Coronial
QLDhospital

Inquest into the death of John Reginald Wright

Deceased

John Reginald Wright

Demographics

79y, male

Coroner

Ryan

Date of death

2022-11-01

Finding date

2025-08-11

Cause of death

Complications of peripheral vascular disease with Type 2 Diabetes Mellitus, atrial fibrillation, cardiomyopathy and delirium as other significant conditions

AI-generated summary

John Reginald Wright, a 79-year-old remand prisoner, died from complications of peripheral vascular disease with diabetes, atrial fibrillation, cardiomyopathy and delirium. He was transferred to Princess Alexandra Hospital Secure Unit on 24 May 2022 with necrotic left foot toes and remained there until his death on 1 November 2022. Mr Wright underwent multiple amputations and vascular interventions but experienced declining renal function, cardiac failure, and episodes of aspiration. While early prison health records contained gaps in wound dressing documentation, Forensic Medicine advice concluded that lapses in correctional facility wound care would not have been significantly outcome-changing given his severe peripheral vascular disease and multiple comorbidities. Mr Wright received appropriate medical care throughout his hospitalisation and declined further surgical intervention. The coroner found no suspicious circumstances and no recommendations for preventing similar deaths.

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

Specialties

vascular surgerygeneral medicinecardiologypsychiatrypalliative caregeriatric medicineintensive carenephrologycorrectional health

Drugs involved

glicazidemetforminpantoprazoleatorvastatinrivaroxabanazargapovidone-iodinedigoxinmeropenempiptazpregabalinoxycodoneapixabanrisperidonehydromorphonehaloperidolmidazolaminsulin

Clinical conditions

peripheral vascular diseasetype 2 diabetes mellitusdiabetic foot ulcercellulitisbone infectionatrial fibrillationcardiomyopathyacute kidney injury stage 4type 2 respiratory failuredeliriumcognitive impairmentsepsisheart failureaspirationpleural effusionpneumoniagallstonesvascular cognitive declinefalse aneurysm

Procedures

angiogramangioplastystent placementamputation of toeamputation of multiple toessurgical debridementchest X-rayMRIechocardiogramultrasoundCT scan

Contributing factors

  • severe peripheral vascular disease with poor wound healing
  • type 2 diabetes mellitus
  • atrial fibrillation requiring anticoagulation
  • cardiomyopathy with severe heart failure
  • acute kidney injury multifactorial (sepsis, cardiac failure, nephrotoxic medications)
  • delirium affecting capacity and cooperation
  • patient refusal of surgical intervention
  • aspiration events
  • bilateral pleural effusions and left lower lobe consolidation
  • gaps in wound dressing documentation at correctional facility
Full text

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