Revised Geneva Score Calculator (PE)
Objective pre-test probability of pulmonary embolism with the revised Geneva score — age, prior VTE, surgery, cancer, leg pain, haemoptysis, heart rate and leg examination — three-level and simplified versions.
How it works
Age > 65 1 + prior VTE 3 + surgery/fracture 2 + cancer 2 + unilateral leg pain 3 + haemoptysis 2 + HR 75–94 3 / ≥ 95 5 + leg tenderness & oedema 4; 0–3 low, 4–10 intermediate, ≥ 11 high
The revised Geneva score is the fully objective alternative to Wells for suspected pulmonary embolism: it deliberately omits the subjective “PE is the most likely diagnosis” item, which makes it more reproducible between clinicians though slightly less discriminating. Heart rate is graded in two steps and the leg examination carries the most weight. The three-level version stratifies patients into low, intermediate and high probability; the two-level cut at 5 mirrors the Wells “unlikely/likely” split and decides whether a D-dimer can exclude PE. The simplified version gives every item one point (two for a heart rate of 95 or more) and performs equivalently.
Worked example
A 70-year-old with cancer, heart rate 88 and calf tenderness with oedema: 1 + 2 + 3 + 4 = 10 — intermediate probability, PE likely, proceed to CTPA.
Frequently asked questions
Geneva or Wells — which should I use?
Both are guideline-endorsed with similar accuracy. Geneva suits settings that want an objective score; Wells is faster and incorporates clinical gestalt.
Can I use an age-adjusted D-dimer with Geneva?
Yes — the ADJUST-PE study validated age × 10 µg/L cut-offs in “PE unlikely” patients by either Wells or Geneva.
Related calculators
Clinical decision tool for education and for use by trained clinicians alongside judgement — not a diagnosis and not a substitute for medical assessment. Scores validated in specific populations may not apply to every patient.