Revised Geneva Score for Estimation of the Clinical Probability of Pulmonary Embolism in Adults

 

Risk factors
		Age >65 years old (1 point)
		Previous DVT or PE (3 points)
		Surgery or lower limb fracture within 1 month (2 points)
		Active malignant disease* (2 points)
Symptoms
		Unilateral lower limb pain (3 points)
		Hemoptysis (2 points)
Signs
		Heart rate <75 beats per minute (0 points)
		Heart rate 75 to 94 beats per minute (3 points)
		Heart rate ≥95 beats per minute (5 points)
		Pain (tenderness) on palpation of lower limb deep venous structure and unilateral edema (4 points)

 
Important: Inputs must be complete to perform calculation.

 

Total Criteria Point Count:
 

 

Modified Geneva score interpretation

 

Modified Geneva score (points)	Clinical probability of PE
0 to 3	Low
4 to 10	Intermediate
11 to 22	High

 

Notes

• DVT: deep venous thrombosis; PE: pulmonary embolism.
• *Active malignant disease, defined as a solid or hematologic malignant condition, currently active or considered cured less than 1 year ago.

 

References

1. Le Gal G, Righini M, Roy PM, et al. Prediction of pulmonary embolism in the emergency department: the revised Geneva score. Ann Intern Med. 2006 Feb 7;144(3):165-71. PubMed ID: 16461960