The Revised Geneva Score / Simplified Revised Geneva Score
The Revised Geneva Score has the advantage of not relying on Gestalt clinical acumen as none of the parameters take this into account. It is widely used in Europe and has similar performance to Wells Scoring in the risk stratification of patients with possible PE.
| Points | |||
| Variable | Revised Geneva | Simplified revised Geneva | |
| Age >=65 year | 1 | 1 | |
| Previous DVT/PE | 3 | 1 | |
| Recent surgery/Fracture (<4/52) | 2 | 1 | |
| Active malignancy | 2 | 1 | |
| Unilateral lower limb pain | 3 | 1 | |
| Haemoptysis | 2 | 1 | |
| Pulse: | |||
| 75 94 bpm | 3 | 1 | |
| >=95 bpm | 5 | 2 | |
| Pain on lower limb deep vein palpation or unilateral oedema | 4 | 1 | |
In the Revised Geneva Score patients are divided into three risk groups:
- Patients scoring 0 to 3 are considered low risk
- Patients scoring 4 to 10 are considered moderate (intermediate) risk
- Patients scoring 11 to 25 are at high risk of pulmonary embolus
Patients scoring 0 to 3 have a pre-test probability of a PE of approximately 8%.
In the Simplified Revised Geneva Score:
- Patients scoring 0 to 2 are low risk (or PE unlikely)
- Patients scoring 3 or more are high risk (or PE likely)
Patients scoring 0 to 2 have a pre-test probability of a PE of approximately 13%.