Evidence map›Paper›PMID 40764985›Full record

ArticlePopulation health metrics2025

The spatiotemporal dynamics of COVID-19 in Europe: time-series clustering maps 5 distinct trajectories to spatial patterns.

Sarah Habershon, Kolja Nenoff, Guido Kraemer, Lennart Schüler, Heinrich Zozmann, Justin M Calabrese, Sabine Attinger, Miguel D Mahecha

Abstract read
In one paragraph

Article in Population health metrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sarah HabershonInstitute for Earth System Sciences and Remote Sensing, Talstraße 35, 04103, Leipzig, Germany. sarah.habershon@uni-leipzig.de.ORCID 0009-0006-5504-2445
Kolja NenoffInstitute for Earth System Sciences and Remote Sensing, Talstraße 35, 04103, Leipzig, Germany.ORCID 0009-0001-1773-0056
Guido KraemerInstitute for Earth System Sciences and Remote Sensing, Talstraße 35, 04103, Leipzig, Germany.ORCID 0000-0003-4865-5041
Lennart SchülerHelmholtz Centre for Environmental Research, Leipzig, Germany.ORCID 0000-0001-9362-1372
Heinrich ZozmannHelmholtz Centre for Environmental Research, Leipzig, Germany.ORCID 0000-0002-5642-7826
Justin M CalabreseCASUS - Center for Advanced Systems Understanding, Helmholtz-Zentrum Dresden-Rossendorf e.V. (HZDR), Dresden, Germany.ORCID 0000-0003-0575-6408
Sabine AttingerHelmholtz Centre for Environmental Research, Leipzig, Germany.ORCID 0000-0002-7798-7080
Miguel D MahechaInstitute for Earth System Sciences and Remote Sensing, Talstraße 35, 04103, Leipzig, Germany.ORCID 0000-0003-3031-613X

Funding

Helmholtz Centre for Environmental Research KA1-Co-10
6 · The paper itself

Abstract

The COVID-19 pandemic affected Europe unevenly, with surges in infections and deaths fluctuating across different regions and time periods. Hyper-localised hotspots and staggered timelines created intense, asynchronous waves of infections and deaths that distort country-level and cumulative data, obscuring the pandemic's spatiotemporal dynamics through aggregation. Despite extensive research comparing states and analysing subnational variance within individual countries, the detailed subnational and transnational dynamics of the COVID-19 pandemic across Europe as a whole have not been comprehensively described. Here we show that time-series clustering, applied to weekly excess mortality estimates for subnational NUTS3 administrative regions of 27 countries in Europe, identifies five distinct pandemic trajectories which map to spatial patterns. The trajectories comprise two subgroups, representing contrasting pandemic dynamics in eastern and western Europe. Western Europe exhibits concentric arrangements of mortality impact, with secondary and tertiary impact zones surrounding outbreak epicenters. Eastern Europe exhibits internally homogeneous spatial dynamics, possibly due to the deferral of the first major mortality wave.

Indexed as

COVID-19PandemicsCluster AnalysisEuropeHumansSARS-CoV-2Spatio-Temporal Analysis

Identifiers

PMID40764985
PMCPMC12326819

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.