Table 1: Prior studies' CDR criteria and statistical findings for CXR utilization among non-traumatic chest pain patients.
|
|
Rothrock (2002) |
Hess (2010) |
Poku (2012) |
Goldschlager (2013) |
Newsom (2018) |
|
Criteria
|
1. Age ≥ 60 2. Hemoptysis 3. Hx of alcohol abuse 4. Hx of tuberculosis 5. Hx of thromboembolic disease 6. O2 sat < 90% 7. RR > 24 8. Temp ≥ 38 °C 9. Rales 10. Diminished breath sounds |
1. Hx of CHF 2. Hx of smoking 3. Abnormality on lung auscultation |
1. Age ≥ 55 2. Hx of smoking 3. SOB 4. Abnormality on lung auscultation
|
1. Hx of CHF 2. Hx of smoking 3. Abnormality on lung auscultation |
1. Age ≥ 60 2. Hx of alcohol abuse 3. Hx of tuberculosis 4. Hx of thromboembolic disease 5. Hx of CHF 6. Hx of smoking 7. O2 sat < 90% 8. RR > 24 9. Temp ≥ 38 °C 10. Rales 11. Diminished breath sounds |
|
Sensitivity |
95% |
100% |
100% |
80% |
92.9% |
|
Specificity |
40% |
36.1% |
11.5% |
50% |
30.4% |
|
PPV |
25% |
- |
6.7% |
18% |
- |
|
NPV |
98% |
- |
100% |
95% |
98.4% |
NPV: Negative Predictive Value; PPV: Positive Predictive Value; Hx: History; O2 Sat: Oxygen Saturation; RR: Respiratory Rate; Temp: Temperature; CHF: Congestive Heart Failure; SOB: Shortness of Breath