Coroner's Finding: Barry, Margaret Joan
Deceased
Margaret Joan Barry
Demographics
80y, female
Date of death
2019-04-24
Finding date
2021-11-23
Cause of death
Right haemothorax due to bleeding right pleural adhesion with contributing apixaban anticoagulant therapy for atrial fibrillation and aortic valve replacement
AI-generated summary
Margaret Joan Barry, 80, died from right haemothorax due to bleeding from a pleural adhesion while on apixaban anticoagulation therapy for atrial fibrillation. She was admitted to Royal Adelaide Hospital for psychiatric care under an Inpatient Treatment Order for mania following cessation of carbamazepine. On 24 April 2019, after slipping in the bathroom and experiencing dry retching, she developed massive intra-thoracic bleeding (1600ml) and died peacefully. The coroner found no concerns relating to her care. Her extreme fragility from multiple comorbidities (aortic valve replacement, pacemaker, immunoglobulin deficiency, Addison's disease, epilepsy) meant haemothorax could have occurred spontaneously even without the documented fall. The anticoagulation was appropriate and not criticised.
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Specialties
Drugs involved
Clinical conditions
Contributing factors
- apixaban anticoagulation therapy
- pleural adhesion between lower lobe of right lung and displaced healed fracture of seventh rib
- fall in bathroom
- dry retching
- advanced age and multiple comorbidities
- extreme fragility
Coroner's recommendations
- No recommendations made
Full text
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