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Geneva Score for Pulmonary Embolism Calculator

  • Age 65 or older Enter 1 for yes or 0 for no
  • Previous deep vein thrombosis or pulmonary embolism Enter 1 for yes or 0 for no
  • Surgery or fracture within the last month Enter 1 for yes or 0 for no
  • Active malignancy Enter 1 for yes or 0 for no
  • Unilateral lower limb pain Enter 1 for yes or 0 for no
  • Hemoptysis Enter 1 for yes or 0 for no
  • Pain on lower limb deep venous palpation and unilateral edema Enter 1 for yes or 0 for no
  • Heart rate Enter heart rate in beats per minute
  • Revised Geneva Score for Pulmonary Embolism Explanation and Clinical Context
    The Revised Geneva Score is an objective clinical prediction rule that estimates the probability of pulmonary embolism using only objective clinical variables. It assigns points for age 65 or older previous deep vein thrombosis or pulmonary embolism recent surgery or fracture active malignancy unilateral lower limb pain hemoptysis signs of deep vein thrombosis and heart rate. The total score stratifies patients into low intermediate or high clinical probability. In patients with low probability a negative D Dimer result can safely exclude pulmonary embolism in many clinical settings. Patients with intermediate or high probability usually require diagnostic imaging such as computed tomographic pulmonary angiography and appropriate clinical management.

    Interpretation summary
    Total score 0 to 3 low probability. Total score 4 to 10 intermediate probability. Total score 11 or more high probability.

    Reference
    Le Gal G et al. A simple clinical model to estimate the probability of pulmonary embolism the revised Geneva Score. Ann Intern Med. 2006;144:165 to 171.

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