Mirtazapine updated on 07-01-2025

Congenital heart defects

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.
S18313
R77117
Chan (Controls exposed to SSRIs), 2024 Cardiac malformations 1st trimester retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: No Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 1.05 [0.24;4.53] C
excluded (control group)
2/76   24/956 26 76
ref
S18314
R77120
Chan (Controls unexposed, pop general), 2024 Cardiac malformations 1st trimester retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: Yes Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 1.41 [0.35;5.75] 2/76   8,107/462,377 8,109 76
ref
S11838
R43454
Källen, 2013 Any cardiac defect 1st trimester population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes Monotherapy: no or not specified 1.06 [0.42;2.19] 7/585   -/- - 585
ref
Total 2 studies 1.14 [0.56;2.32] 8,109 661
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 Chan (Controls unexposed, pop general), 2024Chan, 2024 1 1.41[0.35; 5.75]8,1097626%ROB confusion: seriousROB selection: moderateROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Källen, 2013Källen, 2013 1.06[0.42; 2.19]-58574%ROB confusion: criticalROB selection: moderateROB classification: moderateROB missing: unclearROB mesure: criticalROB reporting: moderate Total (2 studies) I2 = 0% 1.14[0.56; 2.32]8,1096610.55.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, pop general;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.14[0.56; 2.32]8,1096610%NAChan (Controls unexposed, pop general), 2024 Källen, 2013 2 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.14[0.56; 2.32]8,1096610%NAChan (Controls unexposed, pop general), 2024 Källen, 2013 2 Tags Adjustment   - Yes  - Yes 1.14[0.56; 2.32]8,1096610%NAChan (Controls unexposed, pop general), 2024 Källen, 2013 2 Monotherapy   - no or not specified  - no or not specified 1.06[0.46; 2.42]-585 -NAKällen, 2013 1   - substance alone among all Antidep ( ...  - substance alone among all Antidep (SSRI, SNRI, ...) 1.41[0.35; 5.72]8,10976 -NAChan (Controls unexposed, pop general), 2024 1 All studiesAll studies 1.14[0.56; 2.32]8,1096610%NAChan (Controls unexposed, pop general), 2024 Källen, 2013 20.55.01.0

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 18313

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.14[0.56; 2.32]8,1096610%NAChan (Controls unexposed, pop general), 2024 Källen, 2013 2 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.05[0.24; 4.53]2676 -NAChan (Controls exposed to SSRIs), 2024 10.510.01.0