• Emergencies
  • Pulmonology
  • Vascular medicine

Geneva revised score

Probability of pulmonary embolism

The revised Geneva score estimates the clinical probability of a pulmonary embolism based on standardized variables, without criteria such as "PE more likely than an alternative diagnosis". It complements clinical evaluation and integrates into a diagnostic strategy; it does not confirm a pulmonary embolism.

Number of questions
8 variables
Approximate duration
2 minutes
Population
Adults with suspected pulmonary embolism
Modality
clinical score

QuestionnaireGeneva revised

CLINICIAN SCORE

The two heart rate categories are mutually exclusive.

Are you patient?

This score is intended for the professional evaluation of suspected pulmonary embolism and does not replace urgent medical assessment in the event of concerning symptoms.

Question 1 / 8

1

Age > 65 years

Terms of contract

The score is calculated by a healthcare professional during the initial assessment of a suspected pulmonary embolism; it was derived and validated in emergency department patients. Heart rate must be measured during this assessment—the two ranges being mutually exclusive—and the result is integrated into a diagnostic strategy that includes D-dimer testing and imaging where appropriate. Surgery under general anesthesia or lower limb fracture within the previous month. Active solid or hematologic cancer, or considered cured for less than one year.

Score interpretationGeneva revised

Weighted sum of the criteria present (1 to 5 points depending on the criterion, heart rate counted in only one category). Score from 0 to 22.

Total score

First reading

  • 0 to 3

    Score 0–3: low clinical probability.

  • 4 to 10

    Score 4–10: intermediate clinical probability.

  • 11 to 22

    Score ≥ 11: high clinical probability.

0–3: low probability; 4–10: intermediate; ≥ 11: high.

Thresholds are validated in specific populations and strategies; the pre-test probability remains a step, not the final diagnosis.

Frequently asked questions

Sources and references

Le Gal G et al.

Le Gal G et al., Ann Intern Med, 2006

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