NEXUS Chest

Last revised by Henry Knipe on 14 Jul 2017

Citation, DOI, disclosures and article data

Citation:

Knipe H, NEXUS Chest. Reference article, Radiopaedia.org (Accessed on 23 Apr 2024) https://doi.org/10.53347/rID-54301

DOI:

https://doi.org/10.53347/rID-54301

Permalink:

https://radiopaedia.org/articles/54301

rID:

54301

Article created:

3 Jul 2017, Henry Knipe ◉ ◈

Disclosures:

At the time the article was created Henry Knipe had no recorded disclosures.

View Henry Knipe's current disclosures

Last revised:

14 Jul 2017, Henry Knipe ◉ ◈

Disclosures:

At the time the article was last revised Henry Knipe had no recorded disclosures.

View Henry Knipe's current disclosures

Revisions:

2 times, by 1 contributor - see full revision history and disclosures

Systems:

Chest, Trauma

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 meters 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.