Table 4 Changes in the death certificate by top five causes of death

Adults

Total (%)^a

Stroke

Acute myocardial infarction

Other cardiovascular diseases

Other digestive diseases

Chronic obstructive pulmonary disease

 Change necessary

45.5

52.3

45.5

44.3

46.8

41.8

 Change in diagnosis

16.2

9.7

15.6

9.2

18.2

10.5

 Change in sequence

29.4

42.5

30.0

35.1

28.6

31.4

Children

Total (%)^a

Pneumonia

Sepsis

Gastroenteritis and colitis

Encephalitis

Meningitis

 Change necessary

42.1

39.5

52.1

60.0

38.2

39.3

 Change in diagnosis

13.6

12.2

10.4

22.9

0

14.3

 Change in sequence

28.5

27.2

41.7

37.1

38.2

25