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Background <p>All deaths related to COVID-19 under the jurisdiction of German health authorities are to be reported to the Robert Koch Institute.</p> Objectives <p>The aim of this study was to determine whether all reportable COVID-19 deaths with positive SARS-CoV‑2 detection and Hamburg jurisdiction for the period from March&#xa0;1, 2020, to December&#xa0;31, 2021, were transmitted to the state health authority and, thus, to the Robert Koch Institute. In addition, the study aims to examine which variables influenced the reporting to the responsible state authority.</p> Materials and methods <p>Notifiable COVID-19 deaths in Hamburg were identified using death certificates, as well as data from the Public Health Authorities and the Institute of Legal Medicine in Hamburg. The influence of various sociodemographic and institutional variables on the final result of the transmission of a&#xa0;reportable COVID-19 death to the competent state authority was analyzed using logistic regression.</p> Results and discussion <p>2237 reportable COVID-19 deaths with positive SARS-CoV‑2 detection were included in the study. 90.3% (95% CI: 88.9–91.4) of the reportable COVID-19 deaths in this study were correctly reported to the responsible state authority. Various medical, institutional and sociodemographic variables were associated with the likelihood of reporting.</p> Conclusions <p>Between March&#xa0;1, 2020, and December&#xa0;31, 2021, not all notifiable COVID-19 deaths were transmitted to the competent state authority. Reporting standards and processes should be standardized and digitized in order to achieve complete reporting results for future pandemics.</p>

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Die Übersehenen der Pandemie: Eine retrospektive populationsbasierte Datenanalyse der COVID-19-Pandemie aus Hamburg

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月26日

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  • I. Becker,
  • K. Püschel,
  • F. Stallbaum,
  • B. Ondruschka,
  • F. Heinrich

摘要

Background

All deaths related to COVID-19 under the jurisdiction of German health authorities are to be reported to the Robert Koch Institute.

Objectives

The aim of this study was to determine whether all reportable COVID-19 deaths with positive SARS-CoV‑2 detection and Hamburg jurisdiction for the period from March 1, 2020, to December 31, 2021, were transmitted to the state health authority and, thus, to the Robert Koch Institute. In addition, the study aims to examine which variables influenced the reporting to the responsible state authority.

Materials and methods

Notifiable COVID-19 deaths in Hamburg were identified using death certificates, as well as data from the Public Health Authorities and the Institute of Legal Medicine in Hamburg. The influence of various sociodemographic and institutional variables on the final result of the transmission of a reportable COVID-19 death to the competent state authority was analyzed using logistic regression.

Results and discussion

2237 reportable COVID-19 deaths with positive SARS-CoV‑2 detection were included in the study. 90.3% (95% CI: 88.9–91.4) of the reportable COVID-19 deaths in this study were correctly reported to the responsible state authority. Various medical, institutional and sociodemographic variables were associated with the likelihood of reporting.

Conclusions

Between March 1, 2020, and December 31, 2021, not all notifiable COVID-19 deaths were transmitted to the competent state authority. Reporting standards and processes should be standardized and digitized in order to achieve complete reporting results for future pandemics.