Acute hemorrhagic or ischemic stroke evidenced by:
Coma or persistent vegetative state secondary to stroke, beyond
3 days duration or
Coma or severe obtundation, secondary to post anoxic stroke,
accompanied by severe myoclonus, persisting beyond 3 days after
the anoxic event or
Dysphagia, which prevents sufficient intake of food and fluids
to sustain life in a patient who does not receive artificial nutrition
and hydration
Chronic phase of hemorrhagic or ischemic stroke evidenced by:
Post-stroke dementia, stage 7 or beyond according to the Functional
Assessment Scale (see Dementia)
Poor functional status with Karnofsky Performance Status 50% or
less or
Poor nutritional status, whether on artificial nutrition or not,
with inability to maintain sufficient fluid and calorie intake with > 10%
weight loss during the previous six months or serum albumin < 2.5
gm/dL or
Coma (any etiology) with any three of the following on day three
of coma:
