Atypical antipsychotics (Second generation) updated on 06-10-2025

Language disorders/delay

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.
S17090
R71458
Bruno - Quetiapine, 2024 Language disorders/delay (ICD-10 codes F80.0–F80.2, in the absence of a hearing loss diagnosis) - Median follow-up: 6.7 years during pregnancy (anytime or not specified) population based cohort retrospective unexposed, sick Adjustment: Yes 1.18 [0.94;1.49] 96/3,894   1,773/163,604 1,869 3,894
ref
S12466
R46919
Straub, 2022 Speech/language disorder (≥ 2 dates with ICD-9 Dx 315.3x (except 315.34)) - By 8 years of age 2nd and/or 3rd trimester retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: Yes 1.08 [0.96;1.21] 386/9,390   76,670/3,309,095 77,056 9,390
ref
S2332
R2729
Peng, 2013 Developmental Quotient (< 85) - Bayley-III Language scale - At 12 months of age throughout pregnancy prospective cohort unexposed, disease free Adjustment: No Matched 1.13 [0.43;2.95] C 10/76   9/76 19 76
ref
Total 3 studies 1.10 [0.99;1.22] 78,944 13,360
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 Bruno - Quetiapine, 2024Bruno - Quetiapine, 2024 1.18[0.94; 1.49]1,8693,89420%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: lowROB mesure: criticalROB reporting: moderate Straub, 2022Straub, 2022 1.08[0.96; 1.21]77,0569,39079%ROB confusion: moderateROB selection: lowROB classification: criticalROB missing: unclearROB mesure: criticalROB reporting: moderate Peng, 2013Peng, 2013 1.13[0.43; 2.95]19761%ROB confusion: seriousROB selection: unclearROB classification: moderateROB missing: unclearROB mesure: lowROB reporting: moderate Total (3 studies) I2 = 0% 1.10[0.99; 1.22]78,94413,3600.55.01.0ROB: 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 1.10[0.99; 1.22]78,94413,3600%NABruno - Quetiapine, 2024 Straub, 2022 Peng, 2013 3 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.08[0.96; 1.21]77,0759,4660%NAStraub, 2022 Peng, 2013 2 unexposed, sickunexposed, sick 1.18[0.94; 1.49]1,8693,894 -NABruno - Quetiapine, 2024 1 Tags Adjustment   - No  - No 1.13[0.43; 2.95]1976 -NAPeng, 2013 1   - Yes  - Yes 1.10[0.99; 1.22]78,92513,2840%NABruno - Quetiapine, 2024 Straub, 2022 2 MatchedMatched 1.13[0.43; 2.95]1976 -NAPeng, 2013 1 All studiesAll studies 1.10[0.99; 1.22]78,94413,3600%NABruno - Quetiapine, 2024 Straub, 2022 Peng, 2013 30.55.01.0

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

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.08[0.96; 1.21]77,0759,4660%NAStraub, 2022 Peng, 2013 2 unexposed, sick controlsunexposed, sick controls 1.18[0.94; 1.49]1,8693,894 -NABruno - Quetiapine, 2024 10.510.01.0