Geneva score

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The original Geneva score for the probability of thrombotic pulmonary embolus is good for junior doctors comparred to the Wells score. [1] but less evidence base overall:

  • Age
    • 60–79 years (1 point)
    • >=80 years (2 points)
  • Previous DVT or PE (2 points)
  • Recent surgery (<4 weeks ago) (3 points)
  • Heart rate>100 bpm (1 point)
  • PaCO2
    • <35 mmHg (2 points)
    • 35–39 mmHg (1 points)
  • PaO2
    • <49 mmHg (4 points)
    • 49–59 mmHg (3 points)
    • 60–71 mmHg (2 points)
    • 72–82 mmHg (1 point)
  • Chest X-ray
    • Band atelectasis (1 point)
    • Elevation of hemidiaphragm (1 point)

=>Score:

  • <5 indicates a low probability of PE
  • 5–8 indicates a moderate probability of PE
  • >8 indicates a high probability of PE.


The revised Geneva score[2] works in Europe and has now had more relevant cross validation to modern practice than the Geneva score and has been shown to be equivalent to the Wells score[3].

  • Age older than 65 years (1 point)
  • Previous deep venous thrombosis or pulmonary embolism (3 points)
  • Surgery or fracture within 1 month (2 points)
  • Active malignant condition (2 points)
  • Unilateral lower limb pain (3 points)
  • Hemoptysis (2 points)
  • Heart rate
    • 75 to 94 beats/min (3 points) or
    • 95 beats/min or more (5 points)
  • Pain on lower-limb deep venous palpation and unilateral edema (4 points)

=>

  • Low-probability (0 to 3 points)
  • Intermediate-probability (4 to 10 points)
  • High-probability (> or =11 points)

References