🫁 Revised Geneva Score (PE Probability)
Estimate pulmonary embolism pre-test probability with the objective revised Geneva score.
Revised Geneva Score (PE Probability)
Age > 65
Previous DVT/PE
Surgery/fracture within 1 month
Active malignancy
Unilateral lower-limb pain
Haemoptysis
Heart rate
Pain on deep vein palpation + unilateral oedema
When to use
An entirely objective alternative to Wells for suspected PE.
How it works
Weighted items (prior VTE 3, leg pain 3, HR 75–94 3 / ≥95 5, surgery/fracture 2, malignancy 2, haemoptysis 2, age >65 1, palpation pain + oedema 4). 0–3 low, 4–10 intermediate, ≥11 high.
Key points
- Uses only objective variables, reducing inter-rater variability.
- Non-high probability → high-sensitivity D-dimer.
- High probability → CT pulmonary angiography.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.