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Br J Gen Pract. 2009 Oct;59(567):761-4. doi: 10.3399/bjgp09X472656.

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

Author information

1
Department of General Practice, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre, The Netherlands. j.cals@hag.unimaas.nl

Abstract

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.

PMID:
19843422
PMCID:
PMC2751918
DOI:
10.3399/bjgp09X472656
[Indexed for MEDLINE]
Free PMC Article
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