Pulmonology Book


Revised Geneva Score

Aka: Revised Geneva Score
  1. See Also
    1. Pulmonary Embolism
    2. Pulmonary Embolism Diagnosis
    3. Pulmonary Embolism Pretest Probability
    4. Pulmonary Embolism Low Probability Evaluation
    5. Pulmonary Embolism Moderate Probability Evaluation
    6. Pulmonary Embolism High Probability Evaluation
    7. Wells Clinical Prediction Rule for PE
    8. Pulmonary Embolism Rule-Out Criteria (PERC Rule)
  2. Indications
    1. Evaluation of Pulmonary Embolism in patients clinically assessed as low probability
  3. Criteria
    1. Score 1 point: Age >65 years
    2. Score 3 points: Prior Deep Vein Thrombosis or Pulmonary Embolism
    3. Score 2 points: Surgery (with general Anesthesia) or lower extremity Fracture in last month
    4. Score 2 points: Active malignancy (or within last year)
    5. Score 3 points: Unilateral lower limb pain
    6. Score 2 points: Hemoptysis
    7. Score 0 points: Heart Rate <75 beats per minute
    8. Score 3 points: Heart Rate 75-94 beats per minute
    9. Score 5 points: Heart Rate >94 beats per minute
    10. Score 4 points: Unilateral Edema and lower limb pain on deep vein palpation
  4. Interpretation
    1. Score 1-3 points: Low Risk for Pulmonary Embolism
    2. Score 4-10 points: Moderate Risk for Pulmonary Embolism
    3. Score >=11 points: High Risk for Pulmonary Embolism
  5. Resources
    1. MDCalc
      1. https://www.mdcalc.com/geneva-score-revised-pulmonary-embolism
  6. References
    1. Le Gal (2006) Ann Intern Med 144(3):165-71 +PMID:16461960 [PubMed]

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