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Supplementary oxygen and risk of childhood lymphatic leukaemia 

Authors: E. Naumburg a;  R. Bellocco a;  S. Cnattingius a;  A. Jonzon a; A. Ekbom a
Affiliation:   a Department of Women's and Children's Health, Section for Pediatrics, Uppsala University, Uppsala; Department of Medical Epidemiology, Karolinska Institutet, Stockholm, Sweden.
DOI: 10.1080/08035250216105
Publication Frequency: 12 issues per year
Published in: journal Acta Paediatrica, Volume 91, Issue 12 2002 , pages 1328 - 1333
Number of References: 30
Formats available: PDF (English)

The circumstances under which this title is published have changed:

Reason for change: Changed Publisher
Now published by: Blackwell
Date of change: 31 December 2006

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Abstract

Aim: Childhood leukaemia has been linked to several factors, such as asphyxia and birthweight, which in turn are related to newborn resuscitation. Based on the findings from a previous study a population-based case-control study was performed to investigate the association between childhood leukaemia and exposure to supplementary oxygen and other birth-related factors. Methods: Children born in Sweden and diagnosed with lymphatic leukaemia between 1973 and 1989 (578 cases) were individually matched by gender and date of birth to a randomly selected control. Children with Down's syndrome were excluded. Exposure data were blindly gathered from antenatal, obstetric and other standardized medical records. Odds ratios (OR) and 95% confidence intervals (95% CI) were calculated by conditional logistic regression. Results: Resuscitation with 100% oxygen with a facemask and bag immediately postpartum was significantly associated with an increased risk of childhood lymphatic leukaemia (OR = 2.57, 95% CI 1.21-6.82). The oxygen-related risk further increased if the manual ventilation lasted for 3 min or more (OR = 3.54, 95% CI 1.16-10.80). Low Apgar scores at 1 and 5 min were associated with a non-significantly increased risk of lymphatic leukaemia. There were no associations between lymphatic leukaemia and supplementary oxygen later in the neonatal period or other birth-related factors. Conclusion: Resuscitation with 100% oxygen immediately postpartum is associated with childhood lymphatic leukaemia, but further studies are warranted to confirm the findings.
Keywords: Childhood Leukaemia; Perinatal Risk Factors; Resuscitation; Supplementary Oxygen
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