Revised Geneva Score: Difference between revisions
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'''Original Editor '''- [[User: | '''Original Editor '''- [[User:Carina Therese Magtibay|Carina Therese Magtibay]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
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== Objective | == Objective == | ||
The Revised Geneva Score is a [[Clinical Prediction Rules|Clinical Prediction Rule]] for [[Pulmonary Embolism|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 | == Intended Population == | ||
It is used for individuals at risk for pulmonary embolism. | |||
== Method of Use == | == Method of Use == | ||
{| class="wikitable" | |||
|+'''Revised Geneva Scale''' <ref>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.</ref> | |||
!'''Variables''' | |||
!'''Points''' | |||
|- | |||
! colspan="2" |'''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 | |||
|- | |||
| colspan="2" |'''Symptoms''' | |||
|- | |||
|Unilateral lower-limb pain | |||
|3 | |||
|- | |||
|Hemoptysis | |||
|2 | |||
|- | |||
| colspan="2" |'''Clinical signs''' | |||
|- | |||
|75–94 beats/min | |||
|3 | |||
|- | |||
|<u>></u>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 | |||
|<u>></u>11 total | |||
|} | |||
== Reference | == Reference == | ||
== Evidence == | == Evidence == | ||
Revision as of 07:14, 29 April 2024
This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (29/04/2024)
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]
| 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.
