Fluoxetine updated on 07-01-2025

Persistent pulmonary hypertension

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.
S13124
R50041
Marks (Controls exposed to Bupropion), 2021 Pulmonary Hypertension during pregnancy (anytime or not specified) retrospective cohort exposed to other treatment, sick Adjustment: No Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 3.52 [0.17;73.45] C 2/579   0/406 2 579
ref
S6076
R15815
Kieler, 2012 Persistent pulmonary hypertension of the newborn 2nd and/or 3rd trimester population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes Monotherapy: no or not specified 2.00 [1.00;3.80] 9/3,315   1,935/1,588,140 1,944 3,315
ref
S5934
R15194
Chambers, 2006 Persistent pulmonary hypertension of the newborn (PPHN) 2nd and/or 3rd trimester nested case control unexposed (general population or NOS) Adjustment: No Matched Monotherapy: no or not specified 1.67 [0.37;7.49] C 3/7   374/1,206 377 7
ref
Total 3 studies 1.99 [1.09;3.61] 2,323 3,901
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 Marks (Controls exposed to Bupropion), 2021Marks, 2021 1 3.52[0.17; 73.45]25794%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Kieler, 2012Kieler, 2012 2.00[1.00; 3.80]1,9443,31580%ROB confusion: moderateROB selection: lowROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Chambers, 2006Chambers, 2006 1.67[0.37; 7.49]377716%ROB confusion: seriousROB selection: criticalROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Total (3 studies) I2 = 0% 1.99[1.09; 3.61]2,3233,9010.510.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls exposed to Bupropion;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 2.05[1.07; 3.94]1,9463,8940%NAMarks (Controls exposed to Bupropion), 2021 Kieler, 2012 2 case control studiescase control studies 1.67[0.37; 7.49]3777 -NAChambers, 2006 1 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.94[1.05; 3.57]2,3213,3220%NAKieler, 2012 Chambers, 2006 2 exposed to other treatment, sickexposed to other treatment, sick 3.52[0.17; 73.45]2579 -NAMarks (Controls exposed to Bupropion), 2021 1 Tags Adjustment   - No  - No 1.93[0.50; 7.42]3795860%NAMarks (Controls exposed to Bupropion), 2021 Chambers, 2006 2   - Yes  - Yes 2.00[1.03; 3.90]1,9443,315 -NAKieler, 2012 1 MatchedMatched 1.67[0.37; 7.49]3777 -NAChambers, 2006 1 Monotherapy   - no or not specified  - no or not specified 1.94[1.05; 3.57]2,3213,3220%NAKieler, 2012 Chambers, 2006 2   - substance alone among all Antidep ( ...  - substance alone among all Antidep (SSRI, SNRI, ...) 3.52[0.17; 73.45]2579 -NAMarks (Controls exposed to Bupropion), 2021 1 All studiesAll studies 1.99[1.09; 3.61]2,3233,9010%NAMarks (Controls exposed to Bupropion), 2021 Kieler, 2012 Chambers, 2006 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) 1.94[1.05; 3.57]2,3213,3220%NAKieler, 2012 Chambers, 2006 2 exposed to other treatment, sick controlsexposed to other treatment, sick controls 3.52[0.17; 73.45]2579 -NAMarks (Controls exposed to Bupropion), 2021 10.510.01.0