Revised Geneva Score for Pulmonary Embolism
Revised Geneva score (Le Gal 2006); dichotomization per Klok 2008A fully objective alternative to the Wells score: eight standardized variables (including a heart-rate band) yield a low/intermediate/high or unlikely/likely probability of PE.
Also searched as: PE · pre-test probability · D-dimer · decision rule · pretest
Information
Incomplete input
- Please provide: heart-rate band.
How this tool works
The revised Geneva score (Le Gal 2006) removes any implicit-judgment item: age over 65 adds 1 point; prior venous thromboembolism and unilateral leg pain add 3 each; recent surgery or lower-limb fracture, active malignancy, and hemoptysis add 2 each; pain on deep-vein palpation with unilateral edema adds 4; and heart rate adds 3 for 75-94 bpm or 5 for 95 bpm or more. The three-tier reading is low at 0-3, intermediate at 4-10, and high at 11 or more; the validated dichotomization reads 0-5 as PE unlikely and 6 or more as PE likely. Unlikely (or low/intermediate) patients proceed to D-dimer; likely (or high) patients proceed directly to imaging.
References
- Le Gal G, et al. Ann Intern Med 2006;144:165-171
- Klok FA, et al. Arch Intern Med 2008;168:2131-2136
- 2019 ESC Guidelines, acute pulmonary embolism. Eur Heart J 2020;41:543-603
Implemented from the cited published sources. Educational use only; confirm against current guidelines before clinical use.
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