Selective Serotonin Reuptake Inhibitor (SSRI) updated on 07-01-2025

Severe cognitive developmental delay (Mental retardation) (3-6 years old)

R analysis
id Study   Lib. in paper Exposition period    Study type  Control type 
 
Tags OR 95%CI x1/n1 x0/n0 no cases no exposed ROB Ref.
S17049
R71333
Suarez (Controls unexposed, discontinuers), 2022 Intellectual disability - ≥ 2 dates with ICD-9 Dx 317, 318.x, 319 - At ≥ 2 years of age 2nd and/or 3rd trimester retrospective cohort (claims database) unexposed, sick Adjustment: Yes Monotherapy: no or not specified Unexposed sick: recent illness/treatment (during or juste before pregnancy or treatment stopped in view of pregnancy) 0.95 [0.64;1.40] 170/115,060   56/38,038 226 115,060
ref
S17050
R71341
Suarez (Controls unexposed, general pop), 2022 Intellectual disability - ≥ 2 dates with ICD-9 Dx 317, 318.x, 319 - At ≥ 2 years of age 2nd and/or 3rd trimester retrospective cohort (claims database) unexposed (general population or NOS) excluded Adjustment: Yes Monotherapy: no or not specified 0.97 [0.79;1.20]
excluded (control group)
170/115,110   2,950/3,000,907 3,120 115,110
ref
S482
R18081
Harrington, 2014 Developmental delay (Vineland Adaptive Behavior Scales and Mullen Scales of Early Learning (composite score <=70 on either scale)) - Mean 3.7 years (2-5 years) during pregnancy (anytime or not specified) case control unexposed (general population or NOS) Adjustment: Yes Matched Monotherapy: no or not specified 1.62 [0.59;4.42] 8/19   146/455 154 19
ref
Total 2 studies 1.02 [0.71;1.47] 380 115,079
x1: number of endpoints among exposed, n1: number of exposed; x0: number of endpoints among non exposed, n0: number of non exposed; C: calculated odds ratio from numbers of events and effectives

Forest plot

StudyTE95% CIn casesn exposedweightROBABCDEF Suarez (Controls unexposed, discontinuers), 2022Suarez, 2022 1 0.95[0.64; 1.40]226115,06087%ROB confusion: seriousROB selection: lowROB classification: moderateROB missing: lowROB mesure: criticalROB reporting: moderate Harrington, 2014Harrington, 2014 1.62[0.59; 4.42]1541913%ROB confusion: criticalROB selection: criticalROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Total (2 studies) I2 = 0% 1.02[0.71; 1.47]380115,0790.25.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, discontinuers;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 0.95[0.64; 1.41]226115,060 -NASuarez (Controls unexposed, discontinuers), 2022 1 case control studiescase control studies 1.62[0.59; 4.43]15419 -NAHarrington, 2014 1 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.62[0.59; 4.43]15419 -NAHarrington, 2014 1 unexposed, sickunexposed, sick 0.95[0.64; 1.41]226115,060 -NASuarez (Controls unexposed, discontinuers), 2022 1 Tags Adjustment   - Yes  - Yes 1.02[0.71; 1.47]380115,0790%NASuarez (Controls unexposed, discontinuers), 2022 Harrington, 2014 2 MatchedMatched 1.62[0.59; 4.43]15419 -NAHarrington, 2014 1 Monotherapy   - no or not specified  - no or not specified 1.02[0.71; 1.47]380115,0790%NASuarez (Controls unexposed, discontinuers), 2022 Harrington, 2014 2 Unexposed sick   - recent illness/treatment (during o ...  - recent illness/treatment (during or juste before pregnancy or treatment stopped in view of pregnancy) 0.95[0.64; 1.41]226115,060 -NASuarez (Controls unexposed, discontinuers), 2022 1 All studiesAll studies 1.02[0.71; 1.47]380115,0790%NASuarez (Controls unexposed, discontinuers), 2022 Harrington, 2014 20.25.01.0

Publication bias and p-hacking diagnosis

funnel plot

Funnel plot not drawn. Less than 3 points.

Asymetry test p-value = NaN (by Egger's regression)

not enought points

p values plot

Funnel plot not drawn. Less than 3 points.

Sub-groups analysis using all included studies

excluded 17050

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 0.99[0.81; 1.22]3,274115,1290%NASuarez (Controls unexposed, general pop), 2022 Harrington, 2014 2 unexposed, sick controlsunexposed, sick controls 0.95[0.64; 1.41]226115,060 -NASuarez (Controls unexposed, discontinuers), 2022 10.510.01.0