Newsom Score for Non-traumatic Chest Pain
Rules out need for chest x-ray in chest pain patients (non-traumatic).
Use in patients presenting to the emergency department for non-traumatic chest pain.
Critical Actions
- Consider prevalence of clinically significant chest x-ray findings in your population in comparison to the study population before applying the clinical decision tool to your practice.
- Though the criteria had excellent sensitivity and NPV for the study population, it did miss cases of pneumonia and pleural effusions. If clinical suspicion for these diagnosis is high despite absence of study criteria, consider performing chest x-ray.