Revised Geneva score

Revised Geneva score

Principle

Estimation of clinical pretest probability of pulmonary embolism using the eight variables of the original revised Geneva score by Le Gal et al. (2006).

Scope

Synthetic adult case aged 18 years or older with suspected PE. The pilot excludes pregnancy, postpartum, haemodynamic instability and ongoing anticoagulation by scope choice; it does not delay urgent care.

Interpretation limits

Clinical pretest probability, without standalone diagnosis, severity measurement or individual percentage. Wells and revised Geneva are alternative approaches: their totals are not added. No diagnostic pathway or treatment is prescribed.

Formula and logic

Sum of eight contributions: age (0/1), history (0/3), surgery/fracture (0/2), cancer (0/2), unilateral pain (0/3), haemoptysis (0/2), heart rate (0/3/5), palpation AND oedema (0/4). Maximum: 22 points.

Interpretation

0–3

Low clinical probability

4–10

Intermediate clinical probability

11–22

High clinical probability

Definition version : 0.4.0

Sources

• Le Gal G et al. · Annals of Internal Medicine — Prediction of Pulmonary Embolism… Revised Geneva Score

  2006-02-07 · Original model, eight variables, definitions and three categories. Table 2 of the text publicly deposited by coauthor Marc Righini, reread on 6 October 2026.

• Dépôt public du coauteur Marc Righini — Article original — texte et tableau 2

  2006-02-07 · Provenance of the full text examined: surgery/fracture and cancer definitions, method, limitations; DOI 10.7326/0003-4819-144-3-200602070-00004.

• American College of Physicians — Revised Geneva score — tableau institutionnel

  2013-03 · Independent check of weights and boundaries 0–3 / 4–10 / ≥ 11; reread on 6 October 2026.