Objective To investigate the risk status of falls in the elderly and analyze its influencing factors so as to provide reference for the formulation of fall prevention measures in older adults. Methods From May 2021 to April 2022, a total of 572 older adults who received fall assessment in the multidisciplinary fall clinic of a tertiary Class-A hospital in Beijing were subjected with convenience sampling. General information, disease status and fall risk score, and results of physical function test were collected through face-to-face survey. According to the risk assessment, the participants were divided into the risk group and the risk-free group. The differences of various indicators were compared between the 2 groups to determine the independent influencing factors of fall risk. SPSS statistics 26.0 was used for statistical analysis. Multivariate logistic regression was used to analyze the independent influencing factors of fall risk.Results Among the 572 participants, 278 were at risk of falling, accounting for 48.60%. Logistic regression analysis showed that junior college or above educational level (OR=2.059,95%CI 1.285-3.298), comorbidities (OR=1.978,95%CI 1.321-2.962), polypharmacy (OR=2.211,95%CI 1.348-3.625), and dizziness/malaise/fatigue after waking up (OR=2.948,95%CI 1.906-4.560) were independent risk factors of fall risk, while male (OR=0.520,95%CI 0.343-0.788), qualified results of 4-stage balance test (OR=0.487,95%CI 0.275-0.862) and qualified outcomes of timed up and go test (OR=0.455,95%CI 0.256-0.807) were protective factors of fall risk in the elderly (P<0.05). Conclusion Older adults are at high risk of falling, and older women are at higher risk. Junior college or above educational level, comorbidity, polypharmacy, being in poor spirits after waking up are independent risk factors of fall risk. More attention should be paid to these older adults. The improvement of dynamic and static balance abilities are beneficial to reduce the risk of falls in the elderly, so targeted training should be carried out.