Coronial
VIChospital2021-12-10

Finding into death of Ronald Jelbert

90y · Male·Sepsis in the setting of cachexia in a man with multiple comorbidities

…he rapidly declined and was transitioned to palliative care. He died on 29 December 2019 from sepsis with cachexia. The coroner found his medical care reasonable with no causal connection between his care and death. The …

emergency medicinegeneral medicine
VIC2017-06-27

Finding into death of Lynette Dawn Smith

64y · Female·Complications of cachexia and aspiration pneumonia on a background of cerebral p…

Lynette Dawn Smith, a 64-year-old woman with cerebral palsy, died from complications of cachexia and aspiration pneumonia. She was admitted to hospital with decreased oral intake and presumed aspiration…

gastroenterologydieteticsantibiotics
SAhospital2004-05-19

Coroner's Finding: WOZNIAKOWSKI Andrzej

83y · Male·inanition with lobar pneumonia

…athology and psychiatric input. Despite these efforts, his condition deteriorated rapidly due to advanced cachexia and he developed lobar pneumonia as a terminal event. The coroner found no grounds for criticism of any c…

emergency medicinepsychiatry
QLDhospital2008-11-05

Deceased prisoner

85y · Male·Cachexia due to esophagitis due to HIV infection

An 85-year-old prisoner with long-standing HIV infection died from cachexia due to esophagitis while receiving palliative care at a hospital secure unit. He had been admitted with f…

infectious diseasespalliative careantiretroviral medication
TAShospital2022-11-30

Coroner's Finding: Hughes, Ellis Newton

83y · Male·aspiration pneumonia

…from natural causes precipitated by the fall, surgery, and underlying advanced cancer causing frailty and cachexia.

orthopaedic surgeryemergency medicine
VIChospital2015-09-03

Finding into death of James Donohoe

59y · Male·Combined effects of acute on chronic pneumonia and pulmonary thromboembolism

…nction. During his final admission, recurrent aspiration despite naso-gastric feeding, hypernatremia, and cachexia complicated his course. The coroner found no evidence of substandard care. Clinical lessons include recog…

respiratory medicinegeriatric medicine
VIChospital2014-11-26

Finding into death of Ming Shan Yuan

88y · Male·Tuberculous pneumonia in the setting of multiple rib fractures, osteoporosis and…

Ming Shan Yuan, an 88-year-old man with osteoporosis and cachexia, died from tuberculosis pneumonia precipitated by multiple rib fractures. He suffered elder abuse and neg…

emergency medicinegeriatric medicinediagnosticdelayantibiotics
VIChospital2011-04-04

Finding into death of Michael Metcalfe

56y · Male·Hepatorenal syndrome from end-stage liver disease (multifocal hepatocellular car…

Michael Metcalfe, a 56-year-old male prisoner with end-stage liver disease from hepatitis C cirrhosis and hepatocellular carcinoma, died from hepatorenal syndrome while in custody. He was transferred between prison facil…

palliative carehepatology
NThospital2024

Inquest into the death of Road Death 32 of 2024

78y · Female·Blunt force chest injuries from motor vehicle crash, compounded by chronic obstr…

…ed by significant underlying medical conditions: chronic obstructive pulmonary disease, malnutrition with cachexia, and frailty. She was admitted to Royal Darwin Hospital for palliative care and died 3 days post-injury. …

emergency medicineintensive care
SAaged care2016-08-22

Coroner's Finding: SCHULZ Bertha Anna

89y · Female·Multiple organ failure with cachexia on a background of chronic lower limb ulcer…

An 89-year-old woman with chronic venous leg ulcers complicated by squamous cell carcinoma died of multiple organ failure in a nursing home. She had been under guardianship following hospitalization in January 2013 for d…

geriatric medicinegeneral medicine
TAShospital2023-02-20

Coroner's Finding: de-identified RI

68y · Male·community-acquired pneumonia in a setting of advanced centriacinar emphysema, al…

… chronic liver disease from alcohol misuse, and severe malnutrition. He presented with syncopal episodes, cachexia, and metabolic derangement. Critical clinical lessons include: (1) documentation of prior splenectomy was…

general medicinegeneral practicediagnosticcommunicationparacetamol
SAhospital2011-12-02

Coroner's Finding: BINCH Joyce

82y · Female·acute pyelonephritis complicating base of bladder malignancy

…fection, anaemia, acute renal failure, and acute exacerbation of schizophrenia. Significant malnutrition (cachexia, 29kg at autopsy) and weight loss complicated her course. The coroner found psychiatric detention was law…

psychiatrygeneral medicinerisperidone
VIChospital2015-05-11

Finding into death of Stewart Neil Padgham

57y · Male·aspiration pneumonia in an intellectually disabled man

Stewart Padgham, a 57-year-old man with severe intellectual disability, epilepsy, and multiple comorbidities, died from aspiration pneumonia. He presented with vomiting, difficulty swallowing, and respiratory symptoms on…

emergency medicinerespiratory medicinemorphine
VIChome2020-01-14

Finding into death of H B

8y · Female·Aspiration pneumonia in a child with an epileptic encephalopathy and extreme cac…

HB, age 8 years 10 months, died from aspiration pneumonia with extreme cachexia (BMI 7). She had severe cerebral palsy, epilepsy (Lennox-Gastaut syndrome), and was entirely dependent on…

paediatricsneurologydiagnosticdelaylevetiracetam
NSWhospital2017-07-06

Inquest into the death of Kerry Forrest

56y · Female·Complications of cervical cancer

Kerry Forrest, aged 56, died in custody on 26 January 2016 from complications of advanced cervical cancer. She was serving a 25-year sentence after being diagnosed with terminal cervical cancer in 2012, prior to sentenci…

palliative careoncology
NSWmental health2020-02-07

Inquest into the death of Chella Leijten

57y · Female·metastatic lung carcinoma

Chella Leijten, aged 57, died from metastatic lung carcinoma on 21 March 2018 while an involuntary patient in a palliative care unit. She had longstanding schizoaffective disorder requiring repeated psychiatric admission…

psychiatrypalliative care
SAhospital2015-08-13

Coroner's Finding: DICKERSON Alexander Charles

79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…

A 79-year-old man died from multi-organ failure secondary to voluntary starvation in the context of severe depression following his wife's death. He was admitted after police found him malnourished following 30 days of i…

psychiatrygeneral medicine
QLDhospital2012-12-19

Evans, William Alfred

78y · Male·Acute renal failure due to metastatic malignancy (primary site unknown)

William Alfred Evans, aged 78, died of acute renal failure secondary to metastatic malignancy while in custody at Princess Alexandra Hospital Secure Unit. He had been diagnosed with advanced dementia and prostate cancer.…

geriatric medicinenephrology
QLDaged care2018-12-14

Hamilton, Stella

72y · Female·undetermined

Stella Hamilton, 72, died at Ozcare Malanda aged care facility on 31 July 2016. She had advanced Alzheimer disease, undiagnosed necrotising bronchopneumonia, and coronary atherosclerosis. She was receiving palliative car…

geriatric medicinepalliative caresystemmorphine
VIChospital2026-02-12

Finding into death of Kristy Ann Mitchener

45y · Female·Complications of sepsis secondary to sacral pressure wound in a woman with genet…

Kristy Ann Mitchener, a 45-year-old woman with severe intellectual disability, genetic developmental and epileptic encephalopathy, and oesophageal dysmotility, died from sepsis secondary to a sacral pressure ulcer despit…

general practiceemergency medicinesystemcommunicationantibiotics

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