Coronial
VICother

Finding into death of Maahi Tukapua

Deceased

Maahi Tukapua

Demographics

73y, male

Coroner

Coroner Catherine Fitzgerald

Date of death

2021-08-26

Finding date

2024-02-12

Cause of death

Acute on chronic renal failure and multi-factorial encephalopathy in a man with cirrhosis and dilated cardiomyopathy (palliated)

AI-generated summary

A 73-year-old man with significant comorbidities (cirrhosis, dilated cardiomyopathy, chronic kidney disease) died in prison from acute-on-chronic renal failure, hepatic encephalopathy, and multiorgan failure. He was initially reluctant to engage with hospital treatment due to concerns about handcuffing during appointments. Following initial conservative management, he was admitted to hospital twice in July 2021 for acute decompensation. He was then transferred to prison palliative care where he declined further investigations and opted for comfort measures only. The coroner found no issues with medical management during custody. Death was from natural causes with appropriate end-of-life care planning.

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

Specialties

cardiologynephrologyhepatologypalliative careforensic medicinecorrectional health

Drugs involved

morphinefluticasone furoatevilanterolcarvedilolfurosemidespironolactoneinsulin glargineglicazidemetforminlinagliptinallopurinolcolchicinerosuvastatinesomeprazolealbuterol

Clinical conditions

acute on chronic renal failurehepatic encephalopathycirrhosisdilated cardiomyopathybiventricular congestive cardiac failurechronic kidney diseaseischaemic heart diseasetype II diabeteshypertensionhyperkalaemiagastro-oesophageal reflux diseasegout

Procedures

electrocardiogrampacemaker insertionpost-mortem CT scanlaser eye procedure

Contributing factors

  • chronic kidney disease with declining renal function
  • liver cirrhosis
  • dilated cardiomyopathy with biventricular failure
  • hyperkalaemia
  • multiorgan failure
  • hepatic encephalopathy
Full text

Source and disclaimer

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