Amyotrophic Lateral Sclerosis (ALS)

Admission Criteria for Amyotrophic Lateral Sclerosis (ALS) a.k.a. Lou Gherig's Disease
  • Rapid progression of ALS in the preceding 12 months evidenced by:
  1. Progression from independent ambulation to chair or bed-bound
  2. Progression from normal to barely intelligible or unintelligible speech
  3. Progression from normal to pureed diet
  4. Progression from independence in ADL's to needing major assistance
  • At least one of the following must also apply:
  1. Critically impaired breathing capacity evidenced by:
          a. Vital capacity (VC) < 30% of normal
          b. Significant dyspnea at rest
          c. Requires supplemental oxygen at rest
          d. Declines artifical ventilation

    2. Critical nutrition impairment evidenced by:
         a. Oral intake insufficient
         b. Continuing weight loss
         c. Dehydration or hypovolemia
         d. Absence of artificial feeding methods
     
    3. Life-threatening complications:
         a. Recurrent aspiration pneumonia
         b. Upper urinary tract infections (pyelonephritis)
         c. Sepsis
         d. Recurrent fever after antibiotic therapy
  • Karnofsky score of 40 or less