
34
Z49.1
ICD-10 Finland
Extracorporeal dialysis
12.2
7.1
12
10
127
Kela drug reimbursment
Transplant complication
9.0
7.1
14
16
J01DA01
ATC
[U] cefalexin; systemic
1.6
7.0
321
2572
H02AB04
ATC
methylprednisolone; systemic
2.1
6.9
78
400
I34.1
ICD-10 Finland
Mitral (valve) prolapse
4.5
6.9
23
53
117
Kela drug reimbursment
Leukaemia and other malignant diseases of the blood and bone marrow, and malignant diseases of the lymphatic tissue
3.6
6.9
29
83
NK4XE
NOMESCO Finland
Joint ultrasound examination not elsewhere classified
2.8
6.8
43
162
D69
ICD-10 Finland
Purpura and other haemorrhagic conditions
40.6
6.8
8
*
J05AB11
ATC
valaciclovir; oral
2.2
6.7
72
360
FM1EE
NOMESCO Finland
Extensive structural and functional ultrasound examination of heart
1.9
6.7
105
611
PH2AE
NOMESCO Finland
Ultrasound examination of lower leg veins
2.3
6.6
58
265
N18.8
ICD-10 Finland
Other chronic renal failure
4.5
6.6
22
51
J01CR02
ATC
amoxicillin and beta-lactamase inhibitor; systemic
1.6
6.6
258
1968
Y83
ICD-10 Finland
Surgical operation and other surgical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure
2.5
6.6
50
213
M32.9
ICD-10 Finland
Systemic lupus erythematosus, unspecified
8.9
6.6
13
15
S20.2
ICD-10 Finland
Contusion of thorax
3.3
6.5
31
98
C08CA01
ATC
amlodipine; oral
1.7
6.5
164
1110
M32.1
ICD-10 Finland
Systemic lupus erythematosus with organ or system involvement
70.7
6.4
7
*
A02BC01
ATC
omeprazole; systemic
1.7
6.4
137
884
GD1ED
NOMESCO Finland
Extensive high resolution CT examination of lungs
4.1
6.4
23
58
R2130
NOMESCO Finland
Counselling and guidance which enhance independent living
2.5
6.3
47
195
I34.09
ICD-10 Finland
Mitral (valve) insufficiency
3.4
6.3
29
90
L04AX03
ATC
methotrexate; systemic (immunosuppressants)
2.4
6.3
50
217
UGC12
NOMESCO Finland
Flexible bronchoscopy
2.6
6.3
44
179
D68.3
ICD-10 Finland
Haemorrhagic disorder due to circulating anticoagulants
+∞
6.3
6
*
D59.1
ICD-10 Finland
Other autoimmune haemolytic anaemias
27.0
6.2
8
*
M32.0
ICD-10 Finland
Drug-induced systemic lupus erythematosus
27.0
6.2
8
*
L04AD02
ATC
tacrolimus; systemic (calcineurin inhibitors)
27.0
6.2
8
*
WX404
NOMESCO Finland
Intravenous generell anesthesy
1.8
6.2
108
648
202
Kela drug reimbursment
Connective tissue diseases, rheumatoid arthritis and comparable disease
2.2
6.2
60
288
A02BC03
ATC
lansoprazole; oral
1.7
6.2
139
908
R03AC02
ATC
salbutamol; inhalant
1.6
6.2
256
1973
WZC00
NOMESCO Finland
Planning of intervention or health care consultation
1.7
6.1
165
1135
A11CC03
ATC
alfacalcidol; systemic
5.0
6.1
18
37
L04AD01
ATC
ciclosporin; systemic
5.0
6.1
18
37
I15.1
ICD-10 Finland
Hypertension secondary to other renal disorders
10.2
6.1
11
11
L04AA01
ATC
[U] ciclosporin; systemic
6.1
6.0
15
25
I34.00
ICD-10 Finland
Mitral (valve) incompetence NOS or of specified cause, except rheumatic
4.7
6.0
19
42

Mortality – FinRegistry

Association

Association between endpoint D3_HAEMORRHAGICNAS and mortality.

Females

Parameter HR [95% CI] p-value
D3_HAEMORRHAGICNAS 2.577 [2.13, 3.11] < 0.001
Birth year 0.996 [0.99, 1.0] 0.377

During the follow-up period (1.1.1998 — 31.12.2019), 542 out of 1833 females with D3_HAEMORRHAGICNAS died.

Males

Parameter HR [95% CI] p-value
D3_HAEMORRHAGICNAS 2.773 [2.18, 3.53] < 0.001
Birth year 0.986 [0.98, 1.0] 0.004

During the follow-up period (1.1.1998 — 31.12.2019), 549 out of 1402 males with D3_HAEMORRHAGICNAS died.

Mortality risk

Mortality risk for people of age

years, who have D3_HAEMORRHAGICNAS.

N-year risk Females Males
1 0.304% 0.488%
5 1.55% 3.02%
10 3.838% 7.322%
15 6.969% 14.394%
20 12.299% 23.449%

Relationships between endpoints

Index endpoint: D3_HAEMORRHAGICNAS – Other and unspecified haemorrhagic conditions

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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