Table 3.
Flemish version of the Triage Risk Screening Tool (43).
| Items | Score |
|
|---|---|---|
| Yes | No | |
| 1. Presence of cognitive impairment (disorientation, diagnosis of dementia, or delirium) | 2 | 0 |
| 2. Lives alone or no caregiver available, willing, or able | 1 | 0 |
| 3. Difficulty with walking or transfers or fall(s) in the past 6 months | 1 | 0 |
| 4. Hospitalized in the last 3 months | 1 | 0 |
| 5. Polypharmacy: ≥5 medications | 1 | 0 |
| Total score | 0–6 | |
| abnormal if ≥2 within the geriatric population and ≥1 within the oncologic population | ||
Reprinted with permission. © 2014 American Society of Clinical Oncology. All rights reserved.