Investigation and inquest
On 30/03/2021 I commenced an investigation into the death of Diana Iris Joan Reay, aged 79. The investigation concluded at the end of the inquest on 31st August 2021. The conclusion of the inquest was Diana Iris Joan Reay passed away on the 11 March 2021 at the Royal Stoke University Hospital, Stoke-on-Trent from an acute kidney injury. This was caused by sepsis and community acquired pneumonia.
The Medical Cause of death was found to be:
1a) Acute kidney injury.
1b) Sepsis.
1c) Community acquired pneumonia.
II) Fasciocscapulohumeral dystrophy
Circumstances of the death
The circumstances of the death are that Diana Reay was transferred from the County Hospital to the Royal Stoke University Hospital, Stoke-on-Trent on the 17 February 2021. Whilst she was being treated in hospital she was diagnosed with community acquired pneumonia. This led to sepsis and an acute kidney injury. She passed away on the 11 March 2021.
Coroner’s concerns
(1) Numerous doctors failed to interpret the scans that Diana Reay had correctly. It was accepted that they were wrongly interpreted so that a fluid filled cyst was mistaken for a full bladder. This resulted in numerous re-catheterisations of Mrs Reay when this was un-necessary.