Conclusion The Timed Up and Go test has limited ability to predict  falls in community dwelling elderly and should not be used in isolation to identify individuals at high risk of falls in this setting
Background The Timed Up and Go test ( TUG ) is a commonly used screening tool to assist clinicians to identify patients at risk of falling .
The purpose of this systematic review and meta- analysis is to determine the overall predictive value of the TUG in community-dwelling older adults .
Accuracy of Timed Up and Go Test for screening risk of falls among community-dwelling elderly.
OBJECTIVE To determine the accuracy of the Timed Up and Go Test ( TUGT ) for screening the risk of falls among community-dwelling elderly individuals . METHOD This is a prospect i ve cohort study with a r and omly by lots without reposition sample stratified by proportional partition in relation to gender involving 63 community-dwelling elderly individuals . Elderly individuals who reported having Parkinson 's disease , a history of transitory ischemic attack , stroke and with a Mini Mental State Exam lower than the expected for the education level , were on a wheelchair and that reported a single fall in the previous six months were excluded . The TUGT , a mobility test , was the measure of interested and the occurrence of falls was the outcome . The performance of basic activities of daily living ( ADL ) and instrumental activities of daily living ( IADL ) was determined through the Older American Re sources and Services , and the socio-demographic and clinical data were determined through the use of additional question naires . Receiver Operating Characteristic Curves were used to analyze the sensitivity and specificity of the TUGT . RESULTS Elderly individuals who fell had greater difficulties in ADL and IADL ( p<0.01 ) and a slower performance on the TUGT ( p=0.02 ) . No differences were found in socio-demographic and clinical characteristics between fallers and non-fallers . Considering the different sensitivity and specificity , the best predictive value for discriminating elderly individuals who fell was 12.47 seconds [ ( RR=3.2 ) 95%CI : 1.3 - 7.7 ] . CONCLUSIONS The TUGT proved to be an accurate measure for screening the risk of falls among elderly individuals . Although different from that reported in the international literature , the 12.47 second cutoff point seems to be a better predictive value for Brazilian elderly individuals
Conclusion The Timed Up and Go test has limited ability to predict  falls in community dwelling elderly and should not be used in isolation to identify individuals at high risk of falls in this setting
Background The Timed Up and Go test ( TUG ) is a commonly used screening tool to assist clinicians to identify patients at risk of falling .
The purpose of this systematic review and meta- analysis is to determine the overall predictive value of the TUG in community-dwelling older adults .