Predictors of patient-initiated reconsultation for lower respiratory tract infections in general practice Academic Article uri icon

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  • 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.


  • Cals, Jochen WL
  • Hood, Kerenza
  • Aaftink, Nienke
  • Hopstaken, Rogier M
  • Francis, Nick A
  • Dinant, Geert-Jan
  • Butler, Christopher

publication date

  • October 1, 2009

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