Toxic encephalopathy

G6_ENCEPHTOX

toxic encephalopathy: A group of neurologic disorders caused by damage to the nervous system following exposure to pharmacologic, biologic, and chemical agents. Examples of neurotoxins include chemotherapy agents, radiation treatment, heavy metals, pesticides, and food additives.

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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 G92
  • Hospital discharge: ICD-9 3498B
  • Hospital discharge: ICD-8 32302
  • Cause of death: ICD-10 G92
  • Cause of death: ICD-9 3498B
  • Cause of death: ICD-8 32302

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

73

4. Check minimum number of events

None

73

5. Include endpoints

None

73

6. Filter based on genotype QC (FinnGen only)

73

Control definitions (FinnGen only)

Control exclude
G6_OTHNEU

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
G90-G99
Name in latin
Encephalopathia toxica

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 830 208 606
Only index persons 579 148 431
Unadjusted period prevalence (%)
Whole population 0.01 0.01 0.02
Only index persons 0.01 0.01 0.02
Median age at first event (years)
Whole population 54.80 56.22 54.21
Only index persons 54.43 55.16 54.19

-FinnGen-

Key figures

All Female Male
Number of individuals 73 16 57
Unadjusted period prevalence (%) 0.02 0.01 0.03
Median age at first event (years) 55.47 55.12 55.57

-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
71
Matched controls
711
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
G92
ICD-10 Finland
Toxic encephalopathy
+∞
80.0
61
*
R41.8
ICD-10 Finland
Other and unspecified symptoms and signs involving cognitive functions and awareness
10.7
10.2
20
25
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
5.8
7.7
23
54
3498B
ICD-9 Finland
Other and unspecified disorders of the nervous system, Other specified disorders of nervous system[ENCEPHALOPATHIA TOXICA]
+∞
7.4
7
*
G45.9
ICD-10 Finland
Transient cerebral ischaemic attack, unspecified
+∞
7.4
7
*
TK800
NOMESCO Finland
Hemodialysis
14.2
6.8
11
9
Z94.4
ICD-10 Finland
Liver transplant status
+∞
6.3
6
*
N06AX11
ATC
mirtazapine; oral
3.9
6.2
31
118
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
3.7
6.1
32
128

Mortality – FinRegistry

Association

Association between endpoint G6_ENCEPHTOX and mortality.

Females

No data

Males

Parameter HR [95% CI] p-value
G6_ENCEPHTOX 3.789 [2.76, 5.19] < 0.001
Birth year 0.986 [0.98, 1.0] 0.004

During the follow-up period (1.1.1998 — 31.12.2019), 140 out of 333 males with G6_ENCEPHTOX died.

Mortality risk

Mortality risk for people of age

years, who have G6_ENCEPHTOX.

N-year risk Females Males
1 No data 0.655%
5 No data 4.068%
10 No data 10.518%
15 No data 18.887%
20 No data 30.332%

Relationships between endpoints

Index endpoint: G6_ENCEPHTOX – Toxic encephalopathy

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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