NEXUS Chest

Dr Henry Knipe et al.

NEXUS Chest is a clinical decision rule that supports the appropriate use of thoracic imaging in trauma. There are seven criteria 1,2:

  • >60 years old
  • rapid deceleration defined as fall > 6 metres or motor vehicle crash >64 km/hour
  • chest pain
  • intoxication
  • abnormal alertness or mental status
  • distracting painful injury
  • tenderness to chest wall palpation

In a study of over 9500 patients aged over 14 years, the absence of the above criteria was used to "rule out" thoracic injury with a negative predictive value of 98.5%, and exclusion of clinically major injury with a negative predictive value of 99.9% 2.

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Article information

rID: 54301
Systems: Chest, Trauma
Synonyms or Alternate Spellings:

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