Stroke and Coma

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STROKE

1. Karnofsky (KPS) or Palliative Performance (PPS) 40% or less

KPS

PPS

*See Appendix 2 for Palliative Performance Scale

2. Inability to maintain hydration and caloric intake

COMA (any 3 of the following of day 3 of coma)

Documentation of the following will support eligibility.

Documentation of medical complications, in the context of progressive clinical decline, within the previous 12 months

Documentation of diagnostic imaging factors which support poor prognosis after stroke

a. Non-traumatic hemorrhagic store

b. Thrombotic/embolic stroke