Coronial
ACThospital

Inquest into the death of NICOLE LOUISE ABBOTT

Deceased

Nicole Louise Abbott

Demographics

43y, female

Coroner

Coroner Russell

Date of death

2020-05-25

Finding date

2023-05-19

Cause of death

Complications of morbid obesity, including progressive respiratory and cardiac failure

AI-generated summary

Nicole Abbott, 43, died from complications of morbid obesity (BMI 54.4) including progressive respiratory and cardiac failure, exacerbated by smoking and obstructive sleep apnoea. She was subject to a Psychiatric Treatment Order for schizophrenia at time of death. The coroner found care provided by Calvary Hospital and ACT Mental Health Services was appropriate. While her father raised concerns about antipsychotic medication (zuclopenthixol) contributing to weight gain, the coroner found the medication choice was clinically appropriate given her serious mental illness, and treating clinicians actively monitored metabolic effects. Mental health teams made repeated efforts to encourage physical health improvements (diet, exercise, smoking cessation, sleep apnoea management) but these were largely unsuccessful due to her delusions and inability to accept illness. No deficient care was identified.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

psychiatrycardiologyintensive careemergency medicinerespiratory medicine

Drugs involved

zuclopenthixololanzapinerisperidoneamisulprideclozapine

Clinical conditions

morbid obesityschizophreniaobstructive sleep apnoeachronic obstructive pulmonary diseasetype II respiratory failurecongestive heart failurepulmonary oedemadiastolic dysfunctionhyperpolactinaemia

Procedures

nasopharyngeal airway insertionmechanical ventilation in ICU

Contributing factors

  • morbid obesity with BMI 54.4
  • long-standing obstructive sleep apnoea
  • chronic obstructive pulmonary disease
  • type II respiratory failure
  • long-standing heavy tobacco smoking
  • prior chest wall injury/rib fractures
  • pulmonary oedema
  • severe diastolic dysfunction
  • schizophrenia with psychotic episodes limiting engagement with health care
  • psychosocial sequelae of chronic mental illness including sedentary lifestyle and poor nutritional intake
Full text

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