Evidence map›Paper›PMID 30702619›Full record

Observational studyMedicine2019

The impact of advanced maternal age on the outcomes of very low birth weight preterm infants.

Kai-Ti Tseng, Chun-Chih Peng, Jui-Hsing Chang, Chyong-Hsin Hsu, Chia-Ying Lin, Wai-Tim Jim, Hung-Yang Chang

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Social & economic neighborhood opportunity as predictors of neurodevelopmental outcomes in high-risk infants.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Effect of maternal age on neonatal outcomes in very low birth weight singleton infants: a population-based study.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Maternal age and long-term neurodevelopmental outcomes of preterm infants < 29 weeks gestational age.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  11. Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Kai-Ti TsengDepartment of Neonatology, MacKay Children's Hospital, Taipei.
Chun-Chih PengDepartment of Neonatology, MacKay Children's Hospital, Taipei.
Jui-Hsing ChangDepartment of Neonatology, MacKay Children's Hospital, Taipei.
Chyong-Hsin HsuDepartment of Neonatology, MacKay Children's Hospital, Taipei.
Chia-Ying LinDepartment of Neonatology, MacKay Children's Hospital, Taipei.
Wai-Tim JimDepartment of Neonatology, MacKay Children's Hospital, Taipei.
Hung-Yang ChangDepartment of Neonatology, MacKay Children's Hospital, Taipei.
Mackay Memorial Hospital · TWMackay Medical College · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association between advanced maternal age and neonatal outcomes remains controversial. This study attempted to determine the short-term and long-term outcomes of very low birth weight (VLBW, <1500 g) preterm infants, born to mothers of advanced age (≥35 years).In this retrospective cohort study, VLBW infants were divided into the advanced maternal age group and comparison group. We compared the pregnancy complications, demographic factors, short-term morbidities, and neurodevelopmental outcomes using the Bayley Scales of Infant Development-Third Edition, at 24 months of corrected age between the 2 groups.The study comprised of 536 VLBW infants born to 483 mothers. Mothers of advanced age had a significantly lower rate of primiparity compared to the comparison group (45.8% vs 65.2%, P < .001), and were more likely to have gestational diabetes (13.7% vs 5.5%, P = .002) and to undergo in vitro fertilization (IVF; 18.4% vs 9.9%, P = .01). No significant differences were found between the 2 groups in terms of short-term outcomes. At 2 years of corrected age, advanced maternal age was associated with a higher incidence of severe speech delay (11.3% vs 5.7%, P = .04), neurodevelopmental impairment (NDI; 28.8% vs 18.4%, P = .02), and adverse composite outcome (37.4% vs 27.3%, P = .02). However, the differences in NDI and composite adverse outcomes were not statistically significant between the groups after adjustments for potential confounders.Advanced maternal age was not associated with major morbidities and long-term NDI among VLBW preterm infants. The association between advanced maternal age and severe speech delay in the infant needs further investigation.

Indexed as

Maternal AgeAdultChild, PreschoolFemaleHumansInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightLanguage Development DisordersMaleNeurodevelopmental DisordersRetrospective StudiesYoung Adult

Identifiers

PMID30702619
PMCPMC6380823
OpenAlexW2912235545

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.