Abstract
Delayed presentation of COVID-19 pneumonia leads to higher mortality and greater use of healthcare resources. Early identification of progressive COVID-19 cases saves lives, reduces the pressure on healthcare services, and facilitates the easing of social restrictions. To improve the earlier detection of COVID-19 pneumonia in the community we provide a narrative review of current evidence examining the clinical parameters associated with disease progression. We explore the symptoms that may suggest COVID-19 progression; the timing of deterioration; the utility of basic observations; the value of post-exertion oxygen saturations, and the use of CRP to monitor disease progression. We go on to provide recommendations for monitoring the COVID-19 patient in the community and discuss thresholds for further assessment.
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