What assessment tools are recommended for evaluating fall risk in older patients in primary care?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Recommended assessment tools for evaluating fall risk in older patients in primary care include the Timed Up & Go test and the Turn 180° test as pragmatic, easy-to-use assessments that require no special equipment .

The Timed Up & Go test involves timing the person as they stand up from a chair, walk 3 metres, turn around, walk back, and sit down, with a score of 12–15 seconds indicating high fall risk .

The Turn 180° test assesses the ability to turn around, with taking more than four steps suggesting further assessment is needed .

In addition, a multifactorial fall risk assessment is recommended for those at risk, which includes evaluating gait, balance, mobility, muscle strength, visual and cognitive impairments, medication review, and home hazards .

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