SP6-66 The relationship between dental decay and caregiver neglect in children

Abstract

circulatory system was greater in mothers aged 20e34 years compared to mothers under 19 years of age (HR 5.64 95% CI 1.65 to 19.27; p¼0.01) and in babies with low birth weight (HR 3.09; 95% CI 1.27 to 7.51). For digestive system anomalies mortality was associated with complications during pregnancy (HR 1.67; 95% CI 1.11 to 2.52; p¼0.01). For musculoskeletal system malformations mother 's disease in pregnancy (HR 11.04; 95% CI 1.31 to 9.30; p¼0.03) Objectives Identify risk factors for mortality after hip fracture. Material and Methods Patients admitted in the orthopaedics service of the main hospital in Porto city, from 1 May 2008 to 30 April 2009, with a low-energy hip fracture were selected. During admission a questionnaire was applied and phone interviews to the patients or a close relative were done at 3, 6, 9 and 12 months after the fracture. From hospital registers, fracture type, surgery date, surgical treatment, co-morbilities and ASA score were obtained. Results At admission, patients (n¼252, 79% women, mean age of 80.369.5 years and 76.3611.3 years (p<0.05), women and men respectively) lived mainly with someone (67%); 1% were confined to bed, 65% had difficulties in walking or doing daily activities and 34% had a life without restrictions. The most common co-morbidities were hypertension for women (52% vs 38%) and respiratory disease for men (36% vs 11%), p<0.05. Death was 22%, 25%, 30% and 37% for men and 8%, 14%, 20% and 23% for women, respectively at 3, 6, 9 and 12 months of follow-up. Death was higher among institutionalised patients. Survival analysis using KaplaneMeier curve and Cox regression analysis showed that the risk of dead increased 6% for each age-year older, 151% if patient was a man, 94% for ASA score III/IV and 7% for each day of delay to the surgery. Conclusion Older age, male sex, ASA scores III/IV and delay to surgery are good predictors of mortality after a hip fracture. Background Emergency medical service (EMS) cannot only lessen the severity of an illness but can also save lives. In this study we accessed the emergency medical services provided by trained community based volunteers in rural areas of Bangladesh. The objectives of this study were (1) To access the volunteer based emergency medical services and (2) To describe the types of emergency medical care services provided by the volunteers. Methods In 2008, we trained community volunteers to deliver EMS within limited areas. A special emergency medical service manual was developed. We selected volunteers from the community and trained them for 3 days intensively. After training all volunteers were provided a first aid box fully equipped with medicine and materials. The first 1 to 3 months of data about medical services were collected from the volunteers. Results A total of 136 volunteers worked and 1403 patients were provided emergency medical services. After burn injuries all patients were treated first with water, 72 patients mostly injured with cuts and falls were treated with clean water before starting other treatm...