Publications by authors named "Angela Lupattelli"

: Myocarditis and pericarditis are recognised risks following COVID-19 vaccination, including the mRNA-1273 vaccine. Most cases occur shortly following the second dose of this vaccine, and incidence is highest among young males. However, little is known about risk factors beyond age and sex and about the longer-term clinical course.

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: The approval of mRNA-based vaccines for children and adolescents has contributed to global efforts to control the SARS-CoV-2 pandemic. While hybrid immunity-combining prior SARS-CoV-2 infection and vaccination-may offer enhanced protection, data on its effectiveness versus vaccine-induced immunity in the pediatric population are limited. : This retrospective matched cohort study used linked health data from Norwegian nationwide health registries and the Italian Pedianet network.

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Background: Peripartum depression (PPD) is a prevalent mental health disorder in the peripartum period. However, a recent systematic review of clinical guidelines relating to PPD has revealed a significant inconsistency in recommendations.

Aims: This study aimed to collect up-to-date evidence on the effectiveness of interventions and provide recommendations for prevention, screening and treating PPD.

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Objective: To describe the timing and intensity of antidepressant initiation in pregnancy using longitudinal trajectories of antidepressant prescription fills to identify associated sociodemographic, lifestyle, somatic, mental health, pregnancy, and paternal factors.

Methods: This population-based cohort within the Norwegian Mother, Father and Child Cohort study linked to MoBa Genetics and the Prescribed Drug Registry included 1879 women with a new episode of self-reported depression/anxiety during pregnancy. Antidepressants were measured by week and average daily dose.

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Background And Objectives: The long-term reproductive safety of migraine medications remains uncertain. This study sought to examine the effect of different intensities and durations of prenatal exposure to triptans, alone and combined with other preventive migraine medications, on neurodevelopmental disorders (NDDs) in children.

Methods: This nationwide health registry study in Norway included pregnancies of women with migraine before pregnancy and followed up their children up to 14 years of age.

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Objective: To provide an overview of the observational studies on child's cognitive, linguistic, and educational outcomes following prenatal exposure to psychotropics and analgesics, including reporting of outcome measure validity and reliability.

Study Design: We searched four databases, MEDLINE, Embase, PsycINFO, and PubMed from inception to September 2023. We included all original studies involving participants less than 18 years old, who were prenatally exposed to psychotropics and/or analgesics with cognitive, linguistic, and/or educational outcomes and excluded those lacking comparison groups.

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Unlabelled: We aim to estimate the incidence rates (IRs) of SARS-CoV-2 infections stratified by disease severity and comorbidities in pediatric population and to describe the COVID-19 vaccination coverage in children with and without comorbidities. A population-based cohort study was conducted in 6 electronic healthcare records databases from Italy, Spain, and Norway. The study lasted from 1 January 2020 to the latest databases' available data in each site, i.

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Purpose: Pregnancies ending before gestational week 12 are common but not notified to the Medical Birth Registry of Norway. Our goal was to develop an algorithm that more completely detects and dates all possible pregnancy outcomes (i.e.

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Article Synopsis
  • - The study aimed to harmonize Norwegian health registries onto the OMOP common data model, incorporating a wealth of real-world data into a format that can support research and emergency preparedness related to COVID-19.
  • - Researchers successfully mapped 1.5 billion rows of health data from multiple registries, revealing detailed demographics and a significant number of COVID-19 cases, while ensuring most data quality checks passed with high accuracy.
  • - The successful integration of this health data enhances the potential for collaborative research on COVID-19 and demonstrates a valuable methodology for similar health registries in the Nordic region.
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  • The study investigates the factors influencing COVID-19 vaccine uptake among pregnant individuals in Norway, particularly focusing on those with high risks for severe COVID-19 and asthma.
  • Data from 101,659 deliveries in 2021-2022 showed a significant increase in vaccine uptake, from less than 1% before mid-August 2021 to nearly 49% in 2022, but only a small percentage of high-risk pregnant individuals were vaccinated.
  • Key findings indicated that paternal COVID-19 vaccination greatly increased maternal vaccine uptake, while pre-pregnancy maternal infection and migrant status significantly decreased it, showing ongoing challenges in vaccination rates among vulnerable populations.
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There is limited evidence about the use of medications among pregnant women with COVID-19, as well as risk factors for hospitalization due to COVID-19 in pregnancy. We aimed to describe the use of medications among SARS-CoV-2-positive pregnant women at the time around infection and identify predictors for hospitalization due to COVID-19 in two hospitals in Brazil. This is a hospital record-based study among pregnant women with positive SARS-CoV-2 tests between March 2020 and August 2022 from two Brazilian hospitals.

