CHICO is an ongoing HTA funded randomised controlled trial. The intervention includes an algorithm to predict the risk of hospitalisation among children who present with cough or upper respiratory tract infection, the clinician addressing carer concerns and a personalised leaflet of the consultation to give to the carer. 

CACH Team: Peter Blair, Jenny Ingram,

This is an ongoing HTA funded randomised controlled trial with an efficient design. The feasibility study demonstrated that clinicians choosing the patients to be involved in the study led to recruitment differential and collecting primary outcome data from practice notes was expensive and time-consuming. This study is based at the practice level (no patient recruitment) and uses routinely collected antibiotic dispensing data and hospitalisation rates as the primary outcomes. The intervention includes an algorithm to predict those children (aged 0-9 years) presenting with cough or upper respiratory tract infection at very low risk of hospitalisation (the majority), the clinician addressing carer concerns and a personalised leaflet of the consultation, care at home and safety-netting advice to give to the carer.