Introduction:

falls are the main manifestation of accidents in the older adult; there are several classification scales for the risk of falling.

Objective:

to compare the Downton and Tinetti scales in the classification of the risk of falling in the elderly.

Methods:

an analytical, cross-sectional research was carried out in the 16-6 Clinic of the “Santa Clara” Polyclinic, Villa Clara Province, in 2017. Sixty-one individuals were selected by simple random sampling from the total number of dispensed older adults. The data from the clinical histories were collected in a guide prepared for research purposes. Chi-square and Cramer's V tests of independence were used in the statistical analysis; the Tinetti scale was modified by optimal cut-off point by ROC curve and compared with the Downton scale and with the Mc Nemar test and the Kappa index.

Results:

the risk of falling increases with age and is higher in women. Previous falls, difficult ambulation, use of medication and sensory deficit are risk factors for falling. There was a significant relationship between age and sex with respect to fall classification in both tests. Previous fall and non-normal ambulation showed a strong correlation. Both tests were significantly equal, with good concordance and Kappa index of 0.704.

Conclusions:

the Downton and Tinetti scales are similar in the classification of risk of falling, so they can be useful in primary health care.

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