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Background <p>Health authorities are responsible for tasks relating to post-mortem examinations and notifiable diseases. Through mandatory reporting requirements Covid-19-related deaths are recorded nationwide. However, there is still no analysis of the causality of the cause of death (death “from” or “with” COVID-19).</p> Method <p>The death certificates of all persons who died in Munich between 17 March 2020, and 31 May 2023, were reviewed. For the COVID-aSf cases identified the corresponding autopsy certificates and reports were analyzed. After standardized entry, the data were anonymized and evaluated descriptively.</p> Results <p>During the study period 48,125 people died of whom 3502 (7.3%) were COVID-aSf: Of these, 182 (5.2%) underwent autopsy. The average age at death was 67.7 years, with males predominating (113 cases, 62.1%). During the medical examination of the body prior to autopsy COVID-19 was assessed as the cause of death in 138 cases (75.8%). In 132 autopsies (72.6%) a&#xa0;fatal COVID-19 illness was identified (death “from” COVID-19); however, according to the autopsy COVID-19 was the sole cause of death in only 101 cases (55.5%). The concordance rate between postmortem examinations and autopsies was 54.3%.</p> Discussion <p>For the first time, a&#xa0;comprehensive survey has provided valid data on the cause of death from COVID-19 and the rate of agreement between post-mortem examinations and autopsies in COVID-aSf cases in a&#xa0;major German city. The results show the great importance of health authorities and their cooperation with pathology and forensic medicine: firstly, for improving the quality of post-mortem examinations and cause of death statistics and secondly, for the scientific analysis of the COVID-19 pandemic.</p>

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Tod „an“ oder „mit“ COVID-19? Die Rolle des Öffentlichen Gesundheitsdienstes bei der Differenzierung pandemieassoziierter COVID-19-Sterbefälle in München

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月8日

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  • S. Gleich,
  • D. Wohlrab,
  • G. Weirich,
  • M. Graw,
  • B. Schäffer

摘要

Background

Health authorities are responsible for tasks relating to post-mortem examinations and notifiable diseases. Through mandatory reporting requirements Covid-19-related deaths are recorded nationwide. However, there is still no analysis of the causality of the cause of death (death “from” or “with” COVID-19).

Method

The death certificates of all persons who died in Munich between 17 March 2020, and 31 May 2023, were reviewed. For the COVID-aSf cases identified the corresponding autopsy certificates and reports were analyzed. After standardized entry, the data were anonymized and evaluated descriptively.

Results

During the study period 48,125 people died of whom 3502 (7.3%) were COVID-aSf: Of these, 182 (5.2%) underwent autopsy. The average age at death was 67.7 years, with males predominating (113 cases, 62.1%). During the medical examination of the body prior to autopsy COVID-19 was assessed as the cause of death in 138 cases (75.8%). In 132 autopsies (72.6%) a fatal COVID-19 illness was identified (death “from” COVID-19); however, according to the autopsy COVID-19 was the sole cause of death in only 101 cases (55.5%). The concordance rate between postmortem examinations and autopsies was 54.3%.

Discussion

For the first time, a comprehensive survey has provided valid data on the cause of death from COVID-19 and the rate of agreement between post-mortem examinations and autopsies in COVID-aSf cases in a major German city. The results show the great importance of health authorities and their cooperation with pathology and forensic medicine: firstly, for improving the quality of post-mortem examinations and cause of death statistics and secondly, for the scientific analysis of the COVID-19 pandemic.