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Impact of meningitis on intelligence and development: A systematic review and meta-analysis

Deborah Christie, Harunor Rashid, Haitham El-Bashir, Faye Sweeney, Tim Shore, Robert Booy and Russell M Viner

PLOS ONE, 2017, vol. 12, issue 8, 1-14

Abstract: Background: We undertook a systematic review and meta-analysis to address the question “what is the impact of meningitis on IQ and development.” Methods: Search: conducted using standardized search terms across Medline, PsychInfo and EMBASE to 06/2014. Eligibility: human studies of any infectious aetiology of meningitis reporting IQ or infant developmental age or stage outcomes. Quality: Centre for Evidence Based Medicine, Oxford, quality tools. Analysis: random effects meta-analysis by organism. Results: 39 studies were included in the review, 34 providing data on IQ (2015 subjects) and 12 on developmental delay (382 subjects). Across all bacterial organisms, meningitis survivors had a mean IQ 5.50 (95% CI: -7.19, -3.80; I2 = 47%, p = 0.02) points lower than controls. IQ was significantly lower than controls for Neisseria meningitides (NM: 5 points) and Haemophilus influenzae b (Hib: 6 points) but not in viral meningitis, with only single studies included for Streptococcus pneumoniae (SP) and group B streptococcus (GBS). The pooled relative risk (RR) for low IQ (IQ

Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0175024

DOI: 10.1371/journal.pone.0175024

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