Table 3.20-14. Assessment of the clinical probability of pulmonary embolism using the original and simplified revised Geneva score

Parameter

Score (original)

Score (simplified)

Predisposing factors
 

Age >65 years

1

1
 

Previous deep vein thrombosis or pulmonary embolism

3

1

Surgery or fracture in the past month

2

1

Active malignant condition

2

1

Symptoms

 

Unilateral lower limb pain

3

1
 

Hemoptysis

2

1

Signs
 

Heart rate 75-94 beats/min

3

1

Heart rate ≥95 beats/min

5

2

Pain on deep venous palpation of the lower limb and unilateral edema

4

1

Interpretation

Clinical probability (3 levels; original score)

Low clinical probability: total score 0-3

Intermediate clinical probability: total score 4-10

High clinical probability: total score ≥11

Clinical probability (3 levels; simplified score)

Low clinical probability: total score 0-1 points

Intermediate clinical probability: total score 2-4 points

High clinical probability: total score ≥5 points

Clinical probability (2 levels; original score)

Pulmonary embolism unlikely: total score 0-5 points

Pulmonary embolism likely: total score ≥6 points

Clinical probability (2 levels; simplified score)

Pulmonary embolism unlikely: total score 0-2 points

Pulmonary embolism likely: total score ≥3 points

Adapted from Arch Intern Med. 2008;168(19):2131-6 and Ann Intern Med. 2006;144(3):165-71.