Metadata

Name Respiratory failure (resp_failure)
Category Respiratory
Sex
Adult Yes
UUID ff99bdd2-a8b4-4c9f-bca3-b8cedc8901e3
Definition The significant impairment of gas exchange within the lungs resulting in hypoxia, hypercarbia, or both, to the extent that organ tissue perfusion is severely compromised. Causes include chronic obstructive pulmonary disease, asthma, emphysema, acute respiratory distress syndrome, pneumonia, pulmonary edema, pneumothorax, and congestive heart failure. Treatment requires intubation and mechanical ventilation until the time the lungs recover sufficient function.

Ontologies

Disease Ontology (DOID) DOID_11162
GWAS Catalogue EFO_0009686
MeSH D012131
SNOMED-CT 409622000
FinnGen RESPIRATORYINSUFF

Key Summary Statistics

Cases from any source

Total 7848
Female (%) 3262 (42%)
Male (%) 4586 (58%)

Year first recorded

resp_failure 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 resp_failure cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of resp_failure

Baseline prevalence stratified by sex

Female 5.19 (3.65,6.72)
Male 11.9 (9.37,14.43)

Incidence stratified by sex

Female 4.8 (4.23,5.37)
Male 9.4 (8.53,10.28)

Incidence stratified by age

Ages 40-44 1.81 (0.97,2.65)
Ages 45-49 2.97 (2.05,3.89)
Ages 50-54 3.93 (2.95,4.91)
Ages 55-59 5.83 (4.75,6.9)
Ages 60-64 8.85 (7.7,9.99)
Ages 65-69 12.93 (11.35,14.51)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB resp_failure prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 15 (12,20) 34 (29,38) 69 (64,75)
CALIBER 29 (28,31) 64 (61,66) 147 (143,150)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 10(4,21) 17(11,26) 41(32,51)
Low 10(4,22) 25(17,36) 52(42,63)
Medium 16(8,29) 29(20,40) 52(42,64)
High 6(2,14) 21(14,31) 76(63,90)
Most deprived 28(19,41) 74(60,90) 137(119,156)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 16(12,21) 37(32,43) 73(67,80)
Scotland 10(3,24) 18(10,29) 32(22,45)
Wales 13(4,34) 24(12,42) 78(59,102)

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=153513, Events=116

Factor Level Hazard Ratio P value
BMI overweight 1.85 (1.14, 2.99) 0.0128
BMI obese 1.9 (1.12, 3.22) 0.0174
BMI underweight 0 (0, Inf) 0.993
smoking previous 0.82 (0.53, 1.27) 0.367
smoking current 1.79 (1.09, 2.95) 0.0215
hypertension yes 1.55 (1.01, 2.37) 0.0432

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1124 respiratory failure
41202 Diagnoses - main ICD10 J96 Respiratory failure, not elsewhere classified
41204 Diagnoses - secondary ICD10 J96 Respiratory failure, not elsewhere classified
40001 Underlying (primary) cause of death: ICD10 J96 Respiratory failure, not elsewhere classified
40002 Contributory (secondary) causes of death: ICD10 J96 Respiratory failure, not elsewhere classified
42040 GP clinical event records Fy04.00 Sleep-related respiratory failure
42040 GP clinical event records H590.00 Acute respiratory failure
42040 GP clinical event records H591.00 Chronic respiratory failure
42040 GP clinical event records H592.00 Chronic type 1 respiratory failure
42040 GP clinical event records H593.00 Chronic type 2 respiratory failure
42040 GP clinical event records H59..00 Respiratory failure
42040 GP clinical event records R2y1.00 [D]Respiratory failure
42040 GP clinical event records R2y1z00 [D]Respiratory failure NOS
42040 GP clinical event records X008F Sleep-related respiratory failure
42040 GP clinical event records XaO5l Chronic type 1 respiratory failure
42040 GP clinical event records XM09V Respiratory failure
42040 GP clinical event records XaO5m Chronic type 2 respiratory failure