Italy didn’t change its definition of COVID-19 deaths; the disease killed more than 130,000 Italians
The underlying cause of death is a medical event that triggers a chain of clinical reactions that leads to the death of a patient. Pre-existing medical conditions may weaken a patient’s resistance to diseases, but they aren’t the cause of death. Deaths are attributed to COVID-19 if the patient had a SARS-CoV-2 infection and the clinical circumstances of the death are compatible with the disease. Even though most Italian COVID-19 deceased patients had pre-existing conditions, COVID-19 is responsible for their demise.