Revised Geneva Score
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Original Editor - Carina Therese Magtibay
Top Contributors - Carina Therese Magtibay
Objective[edit | edit source]
The Revised Geneva Score is a Clinical Prediction Rule for pulmonary embolism (PE). Its objective is to determine patients who are low-risk to rule out pulmonary embolism with a d-dimer serum test and for intermediate and high-risk patients to undergo additional imaging studies such as CT angiography and ultrasound.
Intended Population[edit | edit source]
It is used for individuals at risk for pulmonary embolism.
Method of Use[edit | edit source]
Revised Geneva Scale [1]
Variables | Points |
---|---|
Risk factors | |
Age >65 y | 1 |
Previous DVT or PE | 3 |
Surgery (under general anesthesia) or fracture (of the lower limbs) within 1 month | 2 |
Active malignant condition (solid or hematologic malignant condition, currently active or
considered cured <1 y) |
2 |
Symptoms | |
Unilateral lower-limb pain | 3 |
Hemoptysis | 2 |
Clinical signs | |
75–94 beats/min | 3 |
>95 beats/min | 5 |
Pain on lower-limb deep venous palpation and unilateral edema | 4 |
Clinical Probability | |
Low | 0-3 total |
Intermediate | 4–10 total |
High | >11 total |
Reference[edit | edit source]
Evidence[edit | edit source]
Reliability[edit | edit source]
Validity[edit | edit source]
Responsiveness[edit | edit source]
Miscellaneous
[edit | edit source]
Links[edit | edit source]
References[edit | edit source]
- ↑ Le Gal G, Righini M, Roy PM, Sanchez O, Aujesky D, Bounameaux H, Perrier A. Prediction of pulmonary embolism in the emergency department: the revised Geneva score. Annals of internal medicine. 2006 Feb 7;144(3):165-71.