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Copyright of Acta Médica del Centro is the property of Hospital Provincial Universitario Clinico Quirurgico Arnaldo Milian Castro and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Médica del Centro is the property of Hospital Provincial Universitario Clinico Quirurgico Arnaldo Milian Castro and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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. Chisquare 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. [ABSTRACT FROM AUTHOR]

Introduction: the study of cardiovascular disease is of great importance for the establishment of prevention strategies and policies in primary health care. Objective: to determine the risk factors that determine the prevalence of cardiovascular disease in adults in Family Doctor's Office No.16-12 at the "Santa Clara" Polyclinic. Methods: observational, analytical and transversal study in adults registered in 2017. Patients were selected by simple random sampling. It was carried out a bivariate analysis through simple and stratified 2x2 contingency tables to look for relationships between risks and cardiovascular disease, prevalence and prevalence reasons; the aetiological fraction of exposed and the population aetiological fraction indicated the impact of the elimination of the risk factor if preventive measures had been established. Results: there was a significant relationship between cardiovascular disease and risks except for overweight-obesity. The prevalence of the disease was four times higher in men and older adults, five in hypertensive patients, 2.5 in diabetics, 2.6 in smokers, 3.1 with hypercholesterolemia and 2.6 with hypertriglyceridemia. Being overweight-obese increased the prevalence of some risk factors. Conclusions: the stratification exposed the modifying action of the overweight-obese condition, which increased the prevalence of cardiovascular disease in hypertensive patients, older adults or with hypercholesterolemia. The prevalence in exposed and the population morbidity and mortality can decrease with actions of elimination of hypercholesterolemia and hypertriglyceridemia, especially in overweight-obese. [ABSTRACT FROM AUTHOR]