Deceased
Lucio Chiussi
Demographics
89y, male
Coroner
Coroner Leveasque Peterson
Date of death
2020-09-14
Finding date
2022-11-23
Cause of death
septicaemia due to infected groin wound, femoropopliteal bypass in a man with multiple co-morbidities, with contributing factor decubitus ulcer, diabetes mellitus, ischaemic heart disease
AI-generated summary
An 89-year-old man with multiple comorbidities (diabetes, peripheral vascular disease, heart failure) developed a groin wound infection following femoropopliteal bypass surgery while residing in aged care. The wound deteriorated rapidly from bruising on 8 September to a purulent abscess by 13 September 2020. While the aged care facility's GP prescribed antibiotics and antifungal cream, the Aged Care Quality and Safety Commission found that specialist wound consultant review should have been sought on 11-12 September when the wound suddenly worsened to a 1cm deep blister. The patient was admitted to hospital on 13 September with sepsis and died the following day. The coroner found the death may have been preventable with earlier specialist assessment and intervention. The facility subsequently implemented comprehensive wound management and clinical deterioration training for all staff.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
Procedures
87y · Female·Complications of head injuries and left proximal femur fracture sustained in a f…
An 87-year-old woman with Parkinson's disease sustained an unwitnessed fall at a residential aged care facility, resulting in head injuries and a hip fracture. Critical clinical lessons emerged: (1) neurological observat…
90y · Female·Right acute on chronic subdural haematoma sustained in a fall in the setting of …
A 90-year-old woman on warfarin for atrial fibrillation suffered an unwitnessed fall with head strike at an aged care facility. She presented to hospital where a small subdural haemorrhage was not detected on initial CT …
78y · Female·Bronchopneumonia
CFT, a 78-year-old woman with chronic schizophrenia, intellectual disability, and dementia, died of bronchopneumonia with hypothermia and coronary atherosclerosis. She lived with her nephew RDS who was her carer. Multipl…
Source and disclaimer
This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.
Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.
Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.