What items should be included in an early warning score for remote assessment of suspected COVID-19? qualitative and Delphi study.

ABSTRACT:

Background

To develop items for an early warning score (RECAP: REmote COVID-19 Assessment in Primary Care) for patients with suspected COVID-19 who need escalation to next level of care.

Methods

The study was based in UK primary healthcare. The mixed-methods design included rapid review, Delphi panel, interviews, focus groups and software development. Participants were 112 primary care clinicians and 50 patients recovered from COVID-19, recruited through social media, patient groups and snowballing. Using rapid literature review, we identified signs and symptoms which are commoner in severe COVID-19. Building a preliminary set of items from these, we ran four rounds of an online Delphi panel with 72 clinicians, the last incorporating fictional vignettes, collating data on R

SUBMITTER: Greenhalgh T 

PROVIDER: S-EPMC7662139 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature