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"direct cause of" is a grammatically correct phrase and can be used in written English.
It is typically used to indicate that something is the specific and immediate reason for a particular outcome or effect. Example: The heavy rain was the direct cause of the flooding in the city streets.
Exact(60)
And not, apparently, a direct cause of death.
He had recently contracted pneumonia, which was the direct cause of death.
Some Chinese are even pointing to the dam as a direct cause of the drought.
Some economists argue that it is the direct cause of the collapse of business investment in both countries.
It is Ms. Carter's contention that "there is no evidence that Blunt was the direct cause of any deaths".
Miami might not have been the direct cause of the moves.
In two-thirds, it was the direct cause of death, mostly in combination with other drugs.
While early pregnancy might rarely be a direct cause of maternal death, unsafe abortion most certainly is.
Asynchrony has rarely been cited as a direct cause of NIV immediate failure.
The direct cause of death is often described to be ventricular fibrillation.
The starting point is the immediate, or direct, cause of death (line 1).
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com