Cerebrovascular (Stroke or Coma)


Admission Criteria for Cerebrovascular
(Stroke or Coma)

ACUTE HEMMORRHAGIC OR ISCHEMIC STROKE: (must have the following)

  • Coma or persistent vegetative state secondary to stroke beyond 3
    days duration
  • Coma or severe obtundation, secondary to post-anoxic stroke,
    accompanied by severe myoclonus > 3 days after anoxic event
  • Dysphagia, which prevents sufficient intake of food and
    fluids. 

CHRONIC PHASE OF HEMORRHAGIC OR
ISCHEMIC STROKE: (must have the following)

  • Post-dementia, FAST level of 7 or beyond
  • Limited ability to speak to 1-5 words/day
  • Non-ambulatory
  • Unable to sit up independently
  • Unable to smile
  • Unable to hold head up
  • Karnofsky score of 40 or less

COMA (ANY ETHIOLOGY):

  • Abnormal brain stem response
  • Absent verbal response
  • Absent withdrawal response to pain
  • Serum creatinine > 1.5 ml/dl