Coronial
SAhospital

Coroner's Finding: KARTINYERI Laura Rose

Deceased

Laura Rose Kartinyeri

Demographics

44y, female

Date of death

2017-07-08

Finding date

2020-06-25

Cause of death

multi-organ failure and polypharmaceutical overdose on a background of severe chronic obstructive airways disease

AI-generated summary

Laura Rose Kartinyeri, aged 44, died from multi-organ failure and polypharmaceutical overdose on a background of severe COPD. She had a long history of substance abuse, non-compliance with treatment, and hospital presentations with refusal of care. In the months before death, her COPD was worsening despite repeated admissions. She presented drowsy on 4 July 2017 after ingesting unknown medications at home, was treated for suspected overdose, and placed on an Inpatient Treatment Order for psychiatric assessment. Despite improvements initially, her underlying lung disease precluded intubation. She deteriorated and died 4 days later. Clinical lessons include: recognition that patients with chronic illnesses and substance abuse require integrated care approaches; documentation of capacity assessments when patients refuse treatment; and consideration of palliative pathways earlier when curative options are limited. Better engagement with social support and harm reduction strategies may have altered the trajectory.

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

Specialties

respiratory medicineintensive carepsychiatryemergency medicineaddiction medicine

Drugs involved

pregabalindiazepambenzodiazepinesamphetaminecannabisbuprenorphine/naloxoneheroinoxazepamserapax

Clinical conditions

chronic obstructive pulmonary diseaserespiratory failuremulti-organ failurehepatitis Cpulmonary embolismpulmonary hypertensionright heart failureorganic brain syndromemedication-induced deliriumsubstance use disorderopioid dependence

Procedures

non-invasive ventilation

Contributing factors

  • polypharmaceutical overdose from unknown ingested medications
  • severe COPD with CO2 retention
  • impaired renal and hepatic function
  • long history of substance abuse and drug dependence
  • non-compliance with medical treatment and repeated refusal of care
  • ongoing cigarette use despite severe lung disease
  • social instability and lack of permanent accommodation
  • unintended overdose in context of chronic drug abuse
Full text

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