Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
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    Attention COACH STUDY participants:

    The principal investigators of the study request that you use the official version of the modified score here.

    Newsom Score for Non-traumatic Chest Pain

    Rules out need for chest x-ray in chest pain patients (non-traumatic).

    INSTRUCTIONS

    Use in patients presenting to the emergency department for non-traumatic chest pain.

    When to Use
    Pearls/Pitfalls
    Why Use

    Patients presenting to the emergency department for non-traumatic chest pain.

    • Application of this decision tool would have missed five clinically relevant diagnoses in the study population: three pneumonias and two pleural effusions.

    • The prevalence of clinically relevant ED findings on chest x-ray in the study population was 6.4%. In populations where prevalence is higher, negative predictive value (98.4% in the study) would decrease (Newsom 2018).
    • Can potentially safely eliminate unnecessary x-ray in patients presenting to EDs with non-traumatic chest pain (92.9% sensitive, NPV 98.4% for clinically relevant ED findings on chest x-ray).
    • In the validation study, application of the score would have decreased chest x-ray usage by 28.9%.
    • The study authors estimate a potential decrease of $58 million per year in healthcare costs as a result of the potential decrease number of chest x-rays performed with application of the clinical decision tool. 
    Criteria

    Presence of ≥1 means the patient is not low risk:

    Diagnostic Result:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights
    Dr. Case K. Newsom

    About the Creator

    Case K. Newsom, DO, is an emergency physician in the St. Luke's University Health Network in Bethlehem, Pennsylvania. Dr. Newsom’s primary research is focused on traumatic injuries.

    To view Dr. Case K. Newsom's publications, visit PubMed

    Are you Dr. Case K. Newsom? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
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    About the Creator
    Dr. Case K. Newsom
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