Coronial
SAhospital

Coroner's Finding: HANAN Desmond George

Deceased

Desmond George Hanan

Demographics

90y, male

Date of death

2018-11-25

Finding date

2020-07-16

Cause of death

pneumonia complicating fractured right neck of femur (operated) on a background of hypertension and cerebrovascular disease

AI-generated summary

A 90-year-old man with prior stroke, hypertension, and cerebrovascular disease was admitted to hospital following a fall with right femoral neck fracture. He was placed on a Mental Health Act Inpatient Treatment Order due to delirium and agitation. He underwent femur repair surgery on day 2 of admission. Hospital-acquired pneumonia developed, treated with intravenous antibiotics and supportive care including suctioning. He died from pneumonia on day 6 of hospitalisation. The coroner found care was appropriate, the Mental Health Act orders were justified and did not contribute to death, and no recommendations were warranted. The case demonstrates how delirium in elderly hospitalised patients following trauma can necessitate mental health intervention while medical care proceeds appropriately.

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

Specialties

orthopaedic surgerypsychiatrygeriatric medicine

Drugs involved

antibiotics

Clinical conditions

pneumoniafemoral neck fracturedeliriumhypertensioncerebrovascular diseaseatrial fibrillation

Procedures

femur fracture repair surgery

Contributing factors

  • hospital-acquired pneumonia
  • post-operative course
  • advanced age
  • pre-existing cerebrovascular disease
  • delirium in acute illness
Full text

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