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Revised Geneva score (original and simplified)

Also called Geneva score, simplified revised Geneva, Geneva PE score

Fully objective pretest probability of PE, shown in both the weighted and the simplified (1-point) versions.

Heart rate

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Formula and scoring

Original: age >65 1, prior DVT/PE 3, surgery/fracture 2, cancer 2, unilateral leg pain 3, haemoptysis 2, HR 75–94 3 or ≥95 5, deep-vein palpation pain + oedema 4. Simplified: 1 point each, HR 75–94 1, ≥95 2. Cut-offs as in ESC 2019 Table 5.

Exam and ward pearls

  • Unlike Wells, Geneva has no subjective "PE most likely" item, so it is reproducible between observers.
  • The simplified version has the same accuracy (AUC 0.74 vs 0.75).

When not to rely on it

  • Derived in European emergency departments; inter-observer agreement for items was not studied in the derivation.

Source

  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;144(3):165-71. doi:10.7326/0003-4819-144-3-200602070-00004 · PMID 16461960
  2. Klok FA, Mos IC, Nijkeuter M, et al. Simplification of the revised Geneva score for assessing clinical probability of pulmonary embolism. Arch Intern Med. 2008;168(19):2131-6. doi:10.1001/archinte.168.19.2131 · PMID 18955643
  3. Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism. Eur Heart J. 2020;41(4):543-603. doi:10.1093/eurheartj/ehz405 · PMID 31504429

Formula and cut-offs checked against these sources on 8 Nov 2026. Educational tool for clinicians; it does not replace clinical judgement.

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