Coroner's Finding: Hohol, Peter
Deceased
Peter Hohol
Demographics
68y, male
Date of death
2019-08-23
Finding date
2022-03-30
Cause of death
decompensated heart failure with pulmonary hypertensive crisis complicated by pneumonia on a background of ischaemic and dilated cardiomyopathy
AI-generated summary
Peter Hohol, a 68-year-old prisoner with significant cardiac comorbidities including ischaemic and dilated cardiomyopathy, died from decompensated heart failure with pulmonary hypertensive crisis complicated by pneumonia. He was incarcerated for 9 months and experienced rapid deterioration in his final days before emergency transfer to hospital. Key clinical issues identified were: (1) unavailability of his CPAP machine despite documented obstructive sleep apnoea requiring it in the community; (2) mobility barriers limiting access to the prison health centre. However, the coroner found no causal link between these factors and his death, noting he received appropriate medical assessment and timely emergency transfer. The coroner determined his care was adequate and likely exceeded community standards.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Clinical conditions
Contributing factors
- ischaemic and dilated cardiomyopathy
- obstructive sleep apnoea without CPAP machine access
- moderate renal impairment due to diabetes
- significant obesity
- hypertension
- chronic obstructive airways disease
- mobility impairment limiting health centre access
- poor mobility requiring walker assistance
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