Metadata

Name Pulmonary embolism (PE)
Category Cardiovascular
Sex
Adult Yes
UUID cda2cd0f-2038-45fd-b77c-e84b59185605
Definition The obstruction of the pulmonary artery or one of its branches by an embolus, sometimes associated with infarction of the lung.

Ontologies

Disease Ontology (DOID) DOID_9477
GWAS Catalogue EFO_0003827
MeSH D011655
SNOMED-CT 59282003
FinnGen I9_PULMEMB

Key Summary Statistics

Cases from any source

Total 11778
Female (%) 5928 (50%)
Male (%) 5850 (50%)

Year first recorded

PE year of first event

Cases linked in all UK Biobank sources

Cross-source concordance

Vertical bars correspond to number of cases per source/intersection; horizontal bars to left correspond to total number of cases per source.

Cross-sourced PE cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of PE

Baseline prevalence stratified by sex

Female 88.17 (81.88,94.46)
Male 91.14 (84.17,98.1)

Incidence stratified by sex

Female 7.91 (7.18,8.65)
Male 10.04 (9.13,10.94)

Incidence stratified by age

Ages 40-44 3.23 (2.11,4.35)
Ages 45-49 4.32 (3.21,5.44)
Ages 50-54 5.55 (4.38,6.72)
Ages 55-59 7.92 (6.66,9.18)
Ages 60-64 11.47 (10.16,12.78)
Ages 65-69 15.03 (13.32,16.75)

Period prevalence

Methods

Comparison with general population

Sex-standardised prevalence from CALIBER study (Kuan et al. 2019)

CALIBER and UKB PE prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 45 (39,52) 87 (80,94) 145 (137,153)
CALIBER 61 (59,63) 100 (97,103) 185 (181,190)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 34(22,51) 67(53,83) 128(112,145)
Low 38(25,56) 79(64,96) 131(116,148)
Medium 33(21,49) 89(73,107) 152(135,171)
High 44(31,60) 93(77,111) 133(116,151)
Most deprived 69(54,87) 105(89,124) 185(165,208)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 45(38,53) 85(77,93) 137(129,146)
Scotland 32(19,52) 92(73,115) 172(148,199)
Wales 64(39,100) 98(73,130) 181(151,216)

Risk factors analysis

‘Healthy’ BMI, smoking status ‘never’, or no hypertension (absence of hypertension records) were considered as reference values.

Hazard Ratio (HR) values with P < 0.0002 were considered to show significant association with disease onset after correction for multiple-testing using the Bonferroni method

N=154060, Events=218

Factor Level Hazard Ratio P value
BMI overweight 0.89 (0.65, 1.23) 0.488
BMI obese 1.16 (0.82, 1.63) 0.404
BMI underweight 0 (0, Inf) 0.989
smoking previous 1.75 (1.31, 2.35) 0.000182
smoking current 2.37 (1.58, 3.55) 3.07e-05
hypertension yes 1 (0.74, 1.36) 0.997

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1093 pulmonary embolism +/- dvt
41202 Diagnoses - main ICD10 I26 Pulmonary embolism
41204 Diagnoses - secondary ICD10 I26 Pulmonary embolism
40001 Underlying (primary) cause of death: ICD10 I26 Pulmonary embolism
40002 Contributory (secondary) causes of death: ICD10 I26 Pulmonary embolism
42040 GP clinical event records 14AC.00 H/O: pulmonary embolus
42040 GP clinical event records 7A09300 Open embolectomy of pulmonary artery
42040 GP clinical event records 7A09311 Trendelenburg pulmonary embolectomy
42040 GP clinical event records 7A0A100 Percutaneous transluminal embolectomy of pulmonary artery
42040 GP clinical event records 7A0B000 Pulmonary thromboendarterectomy
42040 GP clinical event records G401000 Post operative pulmonary embolus
42040 GP clinical event records G401100 Recurrent pulmonary embolism
42040 GP clinical event records G401.00 Pulmonary embolism
42040 GP clinical event records G401.12 Pulmonary embolus
42040 GP clinical event records ZV12900 [V] Personal history of pulmonary embolism
42040 GP clinical event records XaLgy Pulmonary thromboendarterectomy
42040 GP clinical event records XaOYV Recurrent pulmonary embolism
42040 GP clinical event records XaBMd [V] Personal history of pulmonary embolism