Predictors of patient-initiated reconsultation for lower respiratory tract infections in general practice.

Journal article

Reconsultation for lower respiratory tract infection (LRTI) is common in general practice, but those who reconsult rarely have more significant illness warranting antibiotics. Knowledge of factors that predict patient-initiated reconsultation may allow clinicians to address specific issues during the initial consultation that could reduce reconsultations. Thirty-three per cent of a cohort of 431 LRTI patients in a randomised controlled trial reconsulted. Excluding 35 patients with GP-requested reconsultation left 28% (112/396) with a patient-initiated reconsultation during 28-day follow-up. Patient-reported dyspnoea and concerns that persisted after the initial consultation independently predicted patient-initiated reconsultation.

Authors: Cals, J; Hood, K; Aaftink, N; Hopstaken, R; Francis, N

• Publication status: Published
• Journal: British journal of general practice : the journal of the Royal College of General Practitioners
• Volume: 59
• Issue: 567
• Pages: 761-764
• Publication date: 2009-10-01
• DOI: 10.3399/bjgp09x472656
• EISSN: 1478-5242
• ISSN: 0960-1643
• Language: English
• Keywords: Cohort Studies; Humans; Middle Aged; Female; Family Practice; Physician's Practice Patterns; Aged; Multivariate Analysis; Recurrence; C-Reactive Protein; Patient Acceptance of Health Care; Randomized Controlled Trials as Topic; Respiratory Tract Infections; Drug Prescriptions; Anti-Bacterial Agents; Male; Point-of-Care Systems