Geneva Score for PE Calculator
Calculate the Revised Geneva Score to estimate pre-test probability of pulmonary embolism using 8 clinical criteria.
Use the Geneva Score for PE Calculator
Clinical Criteria
Check all that apply to the patient. Points are added automatically.
Heart Rate — select at most one
Revised Geneva Score
For educational use only. Not a substitute for clinical judgment or local protocols.
Summary
The Revised Geneva Score is a validated clinical decision tool used to estimate the pre-test probability of pulmonary embolism (PE). It evaluates eight objective clinical parameters including age, heart rate, prior DVT/PE, recent surgery or fracture, active cancer, unilateral leg pain, hemoptysis, and deep vein tenderness. The original three-level model classifies scores as Low (0–3), Intermediate (4–10), or High (11 or more).
How it works
- Select all criteria that apply to the patient from the checklist.
- Each criterion carries a weighted point value based on its clinical significance.
- The tool sums all selected points to produce a total Geneva Score.
- The score maps to the original three-level categories: Low (0–3 pts), Intermediate (4–10 pts), or High (11+ pts).
- Use the result alongside clinical judgment and appropriate imaging to guide management.
Use cases
- Rapidly stratify patients presenting with dyspnea or chest pain in the ED.
- Determine whether a D-dimer test alone can rule out PE in low-probability patients.
- Guide the decision to proceed directly to CT pulmonary angiography (CTPA).
- Avoid unnecessary radiation exposure in patients with low pre-test probability.
- Teach medical students and residents about evidence-based PE workup.
- Document clinical reasoning in the medical record for PE evaluation.