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Revised Geneva Score — Pulmonary Embolism
Pre-test probability assessment for PE in outpatients and emergency patients
Heart Rate
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Revised Geneva
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Simplified Geneva
PE Pre-test Probability:
Recommended Workup:
Risk Stratification
| Revised Geneva | Risk | PE Prevalence |
|---|---|---|
| <4 | Low | 7.9% |
| 4–10 | Intermediate | 28.5% |
| >10 | High | 73.7% |
Revised Geneva: sum of all weighted items (0–22+)
Simplified Geneva: each item = 1 point (HR ≥75 = 1 regardless of level)
Both validated in outpatient and ED populations
Simplified Geneva: each item = 1 point (HR ≥75 = 1 regardless of level)
Both validated in outpatient and ED populations
Algorithm: Low probability → D-dimer: if negative, PE excluded. If positive → CTPA. Intermediate/High probability → CTPA directly. PERC rule applicable for low-probability patients with all 8 PERC criteria negative.
For clinical decision support only. Not a substitute for professional medical judgment.
