Beta-blockers (All routes except ocular) (versus unexposed) updated on 12-17-2024

Neonatal disorders (as a whole)

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.
S13853
R54284
Kayser - Metoprolol/bisoprolol, 2020 Neonatal disorders (bradycardia, hypoglycemia or respiratory disorders) days before delivery prospective cohort unexposed, disease free Adjustment: Yes Indications Antihypertensive: All hypertensions, any indications or not specified 1.50 [0.70;3.00] 29/252   38/588 67 252
ref
S13811
R54139
Chan - Labetalol, 2010 Neonatal Complications during pregnancy (anytime or not specified) prospective cohort unexposed, disease free Adjustment: No Indications Antihypertensive: All hypertensions, any indications or not specified Matched 4.25 [1.51;11.98] C 16/32   8/42 24 32
ref
S13392
R51825
Ray - Beta-blockers, 2001 Neonatal composite disorder (disease of prematurity (i.e., necrotizing enterocolitis, periventricular hemorrhage and/or hyaline membrane disease), need for assisted ventilation and/or perinatal death) during pregnancy (anytime or not specified) prospective cohort unexposed, sick Adjustment: Yes Indications Antihypertensive: Only chronic hypertension indication 1.40 [0.60;3.40] 38/144   32/247 70 144
ref
Total 3 studies 1.93 [1.02;3.62] 161 428
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 Kayser - Metoprolol/bisoprolol, 2020Kayser - Metoprolol/bisoprolol, 2020 1.50[0.70; 3.00]6725241%ROB confusion: seriousROB selection: moderateROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Chan - Labetalol, 2010Chan - Labetalol, 2010 4.25[1.51; 11.98]243226%ROB confusion: seriousROB selection: moderateROB classification: moderateROB missing: unclearROB mesure: lowROB reporting: moderate Ray - Beta-blockers, 2001Ray - Beta-blockers, 2001 1.40[0.60; 3.40]7014433%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: unclearROB mesure: moderateROB reporting: moderate Total (3 studies) I2 = 37% 1.93[1.02; 3.62]1614280.510.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.93[1.02; 3.62]16142837%NAKayser - Metoprolol/bisoprolol, 2020 Chan - Labetalol, 2010 Ray - Beta-blockers, 2001 3 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 2.36[0.86; 6.49]9128462%NAKayser - Metoprolol/bisoprolol, 2020 Chan - Labetalol, 2010 2 unexposed, sickunexposed, sick 1.40[0.59; 3.33]70144 -NARay - Beta-blockers, 2001 1 Tags Adjustment   - No  - No 4.25[1.51; 11.98]2432 -NAChan - Labetalol, 2010 1   - Yes  - Yes 1.46[0.83; 2.55]1373960%NAKayser - Metoprolol/bisoprolol, 2020 Ray - Beta-blockers, 2001 2 Indications Antihypertensive   - All hypertensions, any indications ...  - All hypertensions, any indications or not specified 2.36[0.86; 6.49]9128462%NAKayser - Metoprolol/bisoprolol, 2020 Chan - Labetalol, 2010 2   - Only chronic hypertension indication  - Only chronic hypertension indication 1.40[0.59; 3.33]70144 -NARay - Beta-blockers, 2001 1 MatchedMatched 4.25[1.51; 11.98]2432 -NAChan - Labetalol, 2010 1 All studiesAll studies 1.93[1.02; 3.62]16142837%NAKayser - Metoprolol/bisoprolol, 2020 Chan - Labetalol, 2010 Ray - Beta-blockers, 2001 30.510.01.0

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

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 2.36[0.86; 6.49]9128462%NAKayser - Metoprolol/bisoprolol, 2020 Chan - Labetalol, 2010 2 unexposed, sick controlsunexposed, sick controls 1.40[0.59; 3.33]70144 -NARay - Beta-blockers, 2001 10.510.01.0