ArticleThe Journal of pediatrics2013
Outcomes of small for gestational age infants born at <27 weeks' gestation.
Article in The Journal of pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
51 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Risk factors for bronchopulmonary dysplasia in preterm infants: a systematic review and meta-analysis.PeerJ · 2025Pooled it
- Association of Intrauterine Growth Restriction and Small for Gestational Age Status With Childhood Cognitive Outcomes: A Systematic Review and Meta-analysis.JAMA pediatrics · 2020Pooled it
- Working group reports: evaluation of the evidence to support practice guidelines for nutritional care of preterm infants-the Pre-B Project.The American journal of clinical nutrition · 2016Pooled it
- Human milk and neurodevelopment in children with very low birth weight: a systematic review.Nutrition journal · 2014Pooled it
- Maternal dyslipidemia and altered cholesterol metabolism in early pregnancy as a risk factor for small for gestational age neonates.Scientific reports · 2021Trial
- Impact of small for gestational age on length of hospital stay and hospitalization costs in very preterm infants: a single-center retrospective cohort study.BMC pediatrics · 2026Article
- Risk factors for developmental delays in small for gestational age children at age of 24-36 months.European child & adolescent psychiatry · 2026Article
- Impact of being small for gestational age in neonates born below 600 g birth weight.Pediatric research · 2026Article
- Optimising enteral feeding prevents postnatal growth faltering in preterm infants: a retrospective cohort study.BMJ nutrition, prevention & health · 2026Article
- Association Between Endotype of Prematurity and Cystic Periventricular Leukomalacia: A Bayesian Model-Averaged Meta-Analysis.Children (Basel, Switzerland) · 2025Review
- Outcomes of extremely preterm infants exposed to prolonged prelabor rupture of membranes before 24 weeks of gestation.American journal of obstetrics and gynecology · 2025Article
- Genetic disorders and their association with morbidity and mortality in early preterm small for gestational age infants.American journal of obstetrics and gynecology · 2025Article
- Expected and Desirable Preterm and Small Infant Growth Patterns.Advances in nutrition (Bethesda, Md.) · 2024Review
- Outcomes of infants with birthweights less than 501 g compared to infants weighing 501-750 g at a center utilizing first intention high frequency jet ventilation.Frontiers in pediatrics · 2024Article
- Use of E-Cigarettes and Cigarettes During Late Pregnancy Among Adolescents.JAMA network open · 2023Article
- ASQ-3 and BSID-III's concurrent validity and predictive ability of cognitive outcome at 5 years.Pediatric research · 2023Article
- Article
- Severity of small-for-gestational-age and morbidity and mortality among very preterm neonates.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- The impact of small-for-gestational-age Status on the outcomes in very-Low-birth-weight (VLBW) premature infants: a prospective cohort study in Taiwan.Frontiers in pediatrics · 2023Article
- Dietary Diversity and Associated Factors Among Pregnant Women in Addis Ababa, Ethiopia, 2021.International journal of public health · 2022Article
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
objectiveTo determine whether small for gestational age (SGA) infants born at <27 weeks gestational age (GA) are at increased risk for mortality, morbidity, and growth and neurodevelopmental impairment at 18-22 months corrected age. STUDY
designThis was a retrospective cohort study from National Institute of Child Health and Human Development Neonatal Research Network's Generic Database and Follow-Up Studies. Infants born at <27 weeks GA between January 2006 and July 2008 were included. SGA was defined as birth weight <10th percentile for GA based on Olsen growth curves. Infants with birth weight ≥ 10th percentile for GA were classified as non-SGA. Maternal and infant characteristics, neonatal outcomes, and neurodevelopmental data were compared in SGA and non-SGA infants. Neurodevelopmental impairment was defined as any of the following: cognitive score <70 on the Bayley Scales of Infant Development III, moderate or severe cerebral palsy, bilateral hearing loss (with and without amplification), or blindness (bilateral vision <20/200). Logistic regression analysis was applied to evaluate the associations between SGA status and death or neurodevelopmental impairment.
resultsThe SGA group comprised 385 infants; the non-SGA group, 2586 infants. Compared with mothers of non-SGA infants, mothers of SGA infants were more likely to have a high school education, prenatal care, cesarean delivery, pregnancy-induced hypertension, and antenatal corticosteroid exposure. Compared with non-SGA infants, SGA infants had higher mortality and were more likely to have postnatal growth failure, prolonged mechanical ventilation, and postnatal steroid use. SGA status was associated with increased risk of death or neurodevelopmental impairment (OR, 3.91; 95% CI, 2.91-5.25; P < .001).
conclusionSGA status in infants born at <27 weeks GA is associated with an increased likelihood of postnatal steroid use, mortality, growth failure, and neurodevelopmental impairment at 18-22 months corrected age.
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