Venlafaxine updated on 07-01-2025

Low Apgar score (< 7) (at 5 min)

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.
S18311
R77112
Martin, 2024 Low Apgar score at 5 min (<7) during pregnancy (anytime or not specified) population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 2.04 [1.76;2.37] 209/5,769   30,996/2,078,011 31,205 5,769
ref
S13135
R50110
Marks (Controls exposed to Bupropion), 2021 5 Min APGAR <7 during pregnancy (anytime or not specified) retrospective cohort exposed to other treatment, sick Adjustment: No Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 1.27 [0.73;2.23] C 20/132   50/406 70 132
ref
S13353
R51475
Calderon-Margalit, 2009 APGAR Score at 5 minute <7 during pregnancy (anytime or not specified) prospective cohort unexposed (general population or NOS) Adjustment: Yes Monotherapy: no or not specified 11.60 [1.85;72.60] -/9   -/2,493 - 9
ref
Total 3 studies 1.99 [1.10;3.61] 31,275 5,910
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 Martin, 2024Martin, 2024 2.04[1.76; 2.37]31,2055,76954%ROB confusion: seriousROB selection: lowROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Marks (Controls exposed to Bupropion), 2021Marks, 2021 1 1.27[0.73; 2.23]7013237%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Calderon-Margalit, 2009Calderon-Margalit, 2009 11.60[1.85; 72.60]-99%ROB confusion: seriousROB selection: moderateROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Total (3 studies) I2 = 67% 1.99[1.10; 3.61]31,2755,9100.550.01.0ROB: 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 1.99[1.10; 3.61]31,2755,91067%NAMartin, 2024 Marks (Controls exposed to Bupropion), 2021 Calderon-Margalit, 2009 3 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 3.79[0.74; 19.35]31,2055,77871%NAMartin, 2024 Calderon-Margalit, 2009 2 exposed to other treatment, sickexposed to other treatment, sick 1.27[0.73; 2.23]70132 -NAMarks (Controls exposed to Bupropion), 2021 1 Tags Adjustment   - No  - No 1.27[0.73; 2.23]70132 -NAMarks (Controls exposed to Bupropion), 2021 1   - Yes  - Yes 3.79[0.74; 19.35]31,2055,77871%NAMartin, 2024 Calderon-Margalit, 2009 2 Monotherapy   - no or not specified  - no or not specified 11.60[1.85; 72.67]-9 -NACalderon-Margalit, 2009 1   - substance alone among all Antidep ( ...  - substance alone among all Antidep (SSRI, SNRI, ...) 1.75[1.13; 2.70]31,2755,90161%NAMartin, 2024 Marks (Controls exposed to Bupropion), 2021 2 All studiesAll studies 1.99[1.10; 3.61]31,2755,91067%NAMartin, 2024 Marks (Controls exposed to Bupropion), 2021 Calderon-Margalit, 2009 30.550.01.0

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) 3.79[0.74; 19.35]31,2055,77871%NAMartin, 2024 Calderon-Margalit, 2009 2 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.27[0.73; 2.23]70132 -NAMarks (Controls exposed to Bupropion), 2021 10.510.01.0