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Revised Geneva Score Calculator (Pulmonary Embolism)

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Calculate the Revised Geneva Score for pulmonary embolism using only clinical variables, with low, intermediate, and high pretest probability interpretation.

Age > 65 Years (1 pt)

Previous DVT or PE (3 pts)

Surgery or Fracture Within 1 Month (2 pts)

Active Malignancy (2 pts)

Unilateral Lower Limb Pain (3 pts)

Hemoptysis (2 pts)

Pain on Deep Venous Palpation and Unilateral Edema (4 pts)

Heart Rate

Revised Geneva Score

0

Pretest Probability

—

Not a substitute for clinical judgment. The Revised Geneva Score informs, but does not replace, the full PE workup pathway (D-dimer, imaging) determined by a qualified healthcare provider.

What is a Revised Geneva Score?

The Revised Geneva Score Calculator computes the Revised Geneva Score for pulmonary embolism (PE), a validated clinical prediction rule that estimates pretest probability using only objective clinical variables — no subjective clinical judgment required. It sums weighted points across eight criteria, including age, prior VTE history, recent surgery, malignancy, leg pain and swelling findings, hemoptysis, and heart rate.

Select the applicable criteria to see your total score and its low, intermediate, or high probability interpretation. For a complementary PE probability tool that includes clinical gestalt, see the Wells Score Calculator; for a very-low-risk rule-out tool, see the PERC Calculator.

How to use this Revised Geneva Score calculator

  1. Select Yes or No for Age > 65 Years.
  2. Select Yes or No for Previous DVT or PE.
  3. Select Yes or No for Surgery or Fracture Within 1 Month.
  4. Select Yes or No for Active Malignancy.
  5. Select Yes or No for Unilateral Lower Limb Pain.
  6. Select Yes or No for Hemoptysis.
  7. Select your Heart Rate category: under 75, 75-94, or 95 and above.
  8. Select Yes or No for Pain on Deep Venous Palpation and Unilateral Edema.
  9. Review your Revised Geneva Score and Pretest Probability, and discuss the result with your physician before deciding on next steps.

Formula & Methodology

The Revised Geneva Score sums the following weighted points:

- Age > 65 years: 1 point
- Previous DVT or PE: 3 points
- Surgery or fracture within 1 month: 2 points
- Active malignancy: 2 points
- Unilateral lower limb pain: 3 points
- Hemoptysis: 2 points
- Heart rate 75-94 bpm: 3 points, or ≥95 bpm: 5 points
- Pain on deep venous palpation and unilateral edema: 4 points

Interpretation: score 0-3 is low probability, 4-10 is intermediate probability, and ≥11 is high probability, per Le Gal G, et al. Ann Intern Med. 2006;144:165-171.

Worked example: A patient over 65 (1 point) with a heart rate of 98 bpm (5 points) and unilateral lower limb pain (3 points) scores 1 + 5 + 3 = 9 points total, placing them in the intermediate probability category.

Frequently Asked Questions

The Revised Geneva Score is a validated clinical prediction rule that estimates the pretest probability of pulmonary embolism (PE) using only objective clinical variables, without requiring subjective clinical judgment. It was developed by Le Gal G, et al. and published in Annals of Internal Medicine in 2006.
The Revised Geneva Score uses only objective variables — age, prior VTE, recent surgery or fracture, malignancy, unilateral leg pain, hemoptysis, heart rate, and palpation findings — while the Wells Score, available on the Wells Score Calculator, includes a subjective clinical gestalt criterion for whether PE is the most likely diagnosis.
The criteria are: age over 65 (1 point), previous DVT or PE (3 points), surgery or fracture within 1 month (2 points), active malignancy (2 points), unilateral lower limb pain (3 points), hemoptysis (2 points), heart rate 75-94 (3 points) or 95 and above (5 points), and pain on deep venous palpation with unilateral edema (4 points).
A total score of 0-3 indicates low probability of PE, 4-10 indicates intermediate probability, and 11 or above indicates high probability, based on the original non-simplified version published by Le Gal et al. in 2006.
Yes — a simplified version exists that assigns one point to each criterion instead of the original weighted point values, but this calculator uses the original, non-simplified version with its published weighted points, consistent with the initial 2006 validation study.
No — like other clinical prediction rules for PE, the Revised Geneva Score is combined with additional testing, typically D-dimer or imaging, as part of a structured diagnostic pathway determined by a qualified healthcare provider, not used in isolation.
Heart rate is scored in three tiers because the derivation study found that increasingly elevated heart rate was progressively more predictive of PE — under 75 bpm scores 0 points, 75-94 bpm scores 3 points, and 95 bpm or above scores 5 points, reflecting that steeper association.
The unilateral lower limb pain and palpation/edema criteria are typically assessed by a clinician during a physical examination, and self-assessment of these findings is not a substitute for that clinical exam when calculating a real score for medical decision-making.
No — like the Wells Score, the Revised Geneva Score has not been specifically validated in pregnant patients, who typically require separate, pregnancy-specific diagnostic pathways for suspected PE determined by their care team.
Both scores have been extensively validated and perform comparably overall in most studies, though they weight different clinical variables. Clinicians may prefer one over the other based on institutional protocol or the specific clinical scenario, sometimes using both together.
No — this calculator is strictly for informational and educational purposes only. Suspected pulmonary embolism is a potentially life-threatening condition that requires urgent evaluation by a qualified healthcare provider, and this tool must never be used as a substitute for that evaluation.
The PERC Calculator is often used first to determine whether PE can be excluded without testing in very-low-risk patients, and bleeding-risk tools like the HAS-BLED Calculator are used afterward if anticoagulation is being considered following a PE diagnosis.
Also known as
Geneva score calculatorrevised Geneva PE score calculatorpulmonary embolism pretest probability calculatorLe Gal Geneva score calculatorPE clinical probability calculator