Focus of item | Percentage agreeing with item as worded | |||
Round 1 | Round 2 | Round 3 | Round 4 | |
(n=62) | (n=53) | (n=56) | (n=51) | |
Pulse rate (wording of item) | 73 | 70 | 88 | |
Cut-off values for each category | 71 | 77 | 84 | |
Temperature (wording) | 58 | 75 | 89 | |
Cut-off values | 55 | 81 | 89 | |
Duration of temperature* (wording) | 58 | 63 | ||
Cut-off values | 76 | |||
Symptoms of fever (eg, chills, shivers) | 29 | 75 | 91 | |
Cut-off values | 63 | 87 | 95 | |
Respiratory rate (wording) | 61 | 85 | 84 | |
Cut-off values | 76 | 85 | 91 | |
Shortness of breath (wording) | 39 | 75 | 79 | |
Cut-off values | 44 | 79 | 93 | |
Trajectory of breathlessness | 73 | |||
Cut-off values | 67 | |||
Oxygen saturation level | 65 | 79 | 80 | |
Cut-off values | 65 | 85 | 82 | |
Oxygen saturation level after exercise | – | 68 | 75 | |
Cut-off values | 85 | 91 | ||
Clinical suspicion of hypoxia | 47 | |||
Cut-off values | 55 | |||
Tiredness (wording) | 42 | 83 | 88 | |
Cut-off values | 73 | 89 | 84 | |
Muscle pains or aches | 66 | – | 64 | 82 |
Cut-off values | 47 | – | 79 | |
Risk factors (comorbidities) | 53 | 57 | 86 | |
Cut-off values | 82 | |||
Risk factors (demographic, eg, age, ethnicity) | 77 | |||
86 | ||||
Indicators of shock (including conscious level, new confusion†, low or no urine output, cold and clammy, mottled skin) | 61 | 64 | Moved to ‘red flag’ box to align with national guidance | – |
Other red flag symptoms, for example, central chest pain | 73 | 34 | ||
Clinical concern | 74 | 77 | 86 |
*‘Duration of temperature’ was changed to ‘duration of symptoms’ after focus group discussion, with 8 days seen as the cut-off for clinical concern.
†New confusion was subsequently proposed as a separate RECAP item by focus group participants, who did not agree that it should be an automatic ‘red flag’ sign.
RECAP, remote COVID-19 assessment in primary care.