Unlike Wells, the revised Geneva score uses no subjective item, so it is more reproducible between clinicians. Probability is low at 0–3 points (about 8%), intermediate at 4–10 (about 28%) and high at 11 or more (about 74%).
How to use the Revised Geneva Score for Pulmonary Embolism
- Age over 65
- Previous DVT or PE
- Surgery under general anaesthesia or lower-limb fracture in the past month
- Active cancer
- Unilateral lower-limb pain
- Haemoptysis
- Heart rate
- Pain on deep venous palpation of the leg and unilateral oedema
Results update as you type, and every field accepts the units shown in its menu.
How it works
Each answer carries the points shown in the published score. The calculator adds them up and maps the total to the published interpretation.
Scoring table
| Item | Answers and points |
|---|---|
| Age over 65 | No = 0; Yes = 1 |
| Previous DVT or PE | No = 0; Yes = 3 |
| Surgery under general anaesthesia or lower-limb fracture in the past month | No = 0; Yes = 2 |
| Active cancer | No = 0; Yes = 2 |
| Unilateral lower-limb pain | No = 0; Yes = 3 |
| Haemoptysis | No = 0; Yes = 2 |
| Heart rate | Below 75 bpm = 0; 75–94 bpm = 3; 95 bpm or more = 5 |
| Pain on deep venous palpation of the leg and unilateral oedema | No = 0; Yes = 4 |
Inputs explained
| Field | What to enter |
|---|---|
| Age over 65 | Choose one: No, Yes |
| Previous DVT or PE | Choose one: No, Yes |
| Surgery under general anaesthesia or lower-limb fracture in the past month | Choose one: No, Yes |
| Active cancer | Choose one: No, Yes |
| Unilateral lower-limb pain | Choose one: No, Yes |
| Haemoptysis | Choose one: No, Yes |
| Heart rate | Choose one: Below 75 bpm, 75–94 bpm, 95 bpm or more |
| Pain on deep venous palpation of the leg and unilateral oedema | Choose one: No, Yes |
Health note: this calculator is for education and screening only and is not a diagnosis or treatment advice. Discuss your results with a qualified clinician.
Formula
Score = sum of the points for each item
Worked example
Inputs — Age over 65: Yes; Previous DVT or PE: No; Surgery under general anaesthesia or lower-limb fracture in the past month: No; Active cancer: No; Unilateral lower-limb pain: No; Haemoptysis: No; Heart rate: 75–94 bpm; Pain on deep venous palpation of the leg and unilateral oedema: No.
Results — Revised Geneva score = 4 / 22; Clinical probability of PE = Intermediate (about 28%).
Key terms
- DVT
- Deep vein thrombosis.
Frequently asked questions
How is the Geneva score different from Wells?
It uses only objective criteria, without "PE most likely".
What happens with a low score?
A normal D-dimer usually rules out PE.
Is there a simplified version?
Yes – the simplified Geneva score gives 1 point per item (2 for heart rate ≥ 95).