Swiss Re AG · SIX:SREN
Swiss Re — Investor Presentation (September 2021)
16 slides from Swiss Re's investor presentation, September 2021
Slide 1: Long-Term Effects of COVID-19: A Hospitalist Perspective
• Title Slide Headline Long-Term Effects of COVID-19 A Hospitalist Perspective Ashwani Bhatia MD, CPE, FACP, FABQAURP Expect the Best.® baycare.net
Slide 2: Introduction and Thanks
Introduction and Thanks Ashwani Bhatia, MD, CPE, FACP, FABQAURP Hospitalist and Chief Medical Officer of BayCare Clinic BayCare Clinic, LLP BayCare Clinic is the largest physician-owned specialty-care clinic in northeastern Wisconsin and Michigan’s Upper Peninsula. It is based in Green Bay, Wisconsi
Slide 3: Background and Stats
Background and Stats – COVID-19 Pandemic has, at some level, stressed, bent and broken the healthcare system – More than 83.1 million total infections in the US • US among the 5 countries with highest cumulative number of cases – More than 70.4 million symptomatic illnesses in the US – More than 4.1
Slide 4: Long-Term Effects and Implications
Long-Term Effects and Implications – Busy dealing with immediate effects of pandemic; have yet to focus attention on the future, and long-term effects of this pandemic illness – Much learned, but more to discover including how COVID affects human body – A systemic disease presenting treatment challe
Slide 5: Health Consequences
Health Consequences “Longer-ranging longitudinal observational studies and clinical trials will be critical to elucidate the…health consequences attributable to COVID-19 and how these may compare with other serious illnesses.” C. Del Rio, et al, 2020 Expect the Best.® baycare.net
Slide 6: Post-COVID Syndrome
Post-COVID Syndrome – Currently, no consensus definition of post-acute COVID • One study defines as presence of symptoms beyond 3 weeks from initial onset; chronic COVID-19 as extending beyond 12 weeks – Well recognized in patients recovering from serious illness, especially those who required hospi
Slide 7: Hospitalist Experience
Hospitalist Experience – Seeing long-term effects and complications related to: • Neurologic: from brain fog to extreme deficit, sensory defects • Cardiovascular: myocarditis, embolic disease, arrhythmias • Pulmonary: fibrosis, interstitial thickening, decreased lung function • Psychiatric: depressi
Slide 8: Readmissions
Readmissions Nearly 1 in 10 patients who were discharged after receiving inpatient care for COVID-19 in early 2020 were readmitted within two months. B. Kuehn, 2020 Expect the Best.® baycare.net
Slide 9: Hospital Readmission is Common Among COVID-19 Survivors
Hospital Readmission is Common Among COVID-19 Survivors CDC investigators reviewed data for 125,000+ patients with COVID who were hospitalized: — 15% of patients died during initial hospitalization — 9% of survivors were readmitted within 2 months — 1.6% of survivors were readmitted more than once —
Slide 10: ICU Patient Outcomes
ICU Patient Outcomes A systematic review and meta-analysis of observational studies of ICU outcomes in COVID patients showed: – In-ICU mortality ranged from 0 to 84.6% – Proportion of patients discharged from the ICU varied from 24.5% to 97.2% – Inpatients with completed ICU admissions, combined ICU
Slide 11: Side Effects of COVID on Non-COVID Patients
Side Effects of COVID on Non-COVID Patients – Delay in patients seeking care • Per physician survey on COVID impact, 72% of physicians indicated that COVID will have serious consequences for patient health in their communities because many patients delayed getting care they needed during the pandemi
Slide 12: Emotional Health and Well Being
Emotional Health and Well Being The Toll on Patients and the Workforce Percentage of COVID-19 Infection, Symptomatic Illness and Hospitalizations by Age Group: Age Group Infections Symptomatic Illness Hospitalizations 0-4 Years 4% 4% 1% 5-17 Years 18% 18% 2% 18-49 Years 50% 51% 26% 50-64 Years 17% 1
Slide 13: Burnout in the Workforce and Its Implications
Burnout in the Workforce and Its Implications – Occupational stress that leads to burnout for healthcare providers has been aggravated during COVID-19 – In a 2020 physician survey on the COVID impact: • 58% of physicians often have feelings of burnout, compared to 40% in 2018 • 13% of physicians hav
Slide 14: Overall Impact will be Huge
Overall Impact will be Huge – Disability’s (short- and long-term) effect on our healthy workforce – The healthcare resources required could be significant if we don’t act fast – It could again stress our healthcare system to the point that we don’t recover from it – Effects of physician and nursing
Slide 15: Solutions for the Future
Solutions for the Future – Vaccination to prevent the transmission and achieve herd immunity – Need strategy around multidisciplinary approach to patient care – Post-COVID clinics – Registry for high risk COVID-19 survivors – especially those with prolonged hospitalizations and ICU stay – Need care
Slide 16: Questions?
Conclusion Questions? Expect the Best.® baycare.net