🫁 Newsom Score (Non-Traumatic Chest Pain CXR)
UseWhen to use: non-traumatic chest pain when considering deferring a screening chest radiograph.
StrataScore 0 supports deferring screening CXR if suspicion is low and ACS pathway is addressed.
LimitsWhen not to use: high clinical suspicion despite score 0. · Pitfall: treating as an ACS rule-out. · Not a pneumonia exclusion alone.
SourceNewsom non-traumatic chest-pain CXR decision rule
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
12 binary criteria.
When to use
When to use: non-traumatic chest pain when considering deferring a screening chest radiograph.
How it works
Any of 12 criteria → not low risk; all absent → low-risk deferral cue.
Key points
- 12 binary criteria.
- 0 = low risk.
- Next: ACS / focused imaging.
References
- Newsom non-traumatic chest-pain CXR decision rule
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Age ≥60 years | No |
|---|---|
| CHF history | No |
| Smoking history (current/former) | No |
| Hemoptysis | No |
| Tuberculosis history | No |
| Thromboembolic history (DVT/PE) | No |
| Prior/current alcohol abuse | No |
| Fever ≥38.0°C (100.4°F) | No |
| SpO₂ <90% | No |
| Respiratory rate >24/min | No |
| Diminished breath sounds | No |
| Rales / crackles | No |
→Newsom0/12
- Risk class：Low risk
- Cue：0/12 — low-risk CXR deferral cue if ACS workup addressed and suspicion low
| Age ≥60 years | Yes |
|---|---|
| CHF history | Yes |
| Smoking history (current/former) | Yes |
| Hemoptysis | Yes |
| Tuberculosis history | Yes |
| Thromboembolic history (DVT/PE) | Yes |
| Prior/current alcohol abuse | Yes |
| Fever ≥38.0°C (100.4°F) | Yes |
| SpO₂ <90% | Yes |
| Respiratory rate >24/min | Yes |
| Diminished breath sounds | Yes |
| Rales / crackles | Yes |
→Newsom12/12
- Risk class：Not low risk
- Cue：12/12 — not low risk; screening CXR generally indicated
Verification & sources · governance
FAQ
Frequently asked questions
- Does Newsom Score (Non-Traumatic Chest Pain CXR) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Newsom Score (Non-Traumatic Chest Pain CXR) calculated in practice? Can you show a worked example?
- Inputs: Age ≥60 years No, CHF history No, Smoking history (current/former) No, Hemoptysis No, Tuberculosis history No, Thromboembolic history (DVT/PE) No, Prior/current alcohol abuse No, Fever ≥38.0°C (100.4°F) No… → Result: Newsom 0 /12（Risk class: Low risk, Cue: 0/12 — low-risk CXR deferral cue if ACS workup addressed and suspicion low） Inputs: Age ≥60 years Yes, CHF history Yes, Smoking history (current/former) Yes, Hemoptysis Yes, Tuberculosis history Yes, Thromboembolic history (DVT/PE) Yes, Prior/current alcohol abuse Yes, Fever ≥38.0°C (100.4°F) Yes… → Result: Newsom 12 /12（Risk class: Not low risk, Cue: 12/12 — not low risk; screening CXR generally indicated）