Finding into death of Filippo Pignataro
Deceased
Filippo Pignataro
Demographics
52y, male
Date of death
2024-04-10
Finding date
2026-01-13
Cause of death
Pulmonary thromboembolism
AI-generated summary
A 52-year-old man with autism, intellectual disability, and multiple comorbidities died from pulmonary thromboembolism at home. He developed respiratory symptoms on 24 March, was managed in primary care with telehealth and face-to-face consultations, was hospitalised with bacterial pneumonia 31 March to 6 April, and collapsed on 10 April in cardiac arrest. Paramedics identified suspected pulmonary embolism but the patient resisted transport due to hospital phobia. Post-mortem confirmed bilateral pulmonary embolism. The coroner found medical care was appropriate. Clinicians should consider VTE risk stratification in immobilised patients recovering from respiratory illness, particularly those with reduced mobility or comorbidities, and document risk-benefit discussions when patients refuse recommended hospital care.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Clinical conditions
Contributing factors
- Recent hospitalization for bacterial pneumonia with associated immobility
- Multiple comorbidities including type 2 diabetes, hypertriglyceridemia, and intellectual disability
- Patient refusal of hospital transport due to hospital phobia
- Intellectual disability and autism affecting communication and cooperation with paramedics
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