3C Cough Complications Cohort Study

The study aimed to determine if subsequent diagnosis of pneumonia following presentation in primary care with a cough and a diagnosis of lower respiratory tract infection (LRTI) can be predicted from clinical characteristics and to determine if antibiotic treatment is associated with reduced incidence of adverse outcome.

The study concluded that prescribing antibiotics to reduce subsequent hospitalisation or death for adults with uncomplicated LRTI cannot be justified – delayed prescription may be preferable since it is associated with reduced re-consultations with worsening illness.

A paper on the predictive value of patient characteristics, presenting symptoms and clinical findings for the diagnosis of pneumonia is published in European Respiratory Journal and a paper on the antibiotic prescription strategies and adverse outcome for uncomplicated respiratory tract infections is published in The BMJ.


Towards person-centred care: development of a patient support needs tool for patients with advanced chronic obstructive pulmonary disease (COPD) in primary care (SNAP1 Study) aimed to develop a new Support Needs Approach for Patients (SNAP) tool, suitable for use in clinical practice. A comprehensive range of evidence-based domains of support were identified for inclusions in the draft SNAP tool. The tool asks patients to consider whether they need more support in relation to 16 domains of support need e.g. practical help in the home, knowing what to expect in the future, understanding their condition, getting out and about, and support for their carer.

The study findings are published in THORAX.