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

Predictors of patient-initiated reconsultation for lower respiratory tract infections in general practice
Predictors of patient-initiated reconsultation for lower respiratory tract infections in general practice
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.
communication, family practice, respiratory tract infections
761-764
Cals, Jochen W. L.
ec7f8605-c306-4ce0-a833-a290c963c1cf
Hood, Kerenza
af7cf839-ca85-4ea9-83c3-3dd31be88b32
Aaftink, Nienke
24a6970f-d1f3-45b1-9c91-0cdf1ba9082f
Hopstaken, Rogier M.
de6b4144-f13f-4e2b-a40f-999a383ff6e2
Francis, Nicholas Andrew
9b610883-605c-4fee-871d-defaa86ccf8e
Dinant, Geert-Jan
7d19eddd-8d85-4095-a68a-07e6babfb84e
Butler, Christopher Collett
d2f9102c-54c2-4570-be4e-32324c8c8f1d
Cals, Jochen W. L.
ec7f8605-c306-4ce0-a833-a290c963c1cf
Hood, Kerenza
af7cf839-ca85-4ea9-83c3-3dd31be88b32
Aaftink, Nienke
24a6970f-d1f3-45b1-9c91-0cdf1ba9082f
Hopstaken, Rogier M.
de6b4144-f13f-4e2b-a40f-999a383ff6e2
Francis, Nicholas Andrew
9b610883-605c-4fee-871d-defaa86ccf8e
Dinant, Geert-Jan
7d19eddd-8d85-4095-a68a-07e6babfb84e
Butler, Christopher Collett
d2f9102c-54c2-4570-be4e-32324c8c8f1d

Cals, Jochen W. L., Hood, Kerenza, Aaftink, Nienke, Hopstaken, Rogier M., Francis, Nicholas Andrew, Dinant, Geert-Jan and Butler, Christopher Collett (2009) Predictors of patient-initiated reconsultation for lower respiratory tract infections in general practice. British Journal of General Practice, 59 (567), 761-764. (doi:10.3399/bjgp09X472656).

Record type: Article

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.

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More information

Published date: 1 October 2009
Keywords: communication, family practice, respiratory tract infections

Identifiers

Local EPrints ID: 436267
URI: http://eprints.soton.ac.uk/id/eprint/436267
PURE UUID: 75333bd6-ec04-459a-aa7e-d937b8f44531
ORCID for Nicholas Andrew Francis: ORCID iD orcid.org/0000-0001-8939-7312

Catalogue record

Date deposited: 05 Dec 2019 17:30
Last modified: 09 Jan 2022 04:08

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Contributors

Author: Jochen W. L. Cals
Author: Kerenza Hood
Author: Nienke Aaftink
Author: Rogier M. Hopstaken
Author: Geert-Jan Dinant
Author: Christopher Collett Butler

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