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Revised Geneva Score for Pulmonary Embolism

The revised Geneva score (0–25) estimates clinical probability of PE from objective items only: 0–3 low (~8% PE), 4–10 intermediate (~28%), ≥11 high (~74%).

  • Age (years)
  • Heart rate (/min)
  • Previous DVT or PE (yes/no, +3)
  • Surgery (general anesthesia) or lower-limb fracture within 1 month (yes/no, +2)
  • Active malignancy (solid or hematologic, active or cured < 1 year) (yes/no, +2)
  • Unilateral lower-limb pain (yes/no, +3)
  • Hemoptysis (yes/no, +2)
  • Pain on deep venous palpation of lower limb and unilateral edema (yes/no, +4)
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Interpretation

ResultMeaning
0–3Low (8%)
4–10Intermediate (28%)
≥ 11High (74%)

Formula

Age > 65: 1 · previous DVT/PE 3 · surgery or fracture ≤ 1 month 2 · active malignancy 2 · unilateral leg pain 3 · hemoptysis 2 · HR 75–94: 3, ≥ 95: 5 · deep-vein palpation pain + unilateral edema 4

Clinical pearls

  • Unlike Wells, it has no subjective "PE most likely" item, making it more reproducible.
  • Low or intermediate probability with a negative D-dimer excludes PE; high probability needs imaging.

Examples

revised geneva 70M hr 100 prior dvt unilateral leg paingeneva score for a 50 year old woman with cancer, pulse 80, hemoptysisgeneva pe 30 yo hr 70 no risk factors

FAQ

How is the revised Geneva score different from Wells?

It uses only objective items (age, heart rate, history, signs) and no clinician judgement of whether PE is the most likely diagnosis.

What revised Geneva score is high risk?

11 or more points, with PE prevalence around 74% in the validation cohort.

Evidence

  1. Le Gal G et al. Prediction of pulmonary embolism in the emergency department: the revised Geneva score. Ann Intern Med 2006;144:165–71.

Cardiology · Reviewed 2026-10-14 · Methodology