Table 1

Relations between differing final main conditions and original underlying causes of death

Examples
RelationFinal main conditionOriginal underlying cause of deathExplainable by differences in ICD definitions and selection procedures?
(a) Final main condition a probable complication of the original underlying cause of deathPneumoniaPneumoconiosisYes
(b) Symptomatic final main conditionAbdominal painRuptured ulcer of duodenumYes
(c) Final main condition not a probable complication of the original underlying cause of death:
    supervening conditionCoronary diseaseSuicideYes
    unexpected necropsy findingPerforated appendicitis with rupture (clinical investigation)Sigmoid diverticulosis with rupture (necropsy result)Yes
    “competing” causesAcute cholecystitis (surgery)ArteriosclerosisMay be—More probably legitimately different the longer the interval between discharge and death
    original underlying cause of death a probable complication of the final main conditionMalignant neoplasm of breastPneumoniaNo