What is the Revised Geneva Score?

The Revised Geneva Score (rGeneva) is a simplified, fully objective scoring system developed to estimate the pre-test probability of pulmonary embolism. It was revised in 2006 to remove subjective items and relies entirely on clinical findings and history.

How is the score interpreted?

A score of 0–2 indicates Low probability (~8% PE prevalence), 3–4 indicates Intermediate probability (~29%), and 5 or above indicates High probability (~74%). These thresholds guide the next diagnostic step.

Can a low Geneva Score rule out PE?

A low Geneva Score combined with a negative D-dimer test has a high negative predictive value and can safely exclude PE in most patients. However, clinical judgment must always be applied.

Is this tool a substitute for medical advice?

No. This calculator is intended as an educational and clinical support aid only. All medical decisions must be made by a qualified healthcare professional based on the full clinical picture.

What heart rate threshold is used?

The revised score awards 3 points for a heart rate of 75–94 bpm and 5 points for a heart rate of 95 bpm or above. These are mutually exclusive; select the one that applies.

What counts as recent surgery or fracture?

Surgery under general anesthesia or a lower-limb fracture within the past month qualifies for this criterion (3 points).

Geneva Score vs Wells Score — which should I use?

Both estimate pre-test probability of PE with similar accuracy. The Revised Geneva Score is fully objective (no subjective "PE most likely" item), while the Wells Score includes one clinical-gestalt criterion. Many clinicians pick whichever their institution standardizes on.

Geneva Score for PE Calculator

Name: Geneva Score for PE Calculator
Availability: InStock
Author: Nham Vu

Calculate the Revised Geneva Score to estimate pre-test probability of pulmonary embolism using 8 clinical criteria.

Clinical Criteria

Check all that apply to the patient. Points are added automatically.

Age > 65 years

+1 pt

Previous DVT or PE

+3 pts

Surgery under general anesthesia or lower-limb fracture within 1 month

+2 pts

Active malignancy (solid or hematologic, currently active or treated within 1 year)

+2 pts

Unilateral lower-limb pain

+3 pts

Hemoptysis (coughing up blood)

+2 pts

Pain on deep palpation of lower-limb and unilateral edema

+4 pts

Heart Rate — select at most one

Heart rate 75–94 bpm

+3 pts

Heart rate ≥ 95 bpm

+5 pts

Revised Geneva Score

0 pts

—

Awaiting input

Score

Risk

PE Prevalence

0–2

Low

~8%

3–4

Intermediate

~29%

High

~74%

Select criteria on the left to see a score and clinical guidance.

For educational use only. Not a substitute for clinical judgment or local protocols.

Summary

Calculate the Revised Geneva Score to estimate pre-test probability of pulmonary embolism using 8 clinical criteria.

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 a risk category: Low (0–2 pts), Intermediate (3–4 pts), or High (5+ 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.

Frequently Asked Questions

Last updated: 2026-06-11 · Reviewed by Nham Vu