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Objective: To assess the psychometric properties, i.e., reliability and construct validity of the 16-item Decisional Conflict Scale (DCS) and sub-scales in women with perinatal depressive symptoms in Norway and Portugal.

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Background: Migraine is common in women of reproductive age. Migraine's episodic manifestation and acute and preventive pharmacological treatment options challenge studying drug safety for this condition during pregnancy. To improve such studies, we aimed to develop algorithms to identify and characterize migraines in electronic healthcare registries and to assess the level of care.

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Factors related with COVID-19 vaccine uptake in children and adolescents in Norway remain unclear, despite this being useful knowledge for future pandemic preparedness. This study aimed to comprehensively examine individual and familial factors associated with vaccine uptake in children and adolescents in Norway. We utilized nationwide registry-data from various health registries and Statistics Norway, encompassing all children and adolescents living in Norway during the pandemic, until 31-Dec-2022.

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Article Synopsis
  • Preterm birth is linked to an increased risk of starting antidepressant medication in the year following delivery, with a 38% increase for moderate to late preterm and 83% for extremely and very preterm births.
  • A study conducted in Lombardy, Northern Italy, examined 727,701 deliveries from 2010 to 2020 and found that 0.9% of women filled at least one antidepressant prescription within a year after giving birth.
  • The risk of antidepressant use, even when excluding those with a single prescription or other psychotropic drug users, remained significantly higher for women who experienced preterm births.
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Article Synopsis
  • Norway and Sweden's different early pandemic responses affected how mental health care was managed during COVID-19, highlighting variations in medication usage and hospitalization rates.
  • Analyses of national registries revealed immediate reductions in medication prescriptions and hospitalizations in Norway, while Sweden saw differing trends, particularly in outpatient visits.
  • The study concluded that the early policy responses to the pandemic likely influenced the mental health care dynamics in both countries.
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Purpose: The COVID-19 pandemic has impacted medication needs and prescribing practices, including those affecting pregnant women. Our goal was to investigate patterns of medication use among pregnant women with COVID-19, focusing on variations by trimester of infection and location.

Methods: We conducted an observational study using six electronic healthcare databases from six European regions (Aragon/Spain; France; Norway; Tuscany, Italy; Valencia/Spain; and Wales/UK).

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Pregnant women on antidepressants must balance potential fetal harm with the relapse risk. While various clinical and sociodemographic factors are known to influence treatment decisions, the impact of genetic factors remains unexplored. We conducted a cohort study among 2,316 women with diagnosed affective disorders who had redeemed antidepressant prescriptions six months before pregnancy, identified from the Danish Integrated Psychiatric Research study.

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Purpose: To examine the association between partner support for women's antidepressant treatment and depressive symptoms in pregnant women, those planning pregnancy, and mothers who ever used antidepressants.

Methods: We included 334 women (n=44 planners, n=182 pregnant, n=108 mothers) ever treated with antidepressants within the HEALTHx2 study, a web-based cross-sectional study conducted across Norway in June 2020 to June 2021. The Edinburgh Postnatal Depression Scale and two questions of the Patient Health Questionnaire measured depressive symptoms, by degree of severity and for depressed mood, anxiety, and anhedonia sub-dimensions.

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Article Synopsis
  • - The COVID-19 pandemic has negatively impacted the mental health of children and adolescents, leading to changes in medication use in Norway, Sweden, and Italy, particularly in terms of psychotropic medications.
  • - A study analyzing drug prescriptions and dispensings from January 2018 to December 2021 revealed varied impacts on different medications, with notable trends for ADHD, antidepressants, and anxiolytics increasing among adolescents in Norway and Sweden after March 2020.
  • - While some medications like insulin showed minor changes, asthma medications experienced a dip in dispensing initially, followed by an overall increasing trend, especially among younger age groups across all studied countries.
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Article Synopsis
  • The study aimed to create a disease risk score to predict hospitalization and mortality due to COVID-19 in Sweden, and validate this score in Norway.
  • It analyzed data from national health registries and focused on individuals with confirmed SARS-CoV-2 infections, comparing hospitalized patients to controls and considering various health factors.
  • The findings indicated the risk scores had moderate predictability for hospitalization and mortality, with better performance in the validation cohort from Norway, particularly regarding mortality prediction.
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Aim: Children have largely been unaffected by severe COVID-19 compared to adults, but data suggest that they may have experienced new conditions after developing the disease. We compared outcomes in children who had experienced COVID-19 and healthy controls.

Methods: A retrospective nested cohort study assessed the incidence rate of new-onset conditions after COVID-19 in children aged 0-14 years.

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