Unascertained - natural causes. Cardiac arrest with secondary hypoxic-ischaemic encephalopathy, liver failure, kidney failure and coagulopathy.
AI-generated summary
A 63-year-old man with bipolar affective disorder, obstructive sleep apnoea, prostatic hyperplasia, and emphysema was admitted involuntarily to Northern Hospital on 24 March 2024 after exhibiting delirium and mania with medication non-compliance. He was assessed as high risk and managed under Mental Health Act orders. Despite reasonable and appropriate care including psychiatric reviews, a CT brain scan, and septic screen, he suffered unexplained cardiac arrest on 29 March 2024 while on the inpatient unit. Autopsy revealed hypoxic-ischaemic encephalopathy secondary to cardiac arrest but could not definitively establish the cause of arrest, despite finding some natural disease including coronary artery stenosis, cardiac valve fenestrations, and bronchopneumonia. The coroner found the cause of death unascertained but natural, and concluded the hospital care was reasonable with no preventable opportunities identified.
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