Lirka (asker) Sep 3, 2010:

MMUlr, please post 'associated with'. I used it and want to award points.

NKW (X) Aug 28, 2010:

I usually translate 'bei' as 'in the context of' in this particular context.

Rosa Paredes Aug 28, 2010:

@asker Your own attempt is absolutely correct.
I've just finished with one such report and yes 'bei' is always a bit tricky, specially here where you have it twice.

British Diana Aug 28, 2010:

@MMUlr Danke, MMUlr, so habe ich es mir gedacht, aber "bei" ist halt nicht immer eindeutig.

MMUlr Aug 28, 2010:

The first "bei" Lirka, to me your DE translation is quite suitable ... reflecting the chain of events leading to death. - For the first "bei" you may use IMO also "associated with" (associated with is rather often in German "geht einher mit ..." or "im Zusammenhang mit", or simply "bei"; nice German for that is also: "auf dem Boden einer Aspirationspneumonie" :-) ).

IMO the order of events was:
1) stroke; in this condition the patient had an aspiration (of fluid, food ...), this resulted 2) in an aspiration pneumonia. Primarily because of this pneumonia (and the overall severe medical condition) he/she developed a 3) respiratory failure.

British Diana Aug 28, 2010:

The second "bei" lirka, your English rendering indicates that first there was the stroke, this led to the pneumonia, this in turn to the respiratory failure and this caused the death, so a kind of chain reaction. Is that right? Or does the second "bei" perhaps only indicate that the pneumonia was a "Begleitumstand" not strictly speaking a cause? What do the experts say?

David Hollywood Aug 28, 2010:

yours is a very good rendering :)

RegineMac Aug 28, 2010:

I would absolutely agree with your attempt. This is the same exact wording I would have used.

Lirka (asker) Aug 27, 2010:

sorry about the typo: respiratorischer :)