<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272022000100127</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Utilidad de las escalas de Downton y de Tinetti en la clasificación del riesgo de caída de adultos mayores en la atención primaria de salud]]></article-title>
<article-title xml:lang="en"><![CDATA[Utility of the Downton and Tinetti scales in the fall risk classification of older adults in primary health care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Pérez]]></surname>
<given-names><![CDATA[Elaine Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meneses Foyo]]></surname>
<given-names><![CDATA[Angel Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Andrés Bermúdez]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Díaz]]></surname>
<given-names><![CDATA[Anay]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Padilla Moreira]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Villa Clara  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Policlínico Universitario &#8220;Santa Clara&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>16</volume>
<numero>1</numero>
<fpage>127</fpage>
<lpage>140</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272022000100127&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272022000100127&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272022000100127&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  las caídas son la principal manifestación de accidente en el adulto mayor; existen varios clasificadores del riesgo de caer.  Objetivo:  comparar las escalas de Downton y de Tinetti en la clasificación del riesgo de caída en el adulto mayor.  Métodos:  se realizó una investigación analítica, transversal en el Consultorio 16-6 del Policlínico &#8220;Santa Clara&#8221;, de la Provincia Villa Clara, en el año 2017. Se seleccionaron por muestreo aleatorio simple 61 individuos del total adultos mayores dispensarizados. Se recolectaron los datos procedentes de las historias clínicas en una guía elaborada con fines investigativos. En el análisis estadístico se emplearon las pruebas de independencia de Chi cuadrado y la V de Cramer; se modificó la escala de Tinetti mediante punto de corte óptimo por curva ROC y se comparó con la escala de Downton y con la prueba de Mc Nemar y el índice de Kappa.  Resultados:  el riesgo a caer aumenta con la edad y es mayor en el sexo femenino. Son factores de riesgo a caer la caída previa, la deambulación dificultosa, el uso de medicamentos y el déficit sensorial. Hubo relación significativa de la edad y el sexo respecto a la clasificación a caer en ambas pruebas. La caída previa y la deambulación no normal mostraron una correlación fuerte. Ambas pruebas resultaron ser significativamente iguales, con buena concordancia e índice de Kappa de 0,704.  Conclusiones:  las escalas de Downton y de Tinetti son similares en la clasificación de riesgo al caer, por lo que pueden ser útiles en la atención primaria de salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  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 &#8220;Santa Clara&#8221; 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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[riesgo]]></kwd>
<kwd lng="es"><![CDATA[caída]]></kwd>
<kwd lng="es"><![CDATA[escala de Downton]]></kwd>
<kwd lng="es"><![CDATA[escala de Tinetti]]></kwd>
<kwd lng="en"><![CDATA[risk]]></kwd>
<kwd lng="en"><![CDATA[fall]]></kwd>
<kwd lng="en"><![CDATA[Downton test]]></kwd>
<kwd lng="en"><![CDATA[Tinetti test]]></kwd>
</kwd-group>
</article-meta>
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