Death by Choking or Dysphagia: A Review of Coronial Findings (Australia and Canada): A Picture of Preventable Death, Non-adherence to Written Recommendations, and Lack of Appropriate Supervision.

McCarthy, S; Hemsley, B; Given, F; Williams, H; Balandin, S

Death by Choking or Dysphagia: A Review of Coronial Findings (Australia and Canada): A Picture of Preventable Death, Non-adherence to Written Recommendations, and Lack of Appropriate Supervision.

McCarthy, S Hemsley, B

Given, F Williams, H Balandin, S

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Publication Type:: Journal Article
Citation:: J Law Med, 2022, 29, (2), pp. 400-405
Issue Date:: 2022-06

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	Submission JLM Coroner Reports Dysphagia 20th Sept 2021.docx	Accepted version	56.08 kB	Unknown	View/Open
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Field	Value	Language
dc.contributor.author	McCarthy, S
dc.contributor.author	Hemsley, B https://orcid.org/0000-0002-6255-3140
dc.contributor.author	Given, F
dc.contributor.author	Williams, H
dc.contributor.author	Balandin, S
dc.date.accessioned	2022-07-30T23:01:06Z
dc.date.available	2022-07-30T23:01:06Z
dc.date.issued	2022-06
dc.identifier.citation	J Law Med, 2022, 29, (2), pp. 400-405
dc.identifier.issn	1320-159X
dc.identifier.uri	http://hdl.handle.net/10453/159398
dc.description.abstract	Choking and aspiration pneumonia are a leading cause of preventable death for people in residential care in Australia. In Victoria, in 2018-2019, 59% of deaths of persons in residential care that were referred to the coroner were from aspiration pneumonia. In 2016-2017, in New South Wales, the leading cause of death in people with disability living in residential care was pneumonitis caused by solids and fluids in the lungs. Such deaths are closely linked with swallowing problems (dysphagia) and people with cognitive impairments and multiple health issues, including mental health issues, are most at risk. This commentary focuses on coronial inquests where coroners' findings have identified dysphagia or aspiration pneumonia as a cause of death or a contributor to a person's death. It also includes a summary of the recommendations by coroners which highlight processes that should be implemented to improve the safety of people with dysphagia.
dc.format	Print
dc.language	eng
dc.relation	National Disability Insurance AgencyNDIS
dc.relation	Department of Health and Human Services VictoriaNot Applicable
dc.relation.ispartof	J Law Med
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 18 Law and Legal Studies, 22 Philosophy and Religious Studies
dc.subject.mesh	Airway Obstruction
dc.subject.mesh	Cause of Death
dc.subject.mesh	Deglutition Disorders
dc.subject.mesh	Humans
dc.subject.mesh	Pneumonia, Aspiration
dc.subject.mesh	Victoria
dc.title	Death by Choking or Dysphagia: A Review of Coronial Findings (Australia and Canada): A Picture of Preventable Death, Non-adherence to Written Recommendations, and Lack of Appropriate Supervision.
dc.type	Journal Article
utslib.citation.volume	29
utslib.location.activity	Australia
utslib.for	11 Medical and Health Sciences
utslib.for	18 Law and Legal Studies
utslib.for	22 Philosophy and Religious Studies
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Speech Pathology
utslib.copyright.status	closed_access	*
dc.date.updated	2022-07-30T23:01:04Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	29
utslib.citation.issue	2

Abstract:

Choking and aspiration pneumonia are a leading cause of preventable death for people in residential care in Australia. In Victoria, in 2018-2019, 59% of deaths of persons in residential care that were referred to the coroner were from aspiration pneumonia. In 2016-2017, in New South Wales, the leading cause of death in people with disability living in residential care was pneumonitis caused by solids and fluids in the lungs. Such deaths are closely linked with swallowing problems (dysphagia) and people with cognitive impairments and multiple health issues, including mental health issues, are most at risk. This commentary focuses on coronial inquests where coroners' findings have identified dysphagia or aspiration pneumonia as a cause of death or a contributor to a person's death. It also includes a summary of the recommendations by coroners which highlight processes that should be implemented to improve the safety of people with dysphagia.

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http://hdl.handle.net/10453/159398