The way in which we code deaths in our country is very generous in the sense that all the people who die in hospitals with the coronavirus are deemed to be dying of the coronavirus […] On re-evaluation by the National Institute of Health, only 12 per cent of death certificates have shown a direct causality from coronavirus, while 88 per cent of patients who have died have at least one pre-morbidity – many had two or three,
https://www.epicentro.iss.it/coronavirus/bollettino/Report-COVID-2019_20_marzo_eng.pdf
Commentary from Off-Guardian:
Italian death toll figures could have been artificially inflated by up to 88%. If true, this would mean the total number of Italians who have actually died of Covid19 could be as low as ~700. Which would bring Italy, currently a statistical outlier in terms of Covid19 fatalities, well in line with the rest of the world.