Coronial
NSWother

Inquest into the death of Mark Lewis

Deceased

Mark Lewis

Demographics

86y, male

Date of death

2024-02-19

Finding date

2025-11-19

Cause of death

End-stage congestive cardiac failure on a background of dilated cardiomyopathy

AI-generated summary

Mark Lewis, aged 86, died from end-stage congestive cardiac failure in custody at Long Bay Hospital Aged Care Unit. He had multiple chronic conditions (dilated cardiomyopathy, chronic kidney disease, diabetes, ischemic heart disease) and had signed advance care directives refusing cardiopulmonary resuscitation. He was appropriately transferred to Long Bay for end-of-life care management following admission to Prince of Wales Hospital for decompensating heart failure. Clinical notes document his deterioration over several days, with assessment documenting drowsiness, moaning, inability to tolerate oral intake and oedema on 18 February. He was found deceased the following morning. The coroner found his care in custody was appropriate and adequate, with no issues regarding management during incarceration or at time of death.

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

Contributing factors

  • Dilated cardiomyopathy
  • Chronic kidney disease
  • Type 2 diabetes mellitus
  • Hypertension
  • Ischemic heart disease
  • Cerebrovascular accident (previous stroke in 2014)
  • Advanced age and multiple comorbidities
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